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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.