Information Collection

Submit application for right-of-way, amendment, assignment or mortgage, and supporting documents

IC 211352 under ICR 201508-1076-002 · OMB 1076-0181.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0181 can be found here:

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Information Collection (IC) Details

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IC Title:	Submit application for right-of-way, amendment, assignment or mortgage, and supporting documents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 169.204 25 CFR 169.102 25 CFR 169.207 25 CFR 169.210

Information Collection Instruments:

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

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 550	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 20 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	2,200	2,200
Annual IC Time Burden (Hours)	2,200	2,200
Annual IC Cost Burden (Dollars)	2,200,000	2,200,000

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