Information Collection

Paper form and instruction

IC 217745 under ICR 202203-1028-002 · OMB 1028-0079.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0079 can be found here:

Documents and Forms

Document Name Document Type
NABBS_DataForm_2021.pdf Other-
NABBS_DataForm_2021.pdf Other-

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Paper form and instruction	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-			NABBS_DataForm_2021.pdf		Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 612	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	612	0	612
Annual IC Time Burden (Hours)	6,732	0	6,732
Annual IC Cost Burden (Dollars)	35,802	2,448	33,354

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.