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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.