Information Collection

Financial Statements and RIK Letter of Credit

IC 187112 under ICR 200807-1010-006 · OMB 1010-0119.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form MMS-4071 Financial Statements and RIK Letter of Credit	Form
Form MMS-4071 RIK Letter of Credit 0119 Form MMS-4071 RIK Letter of Credit.pdf www.mrm.mms.gov/ReportingServices/PDFDocs/4071.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 208

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	Form MMS-4071	RIK Letter of Credit	0119 Form MMS-4071 RIK Letter of Credit.pdf	http://www.mrm.mms.gov/ReportingServices/PDFDocs/4071.pdf	Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 25

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	170	170
Annual IC Cost Burden (Dollars)	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.