Consolidated Consumers' Report - Monthly

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⚠️ Notice: This information collection may be referencing outdated material.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 - Monthly 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 - Monthly	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: 141	Number of Respondents for Small Entity: 13

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	1,692	72	1,620
Annual IC Time Burden (Hours)	1,269	54	1,215
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.