Information Collection

Lead and Smelter (Annually) Form No. 9-4086-MA

IC 247228 under ICR 202410-1028-003 · OMB 1028-0053.

Documents and Forms

Document Name Document Type
Form 9-4086-MA Lead and Smelter (Annually) Form No. 9-4086-MA Form and Instruction
9-4086-MA 9-4086 C58.9-4086-MA.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Lead and Smelter (Annually) Form No. 9-4086-MA	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	9-4086-MA	9-4086	C58.9-4086-MA.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Computer Registration Systems	FR Citation: 74 FR 23430

Number of Respondents: 66	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 30 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	66	56	10
Annual IC Time Burden (Hours)	33	28	5
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.