View Information Collection (IC)

View Information Collection (IC)

IC Title:	11a(1); 40; 41 - Form MMS-1016 - Designated Applicant Information	Agency IC Tracking Number:	omm-1010-0106 ext 07

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 253.11a(1); 40; 41

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	1016	Designated Applicant Information Certification	Form 1016 exp 10-10.doc	http://www.gomr.mms.gov/homepg/mmsforms/mms1016.PDF	Yes	Yes	Fillable Fileable
Other-PRA			Form 1016a PRA cover sheet 4 OSFR.doc	http://www.gomr.mms.gov/homepg/mmsforms/coversht.pdf	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 140

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

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	200	0	0	-1,626	0	1,826
Annual IC Time Burden (Hours)	200	0	0	-19,099	0	19,299
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

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.