Information Collection

Prepare and submit application and agreement

IC 45945 under ICR 201905-1076-002 · OMB 1076-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0167 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Prepare and submit application and agreement	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 224.63 25 CFR 224 .53

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 Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 5 %

	Requested	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	540	-540	1,080
Annual IC Cost Burden (Dollars)	5,000	0	5,000

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.