Information Collection

Application of a State or Municipal Licensee or Exemptee for Total or Partial Exemptiopn from the Assessment of Annual Charges

IC 243916 under ICR 202008-1902-001 · OMB 1902-0136.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application of a State or Municipal Licensee or Exemptee for Total or Partial Exemptiopn from the Assessment of Annual Charges	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 18 CFR 11.6

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: 48	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	48	48
Annual IC Time Burden (Hours)	96	96
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.