Information Collection

The AML Problem Area Description Form OSM-76

IC 11347 under ICR 201809-1029-001 · OMB 1029-0087.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0087 can be found here:

Documents and Forms

Document Name Document Type
Form OSM-76 The AML Problem Area Description Form OSM-76 Form and Instruction
e-AMLIS PRA STATEMENT.9-19-2018.docx eamlis.osmre.gov/ Other-PRA Statement
OSM-76 e-AMLIS Report OSM-76 Completed form.2018.pdf eamlis.osmre.gov/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The AML Problem Area Description Form OSM-76	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 886.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSM-76	e-AMLIS Report	OSM-76 Completed form.2018.pdf	https://eamlis.osmre.gov/	Yes	Yes	Fillable Fileable
Other-PRA Statement			e-AMLIS PRA STATEMENT.9-19-2018.docx	https://eamlis.osmre.gov/	Yes	Yes	Printable Only

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,616	-272	1,888
Annual IC Time Burden (Hours)	4,413	-603	5,016
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.