Information Collection

250.801(c); 802(c)(1) - 3rd Party Costs for Review

IC 250171 under ICR 202410-1014-003 · OMB 1014-0003.

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IC Title:

250.801(c); 802(c)(1) - 3rd Party Costs for Review

Agency IC Tracking Number:

1014-0003 ext' 25

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.801(c); 802(c)(1)

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: 3

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3	0	3
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	108,000	18,000	90,000

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table that charts IC Documents
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.