STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS FOR STATE EMPLOYEES

ICR 198104-1029-062

OMB: 1029-0067

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1029-0067 198104-1029-062
Historical Active
DOI/OSMRE
STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS FOR STATE EMPLOYEES
Revision of a currently approved collection   No
Regular
Approved without change 04/30/1981
Retrieve Notice of Action (NOA) 04/30/1981
  Inventory as of this Action Requested Previously Approved
12/31/1981 12/31/1981
1,000 0 0
500 0 0
0 0 0

SECTION 507(G) OF P.L. 95-87 PROVIDES THAT NO EMPLOYEE OF THE STATE REGULATORY AUTHORITY SHALL HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST IN ANY UNDERGROUND OR SURFACE COAL MINING OPERATION. THIS INFORMATION IS USED BY OFFICIALS OF THE STATE AGENCY TO DETERMINE WHETHER EACH STATE EMPLOYEE COMPLIES WITH THE FINANCIAL INTEREST PROVISIONS OF P.L. 95-87.

None
None


No

1
IC Title Form No. Form Name
STATEMENT OF EMPLOYMENT AND FINANCIAL INTERESTS FOR STATE EMPLOYEES OSM 23

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000 0 0 0 1,000 0
Annual Time Burden (Hours) 500 0 0 0 500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/30/1981


© 2024 OMB.report | Privacy Policy