DAS Leasing Request Form

Northeast Multispecies Reporting Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0605 can be found here:

Documents and Forms

Document Name Document Type
DAS Leasing Request Form Form
DAS Leasing Request Form 2021 DAS Leasing Request Form_508_0605_autofill.pdf Form
DAS Leasing Request Form 2021 DAS Leasing Request Form_508_0605_autofill.pdf Form

Information Collection (IC) Details

IC Title:	DAS Leasing Request Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 50 CFR 648.82(k)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	DAS Leasing Request Form	2021 DAS Leasing Request Form_508_0605_autofill.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 200

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-200	600
Annual IC Time Burden (Hours)	32	-16	48
Annual IC Cost Burden (Dollars)	272	-88	360

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.