Information Collection

Refinery Production of Precious Metals Form No. 9-4125-A

IC 186639 under ICR 202410-1028-003 · OMB 1028-0053.

Documents and Forms

Document Name Document Type
Form G43.9-4125-A Refinery Production of Precious Metals Form No. 9-4125-A Form and Instruction
G43.9-4125-A Precious Metals G43.9-4125-A.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Refinery Production of Precious Metals Form No. 9-4125-A	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	G43.9-4125-A	Precious Metals	G43.9-4125-A.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: 26	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	26	-24	50
Annual IC Time Burden (Hours)	13	-12	25
Annual IC Cost Burden (Dollars)	0	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.