Information Collection

Incidental capture intake form

IC 260513 under ICR 202306-0648-002 · OMB 0648-0496.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Incidental capture intake form	Form
10 Incidental Capture Intake Form Instructions.pdf	Instruction
10 Incidental Capture Intake Form Instructions.pdf	Instruction
Incidental Capture Intake Form 9 Incidental Capture Intake Form.pdf	Form
Incidental Capture Intake Form 9 Incidental Capture Intake Form.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Incidental Capture Intake Form	9 Incidental Capture Intake Form.pdf		Yes	Yes	Fillable Fileable
Instruction			10 Incidental Capture Intake Form Instructions.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 150

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	42	42
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.