Information Collection

Field Work Check-In Report (govt)

IC 242259 under ICR 202302-1024-001 · OMB 1024-0236.

Documents and Forms

Document Name Document Type
Form 10-741C Field Work Check-In Report (govt) Form
10-741C PERMITTEE FIELD CHECK-IN REPORT Form 10-741C_Permittee Field Work Check-In Report.pdf Form
10-741C PERMITTEE FIELD CHECK-IN REPORT Form 10-741C_Permittee Field Work Check-In Report.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Field Work Check-In Report (govt)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 2.1 and 2.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	10-741C	PERMITTEE FIELD CHECK-IN REPORT	Form 10-741C_Permittee Field Work Check-In Report.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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