Information Collection

Consolidated Consumers' Report - Annual

IC 11237 under ICR 202207-1028-001 · OMB 1028-0070.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form USGS 9-4117-MA Consolidated Consumers' Report - Annual	Form and Instruction
USGS 9-4117-MA Consolidated Consumers' Report G05.pdf miforms.er.usgs.gov	Form and Instruction
MIFORMS_Registration_Forms.pdf MINFORMS Registration Page	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	USGS 9-4117-MA	Consolidated Consumers' Report	G05.pdf	https://miforms.er.usgs.gov	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title: Computer Registration System. (INTERIOR/USGS-20)

FR Citation: 74 FR 23430

Number of Respondents: 153

Number of Respondents for Small Entity: 15

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 19 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	153	6	147
Annual IC Time Burden (Hours)	115	5	110
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
MINFORMS Registration Page	MIFORMS_Registration_Forms.pdf	01/19/2011

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