Information Collection

30 CFR 250, Subpart K, Oil and Gas Production Rates

IC 38137 under ICR 200608-1010-012 · OMB 1010-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0041 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 128 30 CFR 250, Subpart K, Oil and Gas Production Rates	Form
126 Well Potential Test Report Form 126 exp-8-08.doc	Form
127 Sensitive Reservoir Information Report Form 127 exp-8-08.doc	Form
128 Semiannual Well Test Report Form 128 exp 8-08.doc	Form
140 Bottomhole Pressure Survey Report Form 140 exp 8-08 .doc	Form

IC Title:

30 CFR 250, Subpart K, Oil and Gas Production Rates

Agency IC Tracking Number:

OMM 1010-0041 83C re AD16

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

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	128	Semiannual Well Test Report	Form 128 exp 8-08.doc	Yes	Yes	Fillable Fileable
Form	140	Bottomhole Pressure Survey Report	Form 140 exp 8-08 .doc	Yes	Yes	Fillable Fileable
Form	126	Well Potential Test Report	Form 126 exp-8-08.doc	Yes	Yes	Fillable Fileable
Form	127	Sensitive Reservoir Information Report	Form 127 exp-8-08.doc	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 136

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 25 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	21,038	0	21,038
Annual IC Time Burden (Hours)	43,065	0	43,065
Annual IC Cost Burden (Dollars)	1,273,220	1,261,220	12,000

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.