Information Collection

Amended OSM-1 Form

IC 198893 under ICR 201106-1029-003 · OMB 1029-0063.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0063 can be found here:

Documents and Forms

Document Name Document Type
Form Amended OSM-1 Form Amended OSM-1 Form Form
OSM Instr_revs 09 15 2011.doc www.osmre.gov/forms/Forms.aspx Instruction
Amended OSM-1 Form Amended Coal Reclamation Fee Report Amended OSM-1.2011.pdf www.osmre.gov/forms/Forms.aspx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Amended OSM-1 Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 870

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Amended OSM-1 Form	Amended Coal Reclamation Fee Report	Amended OSM-1.2011.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	Yes	Fillable Fileable
Instruction			OSM Instr_revs 09 15 2011.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 97	Number of Respondents for Small Entity: 95

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 71 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	97	97
Annual IC Time Burden (Hours)	15	15
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.