Information Collection

30 CFR Part 243, Suspension Pending Appeal and Bonding

IC 10841 under ICR 201103-1012-006 · OMB 1012-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1012-0006 can be found here:

Documents and Forms

Document Name Document Type
Form MMS-4435 30 CFR Part 243, Suspension Pending Appeal and Bonding Form
Surety Instrument Posting Instructions.doc www.mrm.mms.gov/ReportingServices/Forms/Forms.htm Instruction
MMS-4435 Administrative Appeal Bond Form MMS-4435 Admin Appeal Bond.pdf www.mrm.mms.gov/ReportingServices/Forms/Forms.htm Form
MMS-4436 Letter of Credit Form MMS-4436 Letter of Credit.pdf www.mrm.mms.gov/ReportingServices/Forms/Forms.htm Form
MMS-4437 Assignment of Certificate of Deposit Form MMS-4437 Assignment Of CD.pdf www.mrm.mms.gov/ReportingServices/Forms/Forms.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	30 CFR Part 243, Suspension Pending Appeal and Bonding	Agency IC Tracking Number:	mrm 1010-0122

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 243

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	MMS-4435	Administrative Appeal Bond	Form MMS-4435 Admin Appeal Bond.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only
Form	MMS-4436	Letter of Credit	Form MMS-4436 Letter of Credit.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only
Form	MMS-4437	Assignment of Certificate of Deposit	Form MMS-4437 Assignment Of CD.pdf	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only
Instruction			Surety Instrument Posting Instructions.doc	http://www.mrm.mms.gov/ReportingServices/Forms/Forms.htm	Yes	No	Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 140	Number of Respondents for Small Entity: 5

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

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	140	-160	300
Annual IC Time Burden (Hours)	140	-160	300
Annual IC Cost Burden (Dollars)	250	250	0

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.