Information Collection

30 CFR 250, Subpart D, Oil and Gas Drilling Operations

IC 10881 under ICR 200608-1010-011 · OMB 1010-0141.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0141 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 124 30 CFR 250, Subpart D, Oil and Gas Drilling Operations	Form
123 Application for Permit to Drill (APD) Form 123s exp 8-08.xls	Form
123S Supplemental Application for Permit to Drill Information Form 123s exp 8-08.xls	Form
124 Application for Permit to Modify (APM) Form 124 exp 8-08.xls	Form
125 End of Operations Report (EOR) Form 125 exp 8-08.XLS	Form
133 Well Activity Report (WAR) Form 133 exp 8-08.xls	Form
133S Open Hole Data Report Form 133s exp 8-08.xls	Form

IC Title:

30 CFR 250, Subpart D, Oil and Gas Drilling Operations

Agency IC Tracking Number:

OMM-1010-0141-83C re AD23

Is this a Common Form? No

IC Status: Modified

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	124	Application for Permit to Modify (APM)	Form 124 exp 8-08.xls	Yes	Yes	Fillable Fileable
Form	123	Application for Permit to Drill (APD)	Form 123s exp 8-08.xls	Yes	Yes	Fillable Fileable
Form	123S	Supplemental Application for Permit to Drill Information Sheet	Form 123s exp 8-08.xls	Yes	Yes	Fillable Fileable
Form	125	End of Operations Report (EOR)	Form 125 exp 8-08.XLS	Yes	Yes	Fillable Fileable
Form	133	Well Activity Report (WAR)	Form 133 exp 8-08.xls	Yes	Yes	Fillable Fileable
Form	133S	Open Hole Data Report	Form 133s exp 8-08.xls	Yes	Yes	Fillable Fileable

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 130

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	90,991	0	60	90,931
Annual IC Time Burden (Hours)	163,954	0	240	163,714
Annual IC Cost Burden (Dollars)	2,996,334	2,996,334	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.