Information Collection

Nomination and Request for Payment Form for OSM Technical Training Courses

IC 11419 under ICR 201603-1029-004 · OMB 1029-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0120 can be found here:

Documents and Forms

Document Name Document Type
Form OSM-105 Nomination and Request for Payment Form for OSM Technical Training Courses Form and Instruction
OSM-105 Nomination and Request for Payment Form for OSM Technica Nomination_Form - EXPIRES 4-30-2016 - EDITED VERSION (4) (2).pdf www.osmre.gov/resources/forms.shtm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nomination and Request for Payment Form for OSM Technical Training Courses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSM-105	Nomination and Request for Payment Form for OSM Technical Training Courses	Nomination_Form - EXPIRES 4-30-2016 - EDITED VERSION (4) (2).pdf	http://www.osmre.gov/resources/forms.shtm	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 687	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	687	-257	944
Annual IC Time Burden (Hours)	57	-22	79
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.