Refiners' Tolling Occurrence Report

Helium Contracts (43 CFR part 3195)

Documents and Forms

Document Name Document Type
Form 3195-3 Refiners' Tolling Occurrence Report Form
3195-3 Refiners' Tolling Occurrence Report 3195-003_Refiners’ Tolling Occurrence Report.docx Form
3195-3 Refiners' Tolling Occurrence Report 3195-003_Refiners’ Tolling Occurrence Report.docx Form

Information Collection (IC) Details

IC Title:	Refiners' Tolling Occurrence Report	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	3195-3	Refiners' Tolling Occurrence Report	3195-003_Refiners’ Tolling Occurrence Report.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: 11	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	44	32	12
Annual IC Time Burden (Hours)	264	216	48
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.