Information Collection

Lode Mining Claim Patent Application / 10 or Fewer Claims (43 CFR Subpart 3862)

IC 204844 under ICR 201806-1004-001 · OMB 1004-0025.

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IC Title:	Lode Mining Claim Patent Application / 10 or Fewer Claims (43 CFR Subpart 3862)	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 3862.8 43 CFR 3862.9 43 CFR 3860.1 43 CFR 3000.11 43 CFR 3000.12 43 CFR 3862.1 43 CFR 3862.2 43 CFR 3862.3 43 CFR 3862.4 43 CFR 3862.5 43 CFR 3862.6 43 CFR 3862.7

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: 0

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)	80	0	80
Annual IC Cost Burden (Dollars)	41,755	13,520	28,235

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