Request for Prior Approval of Hydraulic Fracturing Job Using a Notice of Intent Sundry Plus a Surface Use Plan of Operations Plus Documentation of Adequate Cementing

Oil and Gas; Hydraulic Fracturing on Federal and Indian Lands (43 CFR Part 3160)

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Request for Prior Approval of Hydraulic Fracturing Job Using a Notice of Intent Sundry Plus a Surface Use Plan of Operations Plus Documentation of Adequate Cementing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3162.3-3(d) 43 CFR 3162.3-3(c)(2) 43 CFR 3162.3-3(c)(3)

Information Collection 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: 200	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	1,600	1,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.