Information Collection

Well Completion or Recompletion Report and Log (43 CFR 3162.4-1)

IC 178333 under ICR 201401-1004-002 · OMB 1004-0137.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0137 can be found here:

Documents and Forms

Document Name Document Type
Form 3160-4 Well Completion or Recompletion Report and Log (43 CFR 3162.4-1) Form and Instruction
3160-4 Well Completion and Re-completion Report and Log 3160-004.pdf www.blm.gov/noc/st/en/business/eForms/3000-3999.html. Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Well Completion or Recompletion Report and Log (43 CFR 3162.4-1)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3162.4-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3160-4	Well Completion and Re-completion Report and Log	3160-004.pdf	http://www.blm.gov/noc/st/en/business/eForms/3000-3999.html.	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 150

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	20,000	20,000
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.