Consolidated Consumers' Report - Annual

Consolidated Consumers' Report (Form 9-4117-MA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0070 can be found here:

Documents and Forms

Document Name Document Type
Form USGS 9-4117-MA Consolidated Consumers' Report - Annual Form and Instruction
USGS 9-4117-MA Consolidated Consumers' Report G05.pdf miforms.er.usgs.gov Form and Instruction
MIFORMS_Registration_Forms.pdf MINFORMS Registration Page IC Document

Information Collection (IC) Details

IC Title:	Consolidated Consumers' Report - Annual	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
Form and Instruction	USGS 9-4117-MA	Consolidated Consumers' Report	G05.pdf	https://miforms.er.usgs.gov	Yes	Yes	Fillable Fileable

Line of Business: Economic Development

Subfunction: Business and Industry Development

Privacy Act System of Records
Title: Computer Registration System. (INTERIOR/USGS-20)	FR Citation: 74 FR 23430

Number of Respondents: 212	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 19 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	212	4	208
Annual IC Time Burden (Hours)	159	3	156
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
MINFORMS Registration Page	MIFORMS_Registration_Forms.pdf	01/19/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.