Information Collection Request

Discharge and Delivery Survey Summary and Rate Schedule Forms

ICR 202306-0581-001 · OMB 0581-0317 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form KC-337 Rate Schedule Form Modified Available
Form KC-334 Preliminary/Final Discharge/Delivery Survey Summary Form Modified Available
Form KC-334 Discharge and Delivery Survey Summary adn Rate Schedule Forms Form Modified Repair queued
AMS-71.xlsx Supplementary Document Uploaded 2023-06-13 Repair queued
Supporting Statement.docx Supporting Statement A Uploaded 2023-06-13 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
1457 Discharge and Delivery Survey Summary adn Rate Schedule Forms Form ModifiedRate Schedule
1457 Discharge and Delivery Survey Summary adn Rate Schedule Forms Form ModifiedPreliminary/Final Discharge/Delivery Survey Summary
1457 Discharge and Delivery Survey Summary adn Rate Schedule Forms Form Modified
1457 Discharge and Delivery Survey Summary adn Rate Schedule Forms Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2026 36 Months From Approved 10/31/2023
485 0 485
234 0 234
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Discharge and Delivery Survey Summary adn Rate Schedule Forms KC-334, KC-337 ,  

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 485 485 0 0 0 0
Annual Time Burden (Hours) 234 234 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No