Nomination and Request for Payment Form for OSMRE Technical Training Courses

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form OSM 105 Nomination and Request for Payment Form for OSMRE Technical Training Courses	Form and Instruction	Unchanged	Repair queued
Form OSM 105 Nomination and Request for Payment Form for OSMRE Technical Training Courses	Form and Instruction	Unchanged	Repair queued
1029-0120.60.2025.pdf	Supplementary Document	Uploaded 2025-06-16	Repair queued
1029-0120.60.2025.pdf	Supplementary Document	Uploaded 2025-06-16	Repair queued
1029-0120.30.2025.FR.pdf	Supplementary Document	Uploaded 2025-06-16	Repair queued
1029-0120.30.2025.FR.pdf	Supplementary Document	Uploaded 2025-06-16	Repair queued
1029-0120.OSM-105.SS.2025.Final.docx	Supporting Statement A	Uploaded 2025-06-09	Repair queued
1029-0120.OSM-105.SS.2025.Final.docx	Supporting Statement A	Uploaded 2025-06-09	Missing upstream
Section 102.doc	Supplementary Document	Uploaded 2006-10-04	Repair queued
Section 102.doc	Supplementary Document	Uploaded 2006-10-04	Missing upstream

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
11419	Nomination and Request for Payment Form for OSMRE Technical Training Courses	Form and Instruction	Unchanged	Nomination and Request for Payment Form for OSMRE Technical Training Courses
11419	Nomination and Request for Payment Form for OSMRE Technical Training Courses	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1029-0120	ICR Reference No: 202501-1029-001
Status: Active	Previous ICR Reference No: 202108-1029-005
Agency/Subagency: DOI/OSMRE	Agency Tracking No: Nom and Pay-Tech Training
Title: Nomination and Request for Payment Form for OSMRE Technical Training Courses
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/30/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/16/2025
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years. OMB reminds the Agency, however, it should consult with up to 9 outside entities at least once every 3 years even if the collection of information has not changed.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2028	36 Months From Approved	12/31/2025
Responses	800	0	800
Time Burden (Hours)	67	0	67
Cost Burden (Dollars)	0	0	0

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Abstract: The information is used to identify and evaluate the training courses requested by students to enhance their job performance, to calculate the type and number of classes and instructors needed to complete OSM's technical training mission, and to estimate costs for our annual budget.

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Authorizing Statute(s): US Code: 30 USC 1201 Name of Law: Surface Mining Control and Reclamation Act of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 8403	01/29/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 25375	06/16/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Nomination and Request for Payment Form for OSMRE Technical Training Courses	OSM 105	Nomination and Request for Payment Form for OSMRE Technical Training Courses

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	800	800	0	0	0	0
Annual Time Burden (Hours)	67	67	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $11,696

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/16/2025

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