Information Collection

Authorization to Act as an Agent

IC 265781 under ICR 202403-0710-001 · OMB 0710-0003.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ENG 6295 Authorization to Act as an Agent	Form
Form ENG 6295 Authorization to Act as an Agent Authorization to Act as an Agent	Form
ENG 6295 Authorization to Act as an Agent Eng_Form_6295_2024Jan22 - DRAFT.pdf	Form
ENG 6295 Authorization to Act as an Agent Eng_Form_6295_2024Jan22 - DRAFT.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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	ENG 6295				Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 42,337

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions, Farms

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	42,337	42,337
Annual IC Time Burden (Hours)	3,528	3,528
Annual IC Cost Burden (Dollars)	111,064	111,064

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.

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