Information Collection

1721(e); 1722c, e, f, g(2)-(3), h; 1741(c) - Temporary Abandoned Wells

IC 179249 under ICR 201007-1010-002 · OMB 1010-0142.

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IC Title:

1721(e); 1722c, e, f, g(2)-(3), h; 1741(c) - Temporary Abandoned Wells

Agency IC Tracking Number:

1010-0142 ext 10

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1741(c) 30 CFR 250.1721e;1722c, f, g(2)-(3),h

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

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 107

Number of Respondents for Small Entity: 75

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	107	17	90
Annual IC Time Burden (Hours)	250	87	163
Annual IC Cost Burden (Dollars)	0	0	0

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