Information Collection

408-418 - Apply for a Permit to Drill

IC 184665 under ICR 201211-1014-006 · OMB 1014-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0018 can be found here:

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: 1,202	Number of Respondents for Small Entity: 781

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,202	700	502
Annual IC Time Burden (Hours)	37,550	175	37,375
Annual IC Cost Burden (Dollars)	1,744,930	1,016,182	728,748

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.