Information Collection

Port Facility Conveyance Information

IC 26674 under ICR 202207-2133-001 · OMB 2133-0524.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2133-0524 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MA-1047 Port Facility Conveyance Information	Form and Instruction
MA-1047 Port_Facility_Conveyance_Information Application for conveyance of port facility property (Form MA-1047) - 1-14-22.pdf www.maritime.dot.gov/ports/port-conveyance/application-conveyance-port-facility-property	Form and Instruction
MA-1047 Port_Facility_Conveyance_Information Application for conveyance of port facility property (Form MA-1047) - 1-14-22.pdf www.maritime.dot.gov/ports/port-conveyance/application-conveyance-port-facility-property	Form and Instruction
2133-0524 07 ss version.doc Port Facility Conveyance Information	IC Document
2133-0524 07 ss version.doc Port Facility Conveyance Information	IC Document

IC Title:

Port Facility Conveyance Information

Agency IC Tracking Number:

2133-0524

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 41 CFR 102

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	MA-1047	Port_Facility_Conveyance_Information	Application for conveyance of port facility property (Form MA-1047) - 1-14-22.pdf	https://www.maritime.dot.gov/ports/port-conveyance/application-conveyance-port-facility-property	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13

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	Previously Approved
Annual Number of Responses for this IC	13	0	13
Annual IC Time Burden (Hours)	572	0	572
Annual IC Cost Burden (Dollars)	28,503	28,503	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Port Facility Conveyance Information	2133-0524 07 ss version.doc	06/29/2007

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