Information Collection

192; Forms MMS-132 + MMS-143 - Information and Reporting Requirements

IC 179168 under ICR 200810-1010-011 · OMB 1010-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0114 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 132 192; Forms MMS-132 + MMS-143 - Information and Reporting Requirements	Form
132 Evacuation Statistics Form 132 exp 10-10.doc www.gomr.mms.gov/homepg/mmsforms/FormMMS-132.pdf	Form
MMS-143 Structure/Equipment Damage Report Form 143 - new AD18-horizontal.doc www.gomr.mms.gov/homepg/mmsforms/frmindx.html	Form

IC Title:

192; Forms MMS-132 + MMS-143 - Information and Reporting Requirements

Agency IC Tracking Number:

OMM 1010-0114 AD18 (83c)

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.192

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	132	Evacuation Statistics	Form 132 exp 10-10.doc	http://www.gomr.mms.gov/homepg/mmsforms/FormMMS-132.pdf	Yes	Yes	Fillable Fileable
Form	MMS-143	Structure/Equipment Damage Report	Form 143 - new AD18-horizontal.doc	http://www.gomr.mms.gov/homepg/mmsforms/frmindx.html	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,000

Number of Respondents for Small Entity: 1,400

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,000	200	1,800
Annual IC Time Burden (Hours)	2,300	500	1,800
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.