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Lessee provides monthly reports
Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
OMB: 1076-0180
IC ID: 206856
OMB.report
DOI/BIA
OMB 1076-0180
ICR 201305-1076-001
IC 206856
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0180 can be found here:
2022-10-31 - Extension without change of a currently approved collection
2020-01-29 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
Document Type
Form No.
Form Name
Instrument File
URL
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
Federal Enterprise Architecture Business Reference Module
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 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
8,400
0
8,400
0
0
0
Annual IC Time Burden (Hours)
4,200
0
4,200
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.