Information Collection

Tribal Participation in the Advance Notification

IC 248568 under ICR 202107-3150-004 · OMB 3150-0250.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3150-0250 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
IC Instructions Tribal Notifications.pdf	Instruction
Five Year Letter template.pdf	Other-initial contact letter
Follow up email to Tribes interested in participating.docx	Instruction
SGI Pamphlet.pdf	Other-informational pamphlet

IC Title:

Tribal Participation in the Advance Notification

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 10 CFR 73 10 CFR 71

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-initial contact letter	Five Year Letter template.pdf	No		Paper Only
Instruction	Follow up email to Tribes interested in participating.docx	Yes	Yes	Fillable Fileable
Other-informational pamphlet	SGI Pamphlet.pdf	Yes	No	Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	22	22
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	3,750	3,750

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.