Information Collection

Adverse Claims (43 CFR Subpart 3871)

IC 44551 under ICR 201208-1004-002 · OMB 1004-0025.

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Information Collection (IC) Details

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IC Title:	Adverse Claims (43 CFR Subpart 3871)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3871.2 43 CFR 3000.12 43 CFR 3871.1

Information Collection Instruments:

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

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	3	0	3
Annual IC Cost Burden (Dollars)	105	5	100

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.