Information Collection

43 CFR Part 3410 Relinquishment of an Exploration License

IC 192178 under ICR 202212-1004-003 · OMB 1004-0073.

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IC Title:	43 CFR Part 3410 Relinquishment of an Exploration License	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3410.3-1(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title: Coal Lease Data System -- Interior, BLM-4	FR Citation: 47 FR 55319

Number of Respondents: 12	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	144	144
Annual IC Cost Burden (Dollars)	0	0

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