Information Collection

Renewal Form (State/Local/Tribal Govt.)

IC 204709 under ICR 202310-1028-004 · OMB 1028-0082.

Documents and Forms

Document Name Document Type
Renewal Form (State/Local/Tribal Govt.) Form
Permit Renewal Form 1028-0082 BB Permit Renewal 2016.docx www.pwrc.usgs.gov/BBL/homepage/renewalform.cfm Form
Permit Renewal Form 1028-0082 BB Permit Renewal 2016.docx www.pwrc.usgs.gov/BBL/homepage/renewalform.cfm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Renewal Form (State/Local/Tribal Govt.)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	None	Permit Renewal Form	1028-0082 BB Permit Renewal 2016.docx	https://www.pwrc.usgs.gov/BBL/homepage/renewalform.cfm	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: 30	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30	-10	40
Annual IC Time Burden (Hours)	2	1	1
Annual IC Cost Burden (Dollars)	0	0	0

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.