Information Collection

Copper Form No. 9-4066-M

IC 11199 under ICR 202410-1028-003 · OMB 1028-0053.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form C21.9-4066-M Copper Form No. 9-4066-M	Form and Instruction
Form C21.9-4066-M Copper Copper Form No. 9-4066-M	Form and Instruction
C21.9-4066-M Copper C21.9-4066-M.pdf	Form and Instruction
C21.9-4066-M Copper C21.9-4066-M.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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 and Instruction	C21.9-4066-M				Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Computer Registration System

FR Citation: 74 FR 23430

Number of Respondents: 17

Number of Respondents for Small Entity: 7

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	204	204
Annual IC Time Burden (Hours)	102	102
Annual IC Cost Burden (Dollars)	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.

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