Information Collection

408-418 - Apply for a Permit to Drill

IC 184665 under ICR 201106-1010-001 · OMB 1010-0141.

Documents and Forms

Document Name Document Type
Form 0123 408-418 - Apply for a Permit to Drill Form
0123 Application for Permit to Drill (APD) Form 0123 exp 2014.XLS www.gomr.boemre.gov/homepg/forms/frmindx.html Form
0123S Supplemental APD Information Sheet Form 0123s exp 2014.xls www.gomr.boemre.gov/homepg/forms/frmindx.html Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	408-418 - Apply for a Permit to Drill	Agency IC Tracking Number:	1010-0141 for 2014

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.408-418

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0123	Application for Permit to Drill (APD)	Form 0123 exp 2014.XLS	http://www.gomr.boemre.gov/homepg/forms/frmindx.html	Yes	Yes	Fillable Printable
Form	0123S	Supplemental APD Information Sheet	Form 0123s exp 2014.xls	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: 502	Number of Respondents for Small Entity: 327

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	502	-899	1,401
Annual IC Time Burden (Hours)	37,375	34,571	2,804
Annual IC Cost Burden (Dollars)	728,748	-566,252	1,295,000

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.