Information Collection

21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee

IC 208724 under ICR 201306-1010-001 · OMB 1010-0106.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1010-0106 can be found here:

Documents and Forms

Document Name Document Type
Form BOEM-1023 21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee Form
BOEM-1023 Financial Guarantee BOEM-1023New Financial Guarantor 7-30-13 .docx www.boem.gov/BOEM-OCS-Operation-Forms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 553.21-24; 26-27; 30; 40-4

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BOEM-1023	Financial Guarantee	BOEM-1023New Financial Guarantor 7-30-13 .docx	http://www.boem.gov/BOEM-OCS-Operation-Forms/	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 25	Number of Respondents for Small Entity: 16

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

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	38	38
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.