Information Collection

30 CFR Part 218, Collection of Monies Due the Federal Government

IC 10806 under ICR 200707-1010-001 · OMB 1010-0107.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MMS-4425 30 CFR Part 218, Collection of Monies Due the Federal Government	Form and Instruction
MMS-4425 Designation Form for Royalty Payment Responsibility 0107 attach 3 Form MMS-4425.pdf www.mrm.mms.gov/ReportingServices/Forms/AFSOil_Gas.htm	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 218.53(b) 30 CFR 218.52(a), (c), and (d) 30 CFR 218.42(b) and (c)

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 and Instruction	MMS-4425	Designation Form for Royalty Payment Responsibility	0107 attach 3 Form MMS-4425.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/AFSOil_Gas.htm	Yes	Yes	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,612

Number of Respondents for Small Entity: 645

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,612	-1	1,613
Annual IC Time Burden (Hours)	1,219	-1	1,220
Annual IC Cost Burden (Dollars)	0	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.