Information Collection

Appeals to the State Director (43 CFR 3809.800)

IC 192351 under ICR 202301-1004-002 · OMB 1004-0194.

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Information Collection (IC) Details

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IC Title:	Appeals to the State Director (43 CFR 3809.800)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 43 CFR 3809.805 43 CFR 3809.800 43 CFR 3809.804

Information Collection 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: 12	Number of Respondents for Small Entity: 12

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12	-18	30
Annual IC Time Burden (Hours)	480	-720	1,200
Annual IC Cost Burden (Dollars)	0	0	0

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