Assignment of Record Title Interest / Oil and Gas

Transfer of Interest in a Lease for Oil and Gas or Geothermal Resources

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0034 can be found here:

Documents and Forms

Document Name Document Type
Form 3000-3 Assignment of Record Title Interest / Oil and Gas Form and Instruction
3000-3 Assignment of Record Title Interest in a Lease for Oil a Form 3000-3.pdf www.blm.gov/blmforms/Forms/index.htm Form and Instruction

Information Collection (IC) Details

IC Title:	Assignment of Record Title Interest / Oil and Gas	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3106.4-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3000-3	Assignment of Record Title Interest in a Lease for Oil and Gas or Geothermal Resources	Form 3000-3.pdf	http://www.blm.gov/blmforms/Forms/index.htm	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 39,900	Number of Respondents for Small Entity: 7,980

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 25 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	39,900	-20,100	60,000
Annual IC Time Burden (Hours)	19,950	-10,050	30,000
Annual IC Cost Burden (Dollars)	997,500	-507,500	1,505,000

Documents for IC

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.