Information Collection

Lessee provides monthly reports

IC 206856 under ICR 201305-1076-001 · OMB 1076-0180.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0180 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form From 101 Lessee provides monthly reports	Form
From 101 Dry Gas Report Report - Dry Gas Form 101.docx	Form
Form 101-A NGL Report Report - NGL Gas.docx	Form
Form 133 Oil Lessee Report Report - Oil Form 133.docx	Form
Form 157 Oil Lessee Report - Consolidated Leases Report - Oil Consolidated Form 157.docx	Form
Form 300 Oil Lessee Waterflood Report Report - Oil Waterflood Form 300.docx	Form
Form 301 Tank Bottom Oil Report Report - Tank Bottom Oil.docx	Form

IC Title:

Lessee provides monthly reports

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 226.27(a) 25 CFR 226.26

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	From 101	Dry Gas Report	Report - Dry Gas Form 101.docx	Yes	Yes	Fillable Printable
Form	Form 101-A	NGL Report	Report - NGL Gas.docx	Yes	Yes	Fillable Printable
Form	Form 133	Oil Lessee Report	Report - Oil Form 133.docx	Yes	Yes	Fillable Printable
Form	Form 157	Oil Lessee Report - Consolidated Leases	Report - Oil Consolidated Form 157.docx	Yes	Yes	Fillable Printable
Form	Form 300	Oil Lessee Waterflood Report	Report - Oil Waterflood Form 300.docx	Yes	Yes	Fillable Printable
Form	Form 301	Tank Bottom Oil Report	Report - Tank Bottom Oil.docx	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 700

Number of Respondents for Small Entity: 30

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,400	8,400
Annual IC Time Burden (Hours)	4,200	4,200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.