Information Collection

Human Interaction Form

IC 225905 under ICR 201702-0648-009 · OMB 0648-0178.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0178 can be found here:

Documents and Forms

Document Name Document Type
Human Interaction Form Form
Human Interaction Form Human Interaction Form_Revised v2.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Human Interaction Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	NA	Human Interaction Form	Human Interaction Form_Revised v2.pdf		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: 400	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 97 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,050	5,050
Annual IC Time Burden (Hours)	3,788	3,788
Annual IC Cost Burden (Dollars)	56	56

Documents for IC

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.