Abandoned Mine Land Contractor Information Form - Industry

Office of Surface Mining Reclamation and Enforcement
Instructions for Completing the AML Contractor Form OMB #1029-0119
Purpose: The Office of Surface Mining Reclamation and Enforcement Applicant/Violator System (AVS) office is
required to conduct eligibility checks for businesses performing abandoned mine land (AML) reclamation work to ensure
those businesses are not associated with any coal mining violations in accordance with the Surface Mining Control and
Reclamation Act (SMCRA). This form is used to update the AVS database which maintains relationship information
between individuals and their associated businesses. If you have any questions, please contact the AVS Office at 800-6439748.
Part A: General Information: Part A should be completed by the AML Contractor. You can find an electronic fillable
form on our website (https://www.osmre.gov/programs/AVS.shtm).
Part B: Obtain an Organizational Family Tree (OFT): Part B should be completed by the AML Contractor. An
Organizational Family Tree (OFT) indicates the relationships between individuals and their associated business.
You can obtain an OFT two ways:
1. Call the AVS Office at 800-643-9748 to request your company’s OFT.
2. Go to the AVS website (https://avss.osmre.gov). Click “Access AVS”, and then “Login as Guest”. Place
your cursor on the “Entity” Module and click. Type your business name (or entity number) in search box and
press enter. Select your company and then click on the “Relationship” tab to display your Entity OFT
information. Print the Entity OFT from AVS. Review the OFT, if you need to make updates complete Part D.
Attach the OFT to your AML Contractor Form.
If you are a new company or this is your first AML bid: Your business is most likely not in the AVS. If your company
does not appear in the AVS database, move on to Part C, check Box 3, and complete Part D of this form.
If your company has worked on previous AML projects or in the coal mining industry: Your business is most likely in the
AVS, but may need to be updated. Obtain and review your OFT and then complete Part C.
Part C: Certifying and updating information in the Applicant/Violator System (AVS). Part C should be completed
by the AML Contractor. Please check the box that best describes your situation, sign and date.
Note: Signature date must be recent (within 30 days) to be considered.
Part D: OFT Information. Part D should be completed by the AML Contractor only if you want to make updates to
what information is in the AVS, or if your company does not have any information in the AVS. Include all fields,
including the relevant begin and/or end dates for individuals, including middle name or initial for individuals if possible.
Answers to Part D FAQs:
Which employees should be included in Part D?
Any current or separated employee of significance should be listed. Refer to the list provided at the top of Part D.
For those owning less than 10% reporting the ownership is optional. Include those employees who direct, manage,
or control the project. If, for example, a Professional Engineer has the power to determine how the project is
conducted you should include him/her on Part D.
What address and phone number should I use?
Use the address and phone number where the person receives business correspondence.
What are the begin and end dates for?
Begin dates indicate when a person started in that position in your company. If an individual still works at the
company you can simply fill in the begin date and leave the end date blank or write “N/A”. End dates are used
for indicating that someone no longer works in that capacity or is no longer employed at the company. If an
employee has held more than one position or title, note the begin dates/end dates for each position.