Preliminary Jurisdictional Determination Form

Jurisdictional Determination Forms and Aquatic Resources Delineation Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0710-0024 can be found here:

Documents and Forms

Document Name Document Type
Form ENG Form 6249 Preliminary Jurisdictional Determination Form Form
ENG Form 6249 Preliminary Jurisdictional Determination (PJD) Eng_Form_6249_2023Jun26 - DRAFT.pdf Form
ENG Form 6249 Preliminary Jurisdictional Determination (PJD) Eng_Form_6249_2023Jun26 - DRAFT.pdf Form

Information Collection (IC) Details

IC Title:	Preliminary Jurisdictional Determination Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ENG Form 6249	Preliminary Jurisdictional Determination (PJD)	Eng_Form_6249_2023Jun26 - DRAFT.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,500	1,500
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	18,600	18,600

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.