View Information Collection (IC)

View Information Collection (IC)

IC Title:	241 thru 262; 266-285 - Contents of DPP and DOCD	Agency IC Tracking Number:	1010-0151

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.241 thru 262; 266 thru 285

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0139	DOCD Air Quality Screening Checklist	Form 0139 exp 2014.xls	http://www.gomr.boemre.gov/homepg/forms/frmindx.html	Yes	Yes	Fillable Fileable
Instruction			Form 0139 Inst exp 2014.doc	http://www.gomr.boemre.gov/homepg/forms/frmindx.html	Yes	Yes	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Supply

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 254	Number of Respondents for Small Entity: 165

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

Percentage of Respondents Reporting Electronically: 95 %

	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	254	0	143	0	0	111
Annual IC Time Burden (Hours)	78,290	0	690	0	0	77,600
Annual IC Cost Burden (Dollars)	627,418	0	0	-520,082	0	1,147,500

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.