Information Collection

30 CFR 886.23(b) and OSM-76 (PAD)

IC 11347 under ICR 200611-1029-003 · OMB 1029-0087.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0087 can be found here:

Documents and Forms

Document Name Document Type
Form OSM - 76 30 CFR 886.23(b) and OSM-76 (PAD) Form
OSM - 76 PROBLEM AREA DESCRIPTION FORMS (PAD) - OSM 76 NEW-OSM76.doc ismhdqa02.osmre.gov/OSM.HTM. Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	30 CFR 886.23(b) and OSM-76 (PAD)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 886

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSM - 76	PROBLEM AREA DESCRIPTION FORMS (PAD) - OSM 76	NEW-OSM76.doc	http://ismhdqa02.osmre.gov/OSM.HTM.	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 26	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,800	1,800
Annual IC Time Burden (Hours)	4,000	4,000
Annual IC Cost Burden (Dollars)	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.