Information Collection

Abandoned Mine Land Contractor Information Form - SRAs

IC 45171 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⚠️ Notice: This information collection may be referencing outdated material.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:

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Information Collection (IC) Details

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IC Title:	Abandoned Mine Land Contractor Information Form - SRAs	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

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	93	47	46
Annual IC Time Burden (Hours)	93	47	46
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.