Information Collection

30 CFR 250.192 - Revisions to Subpart A-General -

IC 43752 under ICR 200812-1010-001 · OMB 1010-0168.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form MMS-143 30 CFR 250.192 - Revisions to Subpart A-General -	Form and Instruction
MMS-143 Facility/Equipment Damage Report Form 143 - new AD18-horizontal.doc	Form and Instruction

IC Title:

Agency IC Tracking Number:

OMM AD-18

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 and Instruction	MMS-143	Facility/Equipment Damage Report	Form 143 - new AD18-horizontal.doc		No		Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 200

Number of Respondents for Small Entity: 140

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	500	500
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.