30 CFR 553, Oil Spill Financial Responsibility for Offshore Facilities

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BOEM-1023 Financial Guarantee	Form	New	Available
Form BOEM-1025 Independent Designated Applicant Information Certification	Form	New	Available
Form BOEM-1022 Covered Offshore Facility Changes	Form	Modified	Available
Form BOEM-1021 Covered Offshore Facilities	Form	Modified	Available
Form BOEM-1020 Surety Bond	Form	Modified	Available
Form BOEM-1019 Insurance Certificate	Form	Modified	Available
Form BOEM-1018 Self-Insurance Information	Form	Modified	Available
Form BOEM-1017 Appointment of Designated Applicant	Form	Modified	Available
Form BOEM-1016 Designated Applicant Information Certificaton	Form	Modified	Available
0106 30-day FR notice 11-6-13.pdf	Supplementary Document	Uploaded 2013-11-06	Available
0106-13-ss 10-21-13.doc	Supporting Statement A	Uploaded 2013-10-24	Available
2nd 60-day 0106 FR.pdf	Supplementary Document	Uploaded 2013-10-21	Available
0106 60-day FR notice 5-1-13.pdf	Supplementary Document	Uploaded 2013-10-21	Available
30 CFR 553 text.docx	Supplementary Document	Uploaded 2013-10-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208724	21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee	Form	New	Financial Guarantee
208723	11(a)(2) Form BOEM-1025 - Independent Designated Applicant Information Certification	Form	New	Independent Designated Applicant Information Certification
179373	60d - Claims for Oil-Spill Removal Costs and Damages		Modified
179371	40-42 - Form BOEM-1022 - Covered Offshore Facility Changes	Form	Modified	Covered Offshore Facility Changes
179370	40; 41; 43 - Form BOEM-1021- Covered Offshore Facilities	Form	Modified	Covered Offshore Facilities
179369	32 - Methods for Demonstrating OSFR		Modified
179368	31; 40-41; 43 - Form BOEM-1020 - Surety Bond	Form	Modified	Surety Bond
179367	29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate	Form	Modified	Insurance Certificate
179365	21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information	Form	Modified	Self-Insurance Information
179364	12; 15; 15f - Applicability and Amount of OSFR		Modified
179363	11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant	Form	Modified	Appointment of Designated Applicant
10801	11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification	Instruction	Modified
10801	11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification	Form	Modified	Designated Applicant Information Certificaton

ICR Details

OMB Control No: 1010-0106	ICR Reference No: 201306-1010-001
Status: Historical Active	Previous ICR Reference No: 201008-1010-001
Agency/Subagency: DOI/BOEM	Agency Tracking No: 1010-0106 exp 2013
Title: 30 CFR 553, Oil Spill Financial Responsibility for Offshore Facilities
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/20/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/06/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2016	36 Months From Approved	12/31/2013
Responses	1,822	0	1,622
Time Burden (Hours)	22,132	0	21,319
Cost Burden (Dollars)	0	0	0

---

Abstract: BOEM uses the information to confirm that applicants can pay for cleanup and damages from oil-spill discharge of more than 1,000 barrels; to determine if the risk of a lesser amount of an oil-spill discharge would warrant a showing of financial respon- sibility; to establish eligibility of applicants for a Certification of Oil Spill Financial Responsibility; and as a reference source for claims associated with oil pollution from designated offshore facilities. Respondents are holders of leases, permits, and rights of use and easement in the OCS and in state coastal waters who will appoint designated applicants.

---

Authorizing Statute(s): US Code: 33 USC 2701 Name of Law: OPA
   PL: Pub.L. 104 - 324 1016 Name of Law: Coast Guard Authorization Act of 1996
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 47723	08/06/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 66763	11/06/2013
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
11(a)(2) Form BOEM-1025 - Independent Designated Applicant Information Certification	BOEM-1025	Independent Designated Applicant Information Certification
11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification	BOEM-1016	Designated Applicant Information Certificaton
11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant	BOEM-1017	Appointment of Designated Applicant
12; 15; 15f - Applicability and Amount of OSFR
21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information	BOEM-1018	Self-Insurance Information
21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee	BOEM-1023	Financial Guarantee
29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate	BOEM-1019	Insurance Certificate
31; 40-41; 43 - Form BOEM-1020 - Surety Bond	BOEM-1020	Surety Bond
32 - Methods for Demonstrating OSFR
40-42 - Form BOEM-1022 - Covered Offshore Facility Changes	BOEM-1022	Covered Offshore Facility Changes
40; 41; 43 - Form BOEM-1021- Covered Offshore Facilities	BOEM-1021	Covered Offshore Facilities
60d - Claims for Oil-Spill Removal Costs and Damages

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,822	1,622	0	200	0	0
Annual Time Burden (Hours)	22,132	21,319	0	213	600	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The currently approved OMB inventory includes 21,319 burden hours for 30 CFR 553 requirements and forms. This submission requests a program increase of 213 hours to accommodate the revisions to the forms and an adjustment increase of 600 hours due to respondent input on the time it takes to respond to form BOEM-1021. (The hour burden change for this form was not due to agency revisions, which consisted only of a provision for possible rights-of-way and rewording the subtitle.) Therefore, we are requesting a total burden hour of 22,132 hours.

---

Annual Cost to Federal Government: $370,711

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: 11/06/2013

---