Information Collection

EM Service Provider - Application (Application, EM Service Plan, 2 Units)

IC 237156 under ICR 202509-0648-003 · OMB 0648-0785.

Documents and Forms

Document Name Document Type
EMP Permit Application & Renewal Form EM Service Provider - Application (Application, EM Service Plan, 2 Units) Form and Instruction
EMP Permit Application & Renewal Form EMP Permit Application & Renewal Form.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	EM Service Provider - Application (Application, EM Service Plan, 2 Units)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 50 CFR 660.603(b)(1)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	EMP Permit Application & Renewal Form	EMP Permit Application & Renewal Form.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2	Number of Respondents for Small Entity: 2

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2	-4	6
Annual IC Time Burden (Hours)	98	6	92
Annual IC Cost Burden (Dollars)	20,149	-67	20,216

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.

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