Information Collection Request

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

ICR 201507-1076-001 · OMB 1076-0180 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form Form 208 Lessee transmits information on completion of wells, etc. Form Modified Available
Form Form 139A Lessee keeps records and reports completed wells Form Modified Available
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc. Form Modified Available
Form Form F Submit assignment or transfer of lease Form Modified Available
Form Form 101, Form 101 Lessee provides monthly reports Form Modified Available
Form Form D Lessee submits bond. Form Modified Repair queued
Form Lease Form A Lessee submits completed lease form 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

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved
14,436 0 0
21,954 0 0
496 0 0





Reginfo record details
18
table that charts list of burden
IC Title Form No. Form Name
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 provides monthly reports Form 101, Form 101A, Form 133, Form 157, Form 300 Monthly Accounting Forms
Lessee notifies and requests meeting with surface owners, copies Secretary
Person claiming interest provides statement of claimed interest or damages
Lessee keeps records and reports completed wells Form 139A Notice and Reports on Wells
Lessee provides plat of wells
Lessee maintains site security plan
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
Lesses submit agreement to unitize or terminate unitization
Lessee transmits information on completion of wells, etc. Form 208 Well Completion or Re-completion Report and Log
Corporate lessees submit corporate documents.
Purchaser provides statement of gross oil or gas sold
Lessee reports accidents, fires, vandalism and notifies surface owner
Submit assignment or transfer of lease None, Form F Assignment of Lease ,   Assignment of Operating Rights Form
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
Drivers carry documentation of oil and gas
Lessee submits contingency plan
Lessee keeps account of all operations, receipts, disbursements for inspection

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


Reginfo record details
  No