Information Collection

Placer Mining Claim Patent Application / More than 10 Claims (43 CFR Subpart 3863)

IC 191347 under ICR 202411-1004-001 · OMB 1004-0025.

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IC Title:

Placer Mining Claim Patent Application / More than 10 Claims (43 CFR Subpart 3863)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3860.1 43 CFR 3863.1 43 CFR 3000.11 43 CFR 3000.12

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: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	100	0	100
Annual IC Cost Burden (Dollars)	44,115	575	43,540

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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