Information Collection

The AML Problem Area Description Form OSM-76

IC 11347 under ICR 201301-1029-001 · OMB 1029-0087.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0087 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OSM-76 PRA Statement.jpg	Other-OSM-76 PRA Statement
OSM-76 Abandoned Mine Land Problem Area Description Form OSM-76 Sample.pdf amlis.osmre.gov/HomePage.aspx	Form and Instruction

IC Title:

The AML Problem Area Description Form OSM-76

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 886.21

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
Other-OSM-76 PRA Statement			OSM-76 PRA Statement.jpg		Yes	No	Printable Only
Form and Instruction	OSM-76	Abandoned Mine Land Problem Area Description Form	OSM-76 Sample.pdf	http://amlis.osmre.gov/HomePage.aspx	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

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: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,720	1,370	1,350
Annual IC Time Burden (Hours)	7,450	2,650	4,800
Annual IC Cost Burden (Dollars)	0	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.