Public Entity Information Sheet

Forms to Determine Compliance by Certain Landholders, 43 CFR Part 426

Documents and Forms

Document Name Document Type
Form 7-2565 Public Entity Information Sheet Form and Instruction
7-2565 Public Entity Information Sheet 7-2565 Public Entity Information Sheet.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Public Entity Information Sheet	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 426

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7-2565	Public Entity Information Sheet	7-2565 Public Entity Information Sheet.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title: INTERIOR/WBR-31, Acreage Limitation	FR Citation: 64 FR 13234

Number of Respondents: 15	Number of Respondents for Small Entity: 4

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	-85	100
Annual IC Time Burden (Hours)	4	-21	25
Annual IC Cost Burden (Dollars)	0	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.