Information Collection

30 CFR Part 243, Suspension Pending Appeal and Bonding

IC 10841 under ICR 200803-1010-002 · OMB 1010-0122.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MMS-4436 30 CFR Part 243, Suspension Pending Appeal and Bonding	Form
Surety Instrument Posting Instructions.doc www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Instruction
MMS-4435 Administrative Appeal Bond Form MMS-4435 Admin Appeal Bond.pdf www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Form
MMS-4436 Letter of Credit Form MMS-4436 Letter of Credit.pdf www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Form
MMS-4437 Assignment of Certificate of Deposit Form MMS-4437 Assignment Of CD.pdf www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Form

IC Title:

Agency IC Tracking Number:

mrm 1010-0122

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 243

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-4436	Letter of Credit	Form MMS-4436 Letter of Credit.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only
Form	MMS-4437	Assignment of Certificate of Deposit	Form MMS-4437 Assignment Of CD.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only
Instruction			Surety Instrument Posting Instructions.doc	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only
Form	MMS-4435	Administrative Appeal Bond	Form MMS-4435 Admin Appeal Bond.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 140

Number of Respondents for Small Entity: 5

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	140	-160	300
Annual IC Time Burden (Hours)	140	-160	300
Annual IC Cost Burden (Dollars)	250	250	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.