Form BOEMRE Form MMS-43 BOEMRE Form MMS-43 Stripper Royalty Rate Reduction Notification

U.S. DEPARTMENT OF THE INTERIOR
Bureau of Ocean Energy Management, Regulation, and Enforcement
Minerals Revenue Management

OMB 1010-0090
(Expires 12/31/2010)

STRIPPER ROYALTY RATE REDUCTION NOTIFICATION
NOTE: Reduced Royalty Rate is not effective until the month after this notification is received by the
Bureau of Ocean Energy Management, Regulation, and Enforcement. See 43 CFR Part 3100.
OPERATOR NAME: ___________________________________________ DATE SUBMITTED: ________________
OPERATOR NUMBER: ________________________________________
PERSON TO CONTACT: _______________________________________ ________ _____________ ________
AREA
TELEPHONE
EXTEN.
CODE
NUMBER
LEASE
NUMBERS(S)

AGREEMENT
NUMBER \1

QUALIFYING
OR CURRENT
PERIOD \2

QUALIFYING
ROYALTY
RATE

CURRENT
ROYALTY
RATE \3

EFFECTIVE
DATES

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NOTE: THIS NOTIFICATION MUST BE SUBMITTED TO BOEMRE AND ALL PAYORS ON THE LEASES.
\1 Include agreement number for any lease located in an agreement. All leases in the agreement must be listed separately.
\2 Initial qualifying period August 1, 1990, through July 31, 1991, or current period. If the property does not initially qualify,
subsequent qualifying period would be the latest 12-month period before the property qualifies (i.e., a 12-month rolling
average).
\3 Current period royalty rate must be compared to qualifying period royalty rate and the lower of the two rates will be the royalty
rate for the subsequent year, when notification is received by BOEMRE.
The Paperwork Reduction Act of 1995 requires us to inform you that this information is being collected by the Bureau of Ocean Energy Management, Regulation, and
Enforcement (BOEMRE) while completing corrections and notifications for the Stripper Oil Program, a Bureau of Land Management (BLM) program that has been terminated.
We estimate the annual burden hour for industry to make these corrections is 1.2 hours per response. Comments on the accuracy of this burden estimate or suggestions on
reducing this burden should be directed to the Information Collection Clearance Officer, BOEMRE, MS 5438, 1849 C Street, NW., Washington, DC 20240. Proprietary information
submitted to the U.S. Department of the Interior is protected in accordance with standards established by the Federal Oil and Gas Royalty Management Act of 1982
(30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4), and the Departmental Regulations (43 CFR 2). Storage of such information and access to it is
controlled by strict security measures. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number.

BOEMRE FORM MMS-4377 (09/2010)