Information Collection

10 - Notify of petition to vacate

IC 215221 under ICR 202508-1076-004 · OMB 1076-0186.

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Information Collection (IC) Details

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IC Title:	10 - Notify of petition to vacate	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 25 CFR 23.136

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	250	0	250
Annual IC Time Burden (Hours)	63	0	63
Annual IC Cost Burden (Dollars)	730	415	315

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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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