Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 208 Report of Completed and Deepened Wells	Form	New	Available
Form Form 139 Application for Operations / Report on Wells	Form	New	Available
Form Form F Assignment of Lease	Form	New	Available
Form Form 301 Tank Bottom Oil Report	Form	New	Available
Form Form 300 Oil Lessee Waterflood Report	Form	New	Available
Form Form 157 Oil Lessee Report - Consolidated Leases	Form	New	Available
Form Form 133 Oil Lessee Report	Form	New	Available
Form Form 101-A NGL Report	Form	New	Available
Form From 101 Dry Gas Report	Form	New	Available
Form Form H Bond for Assignments	Form	New	Available
Form Form G Collective Bond Form	Form	New	Available
Form Form D Bond Form	Form	New	Available
Form Lease Form C Oil & Gas Mining Lease Form	Form	New	Available
Form Lease Form B Oil Mining Lease	Form	New	Available
Form Lease Form A Gas Mining Lease	Form	New	Available
SS Osage Mineral Rule _06-05-2013.doc	Supporting Statement A	Uploaded 2013-06-05	Available
34Stat543 Sec 3.pdf	Supplementary Document	Uploaded 2013-05-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206871	Lessee reports accidents, fires, vandalism		New
206870	Lessee maintains site security plan		New
206869	Lessee provides plat of wells		New
206868	Lessee transmits information on completion of wells, etc.	Form	New	Report of Completed and Deepened Wells
206866	Lessee keeps records and reports completed wells		New
206865	Lessee keeps account of all operations, receipts, disbursements for inspection		New
206864	Lessee submits contingency plan		New
206863	Drivers carry documentation of oil and gas		New
206862	Person claiming interest provides statement of claimed interest or damages		New
206861	Lessee notifies and requests meeting with surface owners, copies Secretary		New
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	New	Application for Operations / Report on Wells
206859	Submit assignment or transfer of lease	Form	New	Assignment of Lease
206858	Lesses submit agreement to unitize or terminate unitization		New
206857	Purchaser provides statement of gross oil or gas sold		New
206856	Lessee provides monthly reports	Form	New	Tank Bottom Oil Report
206856	Lessee provides monthly reports	Form	New	Oil Lessee Waterflood Report
206856	Lessee provides monthly reports	Form	New	Oil Lessee Report - Consolidated Leases
206856	Lessee provides monthly reports	Form	New	Oil Lessee Report
206856	Lessee provides monthly reports	Form	New	NGL Report
206856	Lessee provides monthly reports	Form	New	Dry Gas Report
206854	Corporate lessees submit corporate documents.		New
206853	Lessee submits bond.	Form	New	Bond for Assignments
206853	Lessee submits bond.	Form	New	Collective Bond Form
206853	Lessee submits bond.	Form	New	Bond Form
206852	Lessee submits completed lease form	Form	New	Oil & Gas Mining Lease Form
206852	Lessee submits completed lease form	Form	New	Oil Mining Lease
206852	Lessee submits completed lease form	Form	New	Gas Mining Lease

ICR Details

OMB Control No: 1076-0180	ICR Reference No: 201305-1076-001
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 09/11/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/28/2013
Terms of Clearance: In accordance with 5 CFR 1320, OMB is withholding approval at this time. Prior to publication of the final rule, the agency must submit to OMB a summary of all comments related to the information collection contained in the proposed rule and the agency response. The agency should clearly indicate any changes made to the information collection as a result of these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.

---

Authorizing Statute(s): Statute at Large: 34 Stat. 543 Name of Statute: Act for division of lands and funds of Osage Indians in Oklahoma territory, and for other purposes.
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1076-AF17	Proposed rulemaking	78 FR 53083	08/28/2013

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 18

table that charts list of burden

IC Title	Form No.	Form Name
Corporate lessees submit corporate documents.
Drivers carry documentation of oil and gas
Lessee keeps account of all operations, receipts, disbursements for inspection
Lessee keeps records and reports completed wells
Lessee maintains site security plan
Lessee notifies and requests meeting with surface owners, copies Secretary
Lessee provides monthly reports	From 101, Form 101-A, Form 133, Form 157, Form 300, Form 301	Dry Gas Report ,   NGL Report ,   Oil Lessee Report ,   Oil Lessee Report - Consolidated Leases ,   Oil Lessee Waterflood Report ,   Tank Bottom Oil Report
Lessee provides plat of wells
Lessee reports accidents, fires, vandalism
Lessee submits applications for well drilling, treating, plugging, etc.	Form 139	Application for Operations / Report on Wells
Lessee submits bond.	Form D, Form G, Form H	Bond Form ,   Collective Bond Form ,   Bond for Assignments
Lessee submits completed lease form	Lease Form A, Lease Form B, Lease Form C	Gas Mining Lease ,   Oil Mining Lease ,   Oil & Gas Mining Lease Form
Lessee submits contingency plan
Lessee transmits information on completion of wells, etc.	Form 208	Report of Completed and Deepened Wells
Lesses submit agreement to unitize or terminate unitization
Person claiming interest provides statement of claimed interest or damages
Purchaser provides statement of gross oil or gas sold
Submit assignment or transfer of lease	Form F	Assignment of Lease

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The regulations being revised impose a few new information requirements. The current regulations include information collection requirements but the Paperwork Reduction Act was determined not to apply at the time the regulations were promulgated in 1974.

---

Annual Cost to Federal Government: $238,906

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/28/2013

---