Information Collection

Mine, Development, and Mineral Exploration Supplement (Private)

IC 11217 under ICR 202504-1028-002 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 9-4000-A Mine Development and Exploration Mine, Development, and Mineral Exploration Supplement (Private)	Form and Instruction
9-4000-A Mine Development and Exploration 20250417_9-4000-A_Form_and_Instructions-MineDevelopment__Mineral_Exploration_Supplement.pdf	Form and Instruction
proprietary_data_brochure.pdf Proprietary Data Brochure	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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	9-4000-A				Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Computer Registration Interior/USGS-20

FR Citation: 74 FR 23430

Number of Respondents: 324

Number of Respondents for Small Entity: 180

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	324	324
Annual IC Time Burden (Hours)	243	243
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Proprietary Data Brochure		02/12/2013

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

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