Information Collection

Locality Information - State Local and Tribal Govt.

IC 222698 under ICR 202202-1093-001 · OMB 1093-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1093-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DI-9004 Locality Information - State Local and Tribal Govt.	Form and Instruction
DI-9004 Paleontology Locality Record DI Form 9004 Paleontology Locality Record Final 02-2022.docx	Form and Instruction
DI-9004 Paleontology Locality Record DI Form 9004 Paleontology Locality Record Final 02-2022.docx	Form and Instruction

IC Title:

Locality Information - State Local and Tribal Govt.

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 49.75(a)(1 & 7)

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	DI-9004	Paleontology Locality Record	DI Form 9004 Paleontology Locality Record Final 02-2022.docx		Yes	Yes	Fillable Fileable

Line of Business: Education

Subfunction: Cultural and Historic Preservation

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: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	15	15
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.