Information Collection

Request to Use Alternate Measurement System (43 CFR 3170.30) Annual

IC 242462 under ICR 202006-1004-007 · OMB 1004-0137.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0137 can be found here:

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Information Collection (IC) Details

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IC Title:	Request to Use Alternate Measurement System (43 CFR 3170.30) Annual	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3170.30

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.