Information Collection

Form OSM-49

IC 200476 under ICR 201111-1029-001 · OMB 1029-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0059 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OSM-49 Instructions.2009.pdf www.osmre.gov/forms/Forms.aspx	Instruction
OSM-49 Budget Information and Financial Reporting Form OSM-49 Form.2009.pdf www.osmre.gov/forms/Forms.aspx	Form

IC Title:

Form OSM-49

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 886.14 30 CFR 885.20

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
Instruction			OSM-49 Instructions.2009.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	No	Printable Only
Form	OSM-49	Budget Information and Financial Reporting Form	OSM-49 Form.2009.pdf	http://www.osmre.gov/forms/Forms.aspx	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	162	162
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.