Common Clay and Shale and Fire Clay

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⚠️ Notice: This information collection may be referencing outdated material.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 9-4015-A Common Clay and Shale and Fire Clay Form
9-4015-A Common Clay and Shale and Fire Clay 9-4015-A.pdf Form

Information Collection (IC) Details

IC Title:	Common Clay and Shale and Fire Clay	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	9-4015-A	Common Clay and Shale and Fire Clay	9-4015-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: 160	Number of Respondents for Small Entity: 20

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	160	2	158
Annual IC Time Burden (Hours)	240	3	237
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.