Information Collection

800.21 - What additional requirements apply to collateral bonds? (Industry)

IC 199519 under ICR 201109-1029-006 · OMB 1029-0135.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0135 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
800.21 - What additional requirements apply to collateral bonds? (Industry)	Form
Collateral Bond and Indemnity Agreement (Corporation) Final Collateral bond indemnity-corporation.doc www.osmre.gov/forms/Forms.aspx	Form
Amendment to Collateral Bond and Indemnity Agreement (Co Final Collateral bond amend-corporation.doc www.osmre.gov/forms/Forms.aspx	Form
Assignment of Certificate of Deposit for Collateral Bond Final Assignment of CD-corporation.doc www.osmre.gov/forms/Forms.aspx	Form
Escrow Agreement Final Cash escrow agreement.doc www.osmre.gov/forms/Forms.aspx	Form
Irrevocable Letter of Credit Final LOC.doc www.osmre.gov/forms/Forms.aspx	Form
Mortgage or Deed of Trust Final mortgage or deed of trust.doc www.osmre.gov/forms/Forms.aspx	Form
Power of Attorney and Agreement for Collateral Bond (Cor final POA-corporation.doc www.osmre.gov/forms/Forms.aspx	Form

IC Title:

800.21 - What additional requirements apply to collateral bonds? (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 800.21

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	N/A	Collateral Bond and Indemnity Agreement (Corporation)	Final Collateral bond indemnity-corporation.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Amendment to Collateral Bond and Indemnity Agreement (Corporation)	Final Collateral bond amend-corporation.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Assignment of Certificate of Deposit for Collateral Bond (Corporation)	Final Assignment of CD-corporation.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Escrow Agreement	Final Cash escrow agreement.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Irrevocable Letter of Credit	Final LOC.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Mortgage or Deed of Trust	Final mortgage or deed of trust.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable
Form	N/A	Power of Attorney and Agreement for Collateral Bond (Corporate)	final POA-corporation.doc	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 447

Number of Respondents for Small Entity: 438

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	447	447
Annual IC Time Burden (Hours)	4,694	4,694
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.