Information Collection

Annual Financial Statement

IC 185532 under ICR 202304-0648-001 · OMB 0648-0012.

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IC Title:	Annual Financial Statement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 253.11

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: 272	Number of Respondents for Small Entity: 100

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	272	21	251
Annual IC Time Burden (Hours)	544	42	502
Annual IC Cost Burden (Dollars)	0	-2,259	2,259

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