Information Collection

Appointment of Designated Agent (State/Local/Tribal Government)

IC 259941 under ICR 202305-1018-002 · OMB 1018-0199.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0199 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Appointment of Designated Agent (State/Local/Tribal Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 17.84

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: Interior/FWS-27, Correspondence Control System	FR Citation: 88 FR 16277

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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