View Information Collection (IC)

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

Federal Enterprise Architecture Business Reference Module

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	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	1,888	0	0	-832	0	2,720
Annual IC Time Burden (Hours)	5,016	0	0	-2,434	0	7,450
Annual IC Cost Burden (Dollars)	0	0	0	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.