Information Collection

Forms MMS-2028 & MMS-2028A

IC 38128 under ICR 200611-1010-002 · OMB 1010-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MMS-2028 Forms MMS-2028 & MMS-2028A	Form
MMS-2028 OCS Mineral Lessee's and Operator's Bond Form MMS-2028 extension.doc www.gomr.mms.gov/homepg/mmsforms/FormMMS-2028.pdf	Form
MMS-2028A OCS Minerals Lessee's and Operator's Supplemental Pluggi Form MMS-2028A extension.doc www.gomr.mms.gov/homepg/mmsforms/FormMMS-2028a.pdf	Form

IC Title:

Forms MMS-2028 & MMS-2028A

Agency IC Tracking Number:

1010-0006 ext exp 03/2007

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 256 subpart I

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	MMS-2028	OCS Mineral Lessee's and Operator's Bond	Form MMS-2028 extension.doc	http://www.gomr.mms.gov/homepg/mmsforms/FormMMS-2028.pdf	Yes	Yes	Fillable Printable
Form	MMS-2028A	OCS Minerals Lessee's and Operator's Supplemental Plugging and Bandonment Bond	Form MMS-2028A extension.doc	http://www.gomr.mms.gov/homepg/mmsforms/FormMMS-2028a.pdf	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 260

Number of Respondents for Small Entity: 166

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	260	-12,782	13,042
Annual IC Time Burden (Hours)	65	-21,015	21,080
Annual IC Cost Burden (Dollars)	0	-537,000	537,000

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.