Information Collection

800.23 - Self-bonding. (Industry)

IC 187347 under ICR 200811-1029-003 · OMB 1029-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Self-bond agreemen 800.23 - Self-bonding. (Industry)	Form
Self-bond applicat Self-bond application Final Self-bond application.pdf	Form
Self-bond agreemen Self-bond agreement Final Self-bond agreement.pdf	Form
Self-bond indemnit Self-bond indemnity agreement Final Self-bond indemnity agreement.pdf	Form
Self-bond corporat Self-bond corporate guarantee Final Self-bond corp.guarantee.pdf	Form
General purpose ri General purpose rider for self-bond Final Self-bond.gen.rider.pdf	Form

IC Title:

800.23 - Self-bonding. (Industry)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 800.23

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Self-bond agreement	Self-bond agreement	Final Self-bond agreement.pdf	Yes	No	Fillable Printable
Form	Self-bond indemnity agreement	Self-bond indemnity agreement	Final Self-bond indemnity agreement.pdf	Yes	No	Fillable Printable
Form	Self-bond corporate guarantee	Self-bond corporate guarantee	Final Self-bond corp.guarantee.pdf	Yes	No	Fillable Printable
Form	General purpose rider for self-bond	General purpose rider for self-bond	Final Self-bond.gen.rider.pdf	Yes	No	Fillable Printable
Form	Self-bond application	Self-bond application	Final Self-bond application.pdf	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 101

Number of Respondents for Small Entity: 96

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	101	101
Annual IC Time Burden (Hours)	1,626	1,626
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.