Information Collection

Nomination and Request for Payment Form for OSMRE Technical Training Courses

IC 11419 under ICR 202501-1029-001 · OMB 1029-0120.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OSM 105 Nomination and Request for Payment Form for OSMRE Technical Training Courses	Form and Instruction
Form OSM 105 Nomination and Request for Payment Form for OSMRE Technical Training Courses 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
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

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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 and Instruction	OSM 105			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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].