Information Collection

Request to Terminate Private Maintenance and Care Agreement (43 CFR 4750.4-3)

IC 182305 under ICR 202312-1004-002 · OMB 1004-0042.

Documents and Forms

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Document Name	Document Type

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IC Title:

Request to Terminate Private Maintenance and Care Agreement (43 CFR 4750.4-3)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 4750.4-3

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: Interior / LLM-28, Adopt a Wild Horse

FR Citation: 72 FR 67956

Number of Respondents: 75

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	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.

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