Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form 208 Well Completion or Re-completion Report and Log	Form	Modified	Available
Form Form 139A Notice and Reports on Wells	Form	Modified	Available
Seismic Permit	Form	Modified	Repair queued
Notification of Well Spud Form	Form	Modified	Available
Easement Form	Form	Modified	Available
Form Form 139 Application to Drill or Reenter	Form	Modified	Available
Assignment of Operating Rights Form	Form	Modified	Available
Form Form F Assignment of Lease	Form	Modified	Available
Form Form 101, Form 101 Monthly Accounting Forms	Form	Modified	Available
Letter of Credit	Form	Modified	Available
Nationwide Oil and Gas Lease Bond	Form	Modified	Available
Form Form H Bond for Assignments	Form	Modified	Available
Form Form G Collective Bond Form	Form	Modified	Repair queued
Form Form D Bond Form	Form	Modified	Available
Lease Modification Form	Form	Modified	Available
Form Form E Evidence of Authority	Form	Modified	Available
Form Lease Form C Oil & Gas Mining Lease Form	Form	Modified	Available
Form Lease Form B Oil Mining Lease	Form	Modified	Available
Form Lease Form A Gas Mining Lease	Form	Modified	Available
SS Osage Mineral Rule_FINAL.doc	Supporting Statement A	Uploaded 2015-03-17	Available
34Stat543 Sec 3.pdf	Supplementary Document	Uploaded 2013-05-10	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
206871	Lessee reports accidents, fires, vandalism and notifies surface owner		Modified
206870	Lessee maintains site security plan		Unchanged
206869	Lessee provides plat of wells		Unchanged
206868	Lessee transmits information on completion of wells, etc.	Form	Modified	Well Completion or Re-completion Report and Log
206866	Lessee keeps records and reports completed wells	Form	Modified	Notice and Reports on Wells
206865	Lessee keeps account of all operations, receipts, disbursements for inspection		Unchanged
206864	Lessee submits contingency plan		Unchanged
206863	Drivers carry documentation of oil and gas		Unchanged
206862	Person claiming interest provides statement of claimed interest or damages		Unchanged
206861	Lessee notifies and requests meeting with surface owners, copies Secretary		Unchanged
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Seismic Permit
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Notification of Well Spud Form
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Easement Form
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Application to Drill or Reenter
206859	Submit assignment or transfer of lease	Form	Modified	Assignment of Operating Rights Form
206859	Submit assignment or transfer of lease	Form	Modified	Assignment of Lease
206858	Lesses submit agreement to unitize or terminate unitization		Unchanged
206857	Purchaser provides statement of gross oil or gas sold		Unchanged
206856	Lessee provides monthly reports	Form	Modified	Monthly Accounting Forms
206854	Corporate lessees submit corporate documents.		Unchanged
206853	Lessee submits bond.	Form	Modified	Letter of Credit
206853	Lessee submits bond.	Form	Modified	Nationwide Oil and Gas Lease Bond
206853	Lessee submits bond.	Form	Modified	Bond for Assignments
206853	Lessee submits bond.	Form	Modified	Collective Bond Form
206853	Lessee submits bond.	Form	Modified	Bond Form
206852	Lessee submits completed lease form	Form	Modified	Lease Modification Form
206852	Lessee submits completed lease form	Form	Modified	Evidence of Authority
206852	Lessee submits completed lease form	Form	Modified	Oil & Gas Mining Lease Form
206852	Lessee submits completed lease form	Form	Modified	Oil Mining Lease
206852	Lessee submits completed lease form	Form	Modified	Gas Mining Lease

ICR Details

OMB Control No: 1076-0180	ICR Reference No: 201507-1076-001
Status: Historical Active	Previous ICR Reference No: 201501-1076-005
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/10/2015
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/10/2015
Terms of Clearance: The Bureau of Indian Affairs must enable the electronic reporting of monthly reports under 226.26 and 226.27(a) within one year of the approval date of this information collection request.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved
Responses	14,436	0	0
Time Burden (Hours)	21,954	0	0
Cost Burden (Dollars)	496	0	0

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Abstract: This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.

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Authorizing Statute(s): Statute at Large: 34 Stat. 543 Name of Statute: Act for division of lands and funds of Osage Indians in Oklahoma territory, and for other purposes.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1076-AF17	Final or interim final rulemaking	80 FR 26994	05/11/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

table that charts list of burden

IC Title	Form No.	Form Name
Corporate lessees submit corporate documents.
Drivers carry documentation of oil and gas
Lessee keeps account of all operations, receipts, disbursements for inspection
Lessee keeps records and reports completed wells	Form 139A	Notice and Reports on Wells
Lessee maintains site security plan
Lessee notifies and requests meeting with surface owners, copies Secretary
Lessee provides monthly reports	Form 101, Form 101A, Form 133, Form 157, Form 300	Monthly Accounting Forms
Lessee provides plat of wells
Lessee reports accidents, fires, vandalism and notifies surface owner
Lessee submits applications for well drilling, treating, plugging, etc.	None, None, None, Form 139	Application to Drill or Reenter ,   Easement Form ,   Notification of Well Spud Form ,   Seismic Permit
Lessee submits bond.	None, None, Form D, Form G, Form H	Bond Form ,   Collective Bond Form ,   Bond for Assignments ,   Nationwide Oil and Gas Lease Bond ,   Letter of Credit
Lessee submits completed lease form	Form E, Lease Form A, Lease Form C, Lease Form B, None	Gas Mining Lease ,   Oil Mining Lease ,   Oil & Gas Mining Lease Form ,   Evidence of Authority ,   Lease Modification Form
Lessee submits contingency plan
Lessee transmits information on completion of wells, etc.	Form 208	Well Completion or Re-completion Report and Log
Lesses submit agreement to unitize or terminate unitization
Person claiming interest provides statement of claimed interest or damages
Purchaser provides statement of gross oil or gas sold
Submit assignment or transfer of lease	None, Form F	Assignment of Lease ,   Assignment of Operating Rights Form

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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	14,436	0	0	14,436	0	0
Annual Time Burden (Hours)	21,954	0	0	21,954	0	0
Annual Cost Burden (Dollars)	496	0	0	496	0	0

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

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection. At the time the regulations governing this program were promulgated, the information collections contained therein were not subject to the Paperwork Reduction Act that was in effect. Since that time, the 1995 amendments to the Paperwork Reduction Act were passed. We have determined in reviewing this regulation for revisions that the 1995 amendments to the Paperwork Reduction Act now subject the information collection requirements in these regulations to OMB approval. For this reason, the hour and cost burden is new.

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Annual Cost to Federal Government: $244,895

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

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Common Form ICR:  No

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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: 02/12/2015

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