Information Collection

Cordova Household Registration (Individuals)

IC 245403 under ICR 202309-1018-001 · OMB 1018-0178.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sample Cordova Harvest Household Registration w-PRA 03312021.pdf Sample Cordova Harvest Household Registration	IC Document

IC Title:

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 92.31

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

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Permits SystemâInterior, FWSâ21

FR Citation: 73 FR 31877

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	20	30
Annual IC Time Burden (Hours)	13	5	8
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample Cordova Harvest Household Registration	Sample Cordova Harvest Household Registration w-PRA 03312021.pdf	03/31/2021

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