Information Collection

Abandoned Mine Land Contractor Information Form - Industry

IC 11417 under ICR 202408-1029-003 · OMB 1029-0119.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Abandoned Mine Land Contractor Information Form - Industry	Form
Final 04212021 OMB1029-0119 instructions.pdf www.osmre.gov/programs/AVS.shtm	Instruction
Final 04212021 OMB1029-0119 instructions.pdf www.osmre.gov/programs/AVS.shtm	Instruction
AML Contractor Information Form AML Contractor Information Form 2024.pdf www.osmre.gov/programs/AVS.shtm	Form
AML Contractor Information Form AML Contractor Information Form 2024.pdf www.osmre.gov/programs/AVS.shtm	Form

IC Title:

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 874.16

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	AML Contractor Information Form	AML Contractor Information Form 2024.pdf	https://www.osmre.gov/programs/AVS.shtm	Yes	Yes	Fillable Printable
Instruction			Final 04212021 OMB1029-0119 instructions.pdf	https://www.osmre.gov/programs/AVS.shtm	Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 228

Number of Respondents for Small Entity: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	228	51	177
Annual IC Time Burden (Hours)	110	25	85
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.