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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.