Information Collection

UIC Program-Private Entities

IC 23584 under ICR 201012-2040-002 · OMB 2040-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0042 can be found here:

Documents and Forms

Document Name Document Type
Form 7520-7 UIC Program-Private Entities Form and Instruction
7520-7 Application to Transfer Permit 7520-7.pdf Form and Instruction
7520-8 Injection Well Monitoring Report 7520-8.pdf Form and Instruction
7520-9 Completion Form for Injection Wells 7520-9.pdf Form and Instruction
7520-10 Completion Report for Brine Disposal, Hydrocarbon Storag 7520-10.pdf Form and Instruction
7520-11 Annual Disposal/Injection Well Monitoring Report 7520-11.pdf Form and Instruction
7520-6 UIC Permit Application 7520-6.pdf Form and Instruction
7520-12 Well Rework 7520-12.pdf Form and Instruction
7520-14 Plugging and Abandonment Plan 7520-14.pdf Form and Instruction
7520-16 Inventory of Injection Wells 7520-16.pdf Form and Instruction
7520-17 Pre-Closure Notification 7520-17.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	UIC Program-Private Entities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 144 40 CFR 145 40 CFR 146 40 CFR 147 40 CFR 148 40 CFR 124

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7520-7	Application to Transfer Permit	7520-7.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-8	Injection Well Monitoring Report	7520-8.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-9	Completion Form for Injection Wells	7520-9.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-10	Completion Report for Brine Disposal, Hydrocarbon Storage, or ER Well	7520-10.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-11	Annual Disposal/Injection Well Monitoring Report	7520-11.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-6	UIC Permit Application	7520-6.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-12	Well Rework	7520-12.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-14	Plugging and Abandonment Plan	7520-14.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-16	Inventory of Injection Wells	7520-16.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-17	Pre-Closure Notification	7520-17.pdf	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,770	Number of Respondents for Small Entity: 30,127

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	375,761	7	375,754
Annual IC Time Burden (Hours)	842,495	1,510	840,985
Annual IC Cost Burden (Dollars)	113,314,323	9,065,416	104,248,907

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.