Information Collection

DI Form 9011, "Regional Advisory Council Reference/Key Contact Interview" (Individuals)

IC 272403 under ICR 202411-1090-001 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DI Form 9011 DI Form 9011, "Regional Advisory Council Reference/Key Contact Interview" (Individuals)	Form and Instruction
DI Form 9011 Regional Advisory Council Reference/Key Contact Intervie DI Form 9011 RAC Reference & Key Contact Interview Form Rev 09-2024.docx www.doi.gov/eforms	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 51

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	DI Form 9011	Regional Advisory Council Reference/Key Contact Interview	DI Form 9011 RAC Reference & Key Contact Interview Form Rev 09-2024.docx	https://www.doi.gov/eforms	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Permits System - Interior, FWS-21

FR Citation: 88 FR 16277

Number of Respondents: 145

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	145	145
Annual IC Time Burden (Hours)	36	36
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.