Information Collection

Refined Helium Deliveries Detail

IC 217859 under ICR 202107-1004-005 · OMB 1004-0179.

Documents and Forms

Document Name Document Type
Form 3195-4 Refined Helium Deliveries Detail Form
3195-4 refined Helium Deliveries Detail Form 3195-4 Refined Helium Deliveries Detail.docx Form
3195-4 refined Helium Deliveries Detail Form 3195-4 Refined Helium Deliveries Detail.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Refined Helium Deliveries Detail	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3195-4	refined Helium Deliveries Detail	Form 3195-4 Refined Helium Deliveries Detail.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28	-12	40
Annual IC Time Burden (Hours)	224	64	160
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.