Information Collection

162.237, 437, 527, 562 - Provide information for acceptable insurance (businesses)

IC 179213 under ICR 202209-1076-001 · OMB 1076-0155.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0155 can be found here:

Documents and Forms

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IC Title:

162.237, 437, 527, 562 - Provide information for acceptable insurance (businesses)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 162.562 25 CFR 162.437 25 CFR 162.237 25 CFR 162.527

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: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 1,250

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.