Information Collection

DI Form 9012, "Federal Subsistence Customary Trade Recordkeeping Form" (Individuals)

IC 277690 under ICR 202509-1090-004 · OMB 1090-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DI Form 9012 DI Form 9012, "Federal Subsistence Customary Trade Recordkeeping Form" (Individuals)	Form and Instruction
Form DI Form 9012 Federal Subsistence Customary Trade Recordkeeping Form DI Form 9012, "Federal Subsistence Customary Trade Recordkeeping Form" (Individuals)	Form and Instruction
DI Form 9012 Federal Subsistence Customary Trade Recordkeeping Form DI Form 9012 Federal Subsistence Customary Trade Recordkeeping Form Rev 09-2025.pdf	Form and Instruction
DI Form 9012 Federal Subsistence Customary Trade Recordkeeping Form DI Form 9012 Federal Subsistence Customary Trade Recordkeeping Form Rev 09-2025.pdf	Form and Instruction

IC Title:

DI Form 9012, "Federal Subsistence Customary Trade Recordkeeping Form" (Individuals)

Agency IC Tracking Number:

Is this a Common Form? Yes

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 9012				Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: INTERIOR/FWS-21, Permits

FR Citation: 89 FR 2230

Number of Respondents: 18

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18	18
Annual IC Time Burden (Hours)	5	5
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.

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