Information Collection

30 CFR 250.1900(b); 1914(d); 1928(d), (e); 1929 - BOEMRE Form MMS-131; maintain contractor employee injury/illness log; inform re hazards

IC 186875 under ICR 201102-1010-004 · OMB 1010-0186.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 131 - Instructions.doc www.gomr.boemre.gov/homepg/forms/frmindx.html	Instruction
MMS-131 Performance Measures Data Form 131 exp 10-2013.doc www.gomr.boemre.gov/homepg/forms/frmindx.html	Form

IC Title:

Agency IC Tracking Number:

PR AD73

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1928(d), (e) 30 CFR 250.1900(b); 1914(d); 1929

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
Instruction			Form 131 - Instructions.doc	http://www.gomr.boemre.gov/homepg/forms/frmindx.html	Yes	Yes	Printable Only
Form	MMS-131	Performance Measures Data	Form 131 exp 10-2013.doc	http://www.gomr.boemre.gov/homepg/forms/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: 130

Number of Respondents for Small Entity: 91

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	1,300	1,300
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.