Information Collection Request

Application for Permit to Modify(APM) and supporting documentation

ICR 201701-1014-001 · OMB 1014-0026 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form BSEE-0124 Subparts D, E, F, G, H, P, Q - APM Application Form New Available
1014-0026 30-day published [82 FR 13839] exp. 4-14-17.pdf Supplementary Document Uploaded 2017-03-15 Available
0026-APM-60 day-published exp. 11-21-16 [81 FR 65405].pdf Supplementary Document Uploaded 2017-02-03 Available
apd.apm.ecfr.8.3.16.docx Supplementary Document Uploaded 2017-02-03 Available
0026-SS-2017.docx Supporting Statement A Uploaded 2017-02-03 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
225532 250.1743(a) - Signed Certification New
225531 250.1723(b) - Request Removal New
225530 250.1722(a), (d) - Report New
225529 250.1722(a), (d) - Approval New
225528 250.1721; 1704(g) - Application to Temp. Abandon New
225526 250.1712; 1704(g) - Permanently Plugging - Descriptions New
225525 250.1712; 1704(g) - Permanently Plugging - Certification New
225524 250.1706(a)(4) - Downhole Check Valves New
225523 250.1704(g) - Final Well Schematic New
225522 250.1704 - Well Abandonment New
225521 250.1622(c)(2) - Well Tests Results (Sulfur) New
225520 250.1622(a), (b) - Approval for Operations (Sulfur) New
225517 250.1619(b) - Suspension/Temporary Prohibition (Sulfur) New
225516 250.1618(a), (b), (c) - Changes to Plans (Sulfur) New
225515 250.804(a) - SSSVs New
225513 250.801(h) - Safety Device New
225512 250.738(n) - Pipe/Variable Bore Rams New
225511 250.738(m) - BAVO report New
225510 250.737(d)(12) - Autoshear/Deadman event New
225509 250.737(d)(4) - Initial Subsea BOP New
225508 250.737(d)(3) - Stump Test New
225507 250.737(d)(2) - Initial Test New
225506 250.733 - Annulus Monitoring Plan New
225505 250.731 - BOP System New
225504 250.724(b) - Real-Time Monitoring Plan New
225503 250.721(g) - Successful Negative Pressure Test New
225496 250.720(b) - Displace Kill Weight Fluid New
225495 250.713 - MODU New
225494 250.702 - Identify Departures New
225493 250.701 - Proposed Alternate Procedures New
225492 250.619(f) - Production Packer Setting Depth New
225491 250.616(a)(4) - Downhole Check Valves New
225490 250.613(d) - Work as Performed New
225489 250.613(c) - New Zone New
225488 250.613(a), (b) - Other than Normal Workover New
225487 250.526(a) - Corrective Action New
225486 250.518(f) - Production Packer Setting Depth New
225485 250.513 - Well-Completion Operations New
225484 250.471(c) - SCCE New
225483 250.300(b)(1), (2) - Petroleum-based substance New
225481 Subparts D, E, F, G, H, P, Q - Revised APM Application New
225480 Subparts D, E, F, G, H, P, Q - APM Application Form New
210260 30 CFR 250, Subpart Q; 1706 thru 1743 Other-Actual Screen Shots of eWell Removed
210259 30, CFR 250, Subpart P; 1618 thru 1622 Other-null Removed
210258 30, CFR 250, Subpart H; 250.801 and 807 Other-actual screen shots Removed
210257 30 CFR 250, Subpart F; 250.613 thru 617 Other-actual screen shots from eWell Removed
210256 30 CFR 250, Subpart E; 250.513 thru 526 Other-actual screen shots from eWell Removed
210255 30 CFR 250, Subparts D, E, F, H, P, Q - actual APM Other-actual screen shot from eWell Removed

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2020 36 Months From Approved 07/31/2017
12,333 0 13,524
17,386 0 9,770
308,500 0 361,625





Reginfo record details
42
table that charts list of burden
IC Title Form No. Form Name
250.720(b) - Displace Kill Weight Fluid
30, CFR 250, Subpart H; 250.801 and 807
30, CFR 250, Subpart P; 1618 thru 1622
250.526(a) - Corrective Action
250.616(a)(4) - Downhole Check Valves
250.737(d)(12) - Autoshear/Deadman event
250.738(n) - Pipe/Variable Bore Rams
250.1721; 1704(g) - Application to Temp. Abandon
250.1723(b) - Request Removal
250.801(h) - Safety Device
250.1618(a), (b), (c) - Changes to Plans (Sulfur)
250.1622(a), (b) - Approval for Operations (Sulfur)
250.1704 - Well Abandonment
250.1704(g) - Final Well Schematic
250.1706(a)(4) - Downhole Check Valves
250.1712; 1704(g) - Permanently Plugging - Certification
250.1712; 1704(g) - Permanently Plugging - Descriptions
250.1722(a), (d) - Approval
250.1722(a), (d) - Report
250.1743(a) - Signed Certification
250.721(g) - Successful Negative Pressure Test
250.724(b) - Real-Time Monitoring Plan
250.731 - BOP System
250.733 - Annulus Monitoring Plan
30 CFR 250, Subparts D, E, F, H, P, Q - actual APM BSEE-0124 Application for Permit to Modify (APM)
30 CFR 250, Subpart Q; 1706 thru 1743
Subparts D, E, F, G, H, P, Q - Revised APM Application
250.619(f) - Production Packer Setting Depth
250.613(c) - New Zone
250.613(d) - Work as Performed
250.713 - MODU
250.1622(c)(2) - Well Tests Results (Sulfur)
250.471(c) - SCCE
250.513 - Well-Completion Operations
250.702 - Identify Departures
250.1619(b) - Suspension/Temporary Prohibition (Sulfur)
Subparts D, E, F, G, H, P, Q - APM Application BSEE-0124 Application for Permit to Modify
250.300(b)(1), (2) - Petroleum-based substance
250.518(f) - Production Packer Setting Depth
250.613(a), (b) - Other than Normal Workover
250.701 - Proposed Alternate Procedures
250.737(d)(2) - Initial Test
250.738(m) - BAVO report
250.804(a) - SSSVs
30 CFR 250, Subpart E; 250.513 thru 526
30 CFR 250, Subpart F; 250.613 thru 617
250.737(d)(3) - Stump Test
250.737(d)(4) - Initial Subsea BOP

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 12,333 13,524 0 3,231 -4,422 0
Annual Time Burden (Hours) 17,386 9,770 0 4,343 3,273 0
Annual Cost Burden (Dollars) 308,500 361,625 0 0 -53,125 0


Reginfo record details
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