Statement of Employment and Finanial Interests for Use by State Employeess-30 CFR Part 705

ICR 200507-1029-002

OMB: 1029-0067

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1029-0067 200507-1029-002
Historical Active 200206-1029-002
DOI/OSMRE
Statement of Employment and Finanial Interests for Use by State Employeess-30 CFR Part 705
Extension without change of a currently approved collection   No
Regular
Approved without change 08/30/2005
Retrieve Notice of Action (NOA) 07/13/2005
  Inventory as of this Action Requested Previously Approved
08/31/2008 08/31/2008 08/31/2005
3,676 0 2,909
1,078 0 974
0 0 0

Respondents supply information on employment and financial interests. The information is used to determine if respondents are in compliance with Section 517(g) of th Surface Mining Control and Reclamation Act of 1977 which places an absolute prohibition on having a direct or indirect financial interest in underground or surface coal mining operations.

None
None


No

1
IC Title Form No. Form Name
Statement of Employment and Finanial Interests for Use by State Employeess-30 CFR Part 705 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 3,676 2,909 0 0 767 0
Annual Time Burden (Hours) 1,078 974 0 0 104 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.
07/13/2005


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