Information Collection

Interim or Final Report (Form 17-4A)

IC 246078 under ICR 202103-0648-001 · OMB 0648-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NOAA Form 17-4A Interim or Final Report (Form 17-4A)	Form and Instruction
NOAA Form 17-4A Interim Activity Reports and Final Report NOAA Form 17-4A Interim Activity Reports and Final Report.pdf	Form and Instruction
NOAA Form 17-4A Interim Activity Reports and Final Report NOAA Form 17-4A Interim Activity Reports and Final Report.pdf	Form and Instruction

IC Title:

Interim or Final Report (Form 17-4A)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

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	NOAA Form 17-4A	Interim Activity Reports and Final Report	NOAA Form 17-4A Interim Activity Reports and Final Report.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 30

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

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