Information Collection

Form OSM-49

IC 200476 under ICR 202101-1029-007 · OMB 1029-0059.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0059 can be found here:

Documents and Forms

Document Name Document Type
Form OSM-49 Form OSM-49 Form
OSM49-Instructions.pdf www.osmre.gov/resources/forms/OSM49-Instructions.pdf Instruction
OSM49-Instructions.pdf www.osmre.gov/resources/forms/OSM49-Instructions.pdf Instruction
OSM-49 Budget Information and Financial Reporting Form OSM49.pdf www.osmre.gov/resources/forms/OSM49.pdf Form
OSM-49 Budget Information and Financial Reporting Form OSM49 0921.pdf www.osmre.gov/resources/forms/OSM49.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form OSM-49	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 885.20 30 CFR 886.14

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OSM-49	Budget Information and Financial Reporting Form	OSM49 0921.pdf	https://www.osmre.gov/resources/forms/OSM49.pdf	Yes	Yes	Fillable Fileable Signable
Instruction			OSM49-Instructions.pdf	http://www.osmre.gov/resources/forms/OSM49-Instructions.pdf	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31	-2	33
Annual IC Time Burden (Hours)	93	-6	99
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.