Information Collection

800.21 - Collateral bonds. (Industry)

IC 187345 under ICR 202104-1029-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
800.21 - Collateral bonds. (Industry)	Form
Assignment of Certificate of Deposit for Collateral Bond Assignment_Certificate_Deposit_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_Deed_of_Trust.pdf www.osmre.gov/resources/forms.shtm	Form
Power of Attorney and Agreement for Collateral Bond (Cor Power_of_Attorney_Agreement_Collateral_Bond_Corporation.pdf www.osmre.gov/resources/forms.shtm	Form

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:

table that charts list of 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_Certificate_Deposit_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_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_Agreement_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: 317

Number of Respondents for Small Entity: 310

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	317	-25	342
Annual IC Time Burden (Hours)	3,804	213	3,591
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.