Information Collection

Refinery Production of Precious Metals

IC 186639 under ICR 202006-1028-008 · OMB 1028-0053.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0053 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G43.9-4125-A Refinery Production of Precious Metals	Form and Instruction
Form G43.9-4125-A Precious Metals Refinery Production of Precious Metals	Form and Instruction
G43.9-4125-A Precious Metals G43.9-4125-A.pdf	Form and Instruction
G43.9-4125-A Precious Metals G43.9-4125-A.pdf	Form and Instruction

IC Title:

Refinery Production of Precious Metals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G43.9-4125-A				Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Computer Registration System

FR Citation: 74 FR 23430

Number of Respondents: 50

Number of Respondents for Small Entity: 27

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	10	40
Annual IC Time Burden (Hours)	25	5	20
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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