Information Collection

Application for a Lease -- Individuals (43 CFR 3902.23, 3922.20, and 3922.30)

IC 185488 under ICR 202101-1004-002 · OMB 1004-0201.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application for a Lease -- Individuals (43 CFR 3902.23, 3922.20, and 3922.30)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3920

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 Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	308	308
Annual IC Cost Burden (Dollars)	172,323	172,323

Documents for IC

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