Information Collection

Abandoned Mine Land Contractor Information Form - Industry

IC 11417 under ICR 201509-1029-004 · OMB 1029-0119.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0119 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Abandoned Mine Land Contractor Information Form - Industry	Form
AML Contractor Form instructions.2015.pdf www.osmre.gov/resources/forms/OMB1029-0119instructions.pdf	Instruction
AML Contractor Information Form AML Contractor Form.2015.pdf www.osmre.gov/resources/forms/OMB1029-0119.pdf	Form

IC Title:

Abandoned Mine Land Contractor Information Form - Industry

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 874.16

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	None	AML Contractor Information Form	AML Contractor Form.2015.pdf	http://www.osmre.gov/resources/forms/OMB1029-0119.pdf	Yes	Yes	Fillable Printable
Instruction			AML Contractor Form instructions.2015.pdf	http://www.osmre.gov/resources/forms/OMB1029-0119instructions.pdf	Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 247

Number of Respondents for Small Entity: 247

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	247	-32	279
Annual IC Time Burden (Hours)	112	-11	123
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.