Information Collection

800.21 - Collateral bonds. (Industry)

IC 187345 under ICR 201803-1029-001 · OMB 1029-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0043 can be found here:

Documents and Forms

Document Name Document Type
800.21 - Collateral bonds. (Industry) Form
Assignment of Certificate of Deposit for Collateral Bond Assignment of Certificate of Deposit for Collateral Bond (Corporation).pdf www.osmre.gov/resources/forms.shtm Form
Escrow Agreement Escrow Agreement.pdf www.osmre.gov/resources/forms.shtm Form
Irrevocable Letter of Credit Irrevocable Letter of Credit.pdf www.osmre.gov/resources/forms.shtm Form
Mortgage or Deed of Trust Mortgage or Deed of Trust.pdf www.osmre.gov/resources/forms.shtm Form
Power of Attorney and Agreement for Collateral Bond (Cor Power of Attorney and Agreement for Collateral Bond (Corporation).pdf www.osmre.gov/resources/forms.shtm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	800.21 - Collateral bonds. (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 800.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Assignment of Certificate of Deposit for Collateral Bond (Corporation)	Assignment of Certificate of Deposit for Collateral Bond (Corporation).pdf	https://www.osmre.gov/resources/forms.shtm	Yes	No	Fillable Printable
Form	N/A	Escrow Agreement	Escrow Agreement.pdf	https://www.osmre.gov/resources/forms.shtm	Yes	No	Fillable Printable
Form	N/A	Irrevocable Letter of Credit	Irrevocable Letter of Credit.pdf	https://www.osmre.gov/resources/forms.shtm	Yes	No	Fillable Printable
Form	N/A	Mortgage or Deed of Trust	Mortgage or Deed of Trust.pdf	https://www.osmre.gov/resources/forms.shtm	Yes	No	Fillable Printable
Form	N/A	Power of Attorney and Agreement for Collateral Bond (Corporation)	Power of Attorney and Agreement for Collateral Bond (Corporation).pdf	https://www.osmre.gov/resources/forms.shtm	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 342	Number of Respondents for Small Entity: 335

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	342	-105	447
Annual IC Time Burden (Hours)	3,591	-1,103	4,694
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.