Information Collection

Subpart D - 250.420(b);421(b);423(c);428(c),(d),(k);462(c),(d),(e);465(a),(b);721(g);743(a),(b),(c);744;746(e);1704(h)

IC 205437 under ICR 201301-1014-002 · OMB 1014-0028.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0028 can be found here:

Documents and Forms

Document Name Document Type
Form BSEE-0125 Subpart D - 250.420(b);421(b);423(c);428(c),(d),(k);462(c),(d),(e);465(a),(b);721(g);743(a),(b),(c);744;746(e);1704(h) Form
eWell-Form-0125-EndOperationsRpt - screen shots.docx ewell.bsee.gov/ewell/ Other-eWell Screen Shots
eWell-Form-0133-WekkActivityRpt - screen shots.docx ewell.bsee.gov/ewell/ Other-eWell Screenshots
Ewell-Form-133S-OpenHoleDataReport - screen shots.pptx ewell.bsee.gov/ewell/ Other-eWell Screenshots
aaa - PRA Statement for eWell as of 10-6-14.docx ewell.bsee.gov/ewell/ Other-PRA Statement for eWell
BSEE-0125 End of Operations Report Form 0125 exp. 2014.xlsx www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form
BSEE-0133 Well Activity Report (WAR) Form 0133 exp. 2014.xlsx www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form
BSEE-0133S Open Hole Data Report (Supplement to the WAR) Form 0133s exp. 2014.xlsx www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Subpart D - 250.420(b);421(b);423(c);428(c),(d),(k);462(c),(d),(e);465(a),(b);721(g);743(a),(b),(c);744;746(e);1704(h)	Agency IC Tracking Number:	1014-NEW AA11

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.428(c),(d),(k 30 CFR 250.462(c)(d)(e);465(a)(b) 30 CFR 250.420(b);421(b);423(c) 30 CFR 250.721(g);743(a)(b)(c);

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BSEE-0125	End of Operations Report	Form 0125 exp. 2014.xlsx	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screen Shots			eWell-Form-0125-EndOperationsRpt - screen shots.docx	https://ewell.bsee.gov/ewell/	No		Printable Only
Form	BSEE-0133	Well Activity Report (WAR)	Form 0133 exp. 2014.xlsx	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screenshots			eWell-Form-0133-WekkActivityRpt - screen shots.docx	https://ewell.bsee.gov/ewell/	No		Printable Only
Form	BSEE-0133S	Open Hole Data Report (Supplement to the WAR)	Form 0133s exp. 2014.xlsx	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screenshots			Ewell-Form-133S-OpenHoleDataReport - screen shots.pptx	https://ewell.bsee.gov/ewell/	No		Printable Only
Other-PRA Statement for eWell			aaa - PRA Statement for eWell as of 10-6-14.docx	https://ewell.bsee.gov/ewell/	Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,721	Number of Respondents for Small Entity: 6,017

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

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,721	8,721
Annual IC Time Burden (Hours)	17,593	17,593
Annual IC Cost Burden (Dollars)	0	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.