Information Collection

Amended OSM-1 Form

IC 198893 under ICR 201709-1029-002 · OMB 1029-0063.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0063 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Amended OSM-1 Amended OSM-1 Form	Form
revised 2017 OSM Instr_revs.pdf www.osmre.gov/resources/forms.shtm	Instruction
Amended OSM-1 Amended OSM-1 Coal Reclamation Fee Report revised 2017 Amended OSM-1 form.pdf www.osmre.gov/resources/forms.shtm	Form
OSM-1 How to efile an OSM-1 Form How to eFile an OSM-1 Form - update.docx www.osmre.gov/resources/forms.shtm	Form and Instruction

IC Title:

Amended OSM-1 Form

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 870

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	Amended OSM-1	Amended OSM-1 Coal Reclamation Fee Report	revised 2017 Amended OSM-1 form.pdf	http://www.osmre.gov/resources/forms.shtm	Yes	Yes	Fillable Fileable
Instruction			revised 2017 OSM Instr_revs.pdf	http://www.osmre.gov/resources/forms.shtm	Yes	No	Printable Only
Form and Instruction	OSM-1	How to efile an OSM-1 Form	How to eFile an OSM-1 Form - update.docx	http://www.osmre.gov/resources/forms.shtm	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 24

Number of Respondents for Small Entity: 24

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 96 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	24	-48	72
Annual IC Time Burden (Hours)	2	-4	6
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.