Information Collection

Nomination and Request for Payment Form for OSMRE Technical Training Courses

IC 11419 under ICR 202108-1029-005 · OMB 1029-0120.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0120 can be found here:

Documents and Forms

Document Name Document Type
Form OSM 105 Nomination and Request for Payment Form for OSMRE Technical Training Courses Form and Instruction
OSM 105 Nomination and Request for Payment Form for OSMRE Techni Nomination_Form - EXPIRES 7-31-2019 (3).pdf www.osmre.gov/resources/forms/OSM105.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Nomination and Request for Payment Form for OSMRE Technical Training Courses	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OSM 105	Nomination and Request for Payment Form for OSMRE Technical Training Courses	Nomination_Form - EXPIRES 7-31-2019 (3).pdf	https://www.osmre.gov/resources/forms/OSM105.pdf	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	800	-170	970
Annual IC Time Burden (Hours)	67	-14	81
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.