Exfoliated Vermiculite

Industrial Minerals Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0062 can be found here:

Documents and Forms

Document Name Document Type
Form 9-4005-A Exfoliated Vermiculite Form and Instruction
9-4005-A Exfoliated Vermiculate 9-4005-A.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Exfoliated Vermiculite	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	9-4005-A	Exfoliated Vermiculate	9-4005-A.pdf		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Computer Registration System	FR Citation: 74 FR 23430

Number of Respondents: 21	Number of Respondents for Small Entity: 21

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

Percentage of Respondents Reporting Electronically: 30 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21	1	20
Annual IC Time Burden (Hours)	11	1	10
Annual IC Cost Burden (Dollars)	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.