Information Collection

Amended OSM-1 Form

IC 198893 under ICR 202008-1029-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 OSM-1 Amended OSM-1 Form Form and Instruction
revised 2017 OSM Instr_revs.pdf www.osmre.gov/resources/forms.shtm Instruction
OSM-1-Instructions_OSM-1_Coal_Reclamation_Fee_Report_Rev2021.pdf www.osmre.gov/resources/forms/OSM-1-Instructions_OSM-1_Coal_Reclamation_Fee_Report.pdf 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
Amended OSM-1 Amended OSM-1 Coal Reclamation Fee Report OSM-1-Amended_Coal_Reclamation_Fee_Report_Rev2021.pdf www.osmre.gov/resources/forms/OSM1Amended.pdf 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
OSM-1 How to efile an OSM-1 Form How to eFile an OSM-1 Form - update.docx sscr.osmre.gov/EDI-Demo_files/eFileDemo2013.html 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	OSM-1-Amended_Coal_Reclamation_Fee_Report_Rev2021.pdf	https://www.osmre.gov/resources/forms/OSM1Amended.pdf	Yes	Yes	Fillable Fileable
Instruction			OSM-1-Instructions_OSM-1_Coal_Reclamation_Fee_Report_Rev2021.pdf	https://www.osmre.gov/resources/forms/OSM-1-Instructions_OSM-1_Coal_Reclamation_Fee_Report.pdf	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	https://sscr.osmre.gov/EDI-Demo_files/eFileDemo2013.html	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37	Number of Respondents for Small Entity: 37

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

Percentage of Respondents Reporting Electronically: 89 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	37	13	24
Annual IC Time Burden (Hours)	4	2	2
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.