Information Collection

Copper Form No. 9-4066-M

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

Documents and Forms

Document Name Document Type
Form C21.9-4066-M Copper Form No. 9-4066-M Form and Instruction
C21.9-4066-M Copper C21.9-4066-M.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Copper Form No. 9-4066-M	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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	Copper	C21.9-4066-M.pdf		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 %

	Requested	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

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.