Information Collection

Application of a State or Municipal Licensee or Exemptee for Total or Partial Exemptiopn from the Assessment of Annual Charges

IC 243916 under ICR 202311-1902-001 · OMB 1902-0136.

Documents and Forms

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IC Title:

Application of a State or Municipal Licensee or Exemptee for Total or Partial Exemptiopn from the Assessment of Annual Charges

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 18 CFR 11.6

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: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	2	48
Annual IC Time Burden (Hours)	100	4	96
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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