Information Collection

Form OSM-49

IC 200476 under ICR 202207-1029-001 · OMB 1029-0059.

Documents and Forms

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

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:

table that charts list of 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: 26

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	58	27	31
Annual IC Time Burden (Hours)	174	81	93
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.