Information Collection

250.1156; 250.1167 - Request approval to produce w/in 500 ft. of a unit

IC 234576 under ICR 202112-1014-001 · OMB 1014-0019.

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IC Title:

250.1156; 250.1167 - Request approval to produce w/in 500 ft. of a unit

Agency IC Tracking Number:

1014-0019 '22

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1156; 250.1167

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

Number of Respondents for Small Entity: 3

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	4	0	4
Annual IC Time Burden (Hours)	40	0	40
Annual IC Cost Burden (Dollars)	18,108	2,540	15,568

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