Information Collection

Self bonding

IC 198959 under ICR 202603-1012-001 · OMB 1012-0006.

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Information Collection (IC) Details

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IC Title:	Self bonding	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 1243.200(a) and (b)

Information Collection Instruments:

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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 65	Number of Respondents for Small Entity: 10

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

Percentage of Respondents Reporting Electronically: 5 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	65	0	65
Annual IC Time Burden (Hours)	130	0	130
Annual IC Cost Burden (Dollars)	168	-82	250

Documents for IC

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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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