The AML Problem Area Description Form OSM-76

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1029-0087 can be found here:

Documents and Forms

Document Name Document Type
OSM-76 PRA Statement screenshot.2016.jpg amlis.osmre.gov/HomePage.aspx Other-PRA Statement
OSM-76 The Abandoned Mine Land Problem Area Description Form OSM-76 Completed form.2016.pdf eamlis.osmre.gov/ Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	The AML Problem Area Description Form OSM-76	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 886.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PRA Statement			OSM-76 PRA Statement screenshot.2016.jpg	http://amlis.osmre.gov/HomePage.aspx	Yes	No	Printable Only
Form and Instruction	OSM-76	The Abandoned Mine Land Problem Area Description Form	OSM-76 Completed form.2016.pdf	https://eamlis.osmre.gov/	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Remediation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,888	-832	2,720
Annual IC Time Burden (Hours)	5,016	-2,434	7,450
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.