View Information Collection (IC)

View Information Collection (IC)

IC Title:	11a(1); 40; 41 - Form MMS-1017 - Designation of Applicant	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	MMS-1017	Designation of Applicant	Form 1017 exp 12-13.doc	http://www.gomr.mms.gov/homepg/mmsforms/frmindx.html	Yes	Yes	Fillable Printable
Form	MMS-1018	Self-Insurance or Idemnity Information	Form 1018 exp 12-13.doc	http://www.gomr.mms.gov/homepg/mmsforms/frmindx.html	Yes	Yes	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 600	Number of Respondents for Small Entity: 420

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	600	0	0	0	0	600
Annual IC Time Burden (Hours)	5,400	0	0	0	0	5,400
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.