Information Collection

Request for Prior Approval of Hydraulic Fracturing Job Using an Application for Permit to Drill Plus a Cement Operation Monitoring Report

IC 201479 under ICR 201405-1004-001 · OMB 1004-0203.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Request for Prior Approval of Hydraulic Fracturing Job Using an Application for Permit to Drill Plus a Cement Operation Monitoring Report

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 3162.3-3(d) 43 CFR 3162.3-3(e)(1) 43 CFR 3162.3-3(e)(2) 43 CFR 3162.3-3(c)(1)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,614

Number of Respondents for Small Entity: 33

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,614	2,614
Annual IC Time Burden (Hours)	20,912	20,912
Annual IC Cost Burden (Dollars)	16,991,000	16,991,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.