Information Collection

Agreements and Modifications: Information Form for Agreements

IC 32188 under ICR 202311-3072-003 · OMB 3072-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FMC-150 Agreements and Modifications: Information Form for Agreements	Form
FMC-150 Information Form for Agreements FMC 150 Info Form Draft_for renewal notice.pdf www.fmc.gov/images/pages/Info_Form.doc	Form
FMC-150 Information Form for Agreements FMC 150 Info Form Draft_for renewal notice.pdf www.fmc.gov/images/pages/Info_Form.doc	Form
FMC-150 Information Form for Agreements - data template FMC 150 Draft Data Template.xlsx	Form
FMC-150 Information Form for Agreements - data template FMC 150 Draft Data Template.xlsx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 46 CFR 535.501

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	FMC-150	Information Form for Agreements	FMC 150 Info Form Draft_for renewal notice.pdf	http://www.fmc.gov/images/pages/Info_Form.doc	Yes	Yes	Fillable Fileable
Form	FMC-150	Information Form for Agreements - data template	FMC 150 Draft Data Template.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	15	-2	17
Annual IC Time Burden (Hours)	1,125	275	850
Annual IC Cost Burden (Dollars)	0	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.