Information Collection

DAS Leasing Request Form

IC 223885 under ICR 202602-0648-001 · OMB 0648-0605.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
DAS Leasing Request Form DAS Leasing Request Form	Form
DAS Leasing Request Form 2021 DAS Leasing Request Form_508_0605_autofill.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 50 CFR 648.82(k)

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	NA				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: 200

Number of Respondents for Small Entity: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	0	400
Annual IC Time Burden (Hours)	32	0	32
Annual IC Cost Burden (Dollars)	0	-272	272

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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