Information Collection

250.903 - Test Results

IC 225668 under ICR 202208-1014-004 · OMB 1014-0011.

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IC Title:

250.903 - Test Results

Agency IC Tracking Number:

1014-0011 ext '23

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.903

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: 115

Number of Respondents for Small Entity: 79

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	115	115
Annual IC Time Burden (Hours)	28,405	28,405
Annual IC Cost Burden (Dollars)	0	0

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table that charts IC Documents
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