Information Collection

1700-1754; 1703-1704; 1712; 1716-1717; 1721a, d, f-g; 1722 a-b, d; 1723b; 1743a - General

IC 10884 under ICR 201110-1014-010 · OMB 1014-0010.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0010 can be found here:

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Information Collection (IC) Details

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IC Title:	1700-1754; 1703-1704; 1712; 1716-1717; 1721a, d, f-g; 1722 a-b, d; 1723b; 1743a - General	Agency IC Tracking Number:	1010-0142 ext 10

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1722 a-b, d; 1723b; 1743a 30 CFR 250.1716-1717; 1721a, d, f-g; 30 CFR 250.1700-1754; 1703-1704; 1712

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 Conservation and Preparedness

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 35

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

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

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.