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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.