Application for Permit to Modify(APM) and supporting documentation

ICR 201701-1014-001

OMB: 1014-0026

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supplementary Document
2017-03-15
Supplementary Document
2017-02-03
Supplementary Document
2017-02-03
Supporting Statement A
2017-02-03
IC Document Collections
IC ID
Document
Title
Status
225532
New
225531
New
225530
New
225529
New
225528
New
225526
New
225525
New
225524
New
225523
New
225522
New
225521
New
225520
New
225517
New
225516
New
225515
New
225513
New
225512
New
225511
New
225510
New
225509
New
225508
New
225507
New
225506
New
225505
New
225504
New
225503
New
225496
New
225495
New
225494
New
225493
New
225492
New
225491
New
225490
New
225489
New
225488
New
225487
New
225486
New
225485
New
225484
New
225483
New
225481
New
225480 New
210260 Removed
210259 Removed
210258 Removed
210257 Removed
210256 Removed
210255 Removed
ICR Details
1014-0026 201701-1014-001
Historical Active 201402-1014-002
DOI/BSEE 1014-0026 APMs '17
Application for Permit to Modify(APM) and supporting documentation
Revision of a currently approved collection   No
Regular
Approved without change 07/12/2017
Retrieve Notice of Action (NOA) 03/15/2017
  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

The regulations at 30 CFR 250 stipulate the various requirements that must be submitted with an Application for Permit to Modify (APM), form BSEE-0124. The form and the numerous submittals that are included and/or attached to the form are the subject of this collection.

US Code: 30 USC 1751 Name of Law: Federal Oil and Gas Royalty Management Act
   US Code: 31 USC 9701 Name of Law: Independent Offices Appropriations Act
   US Code: 43 USC 1334 Name of Law: Outer Continental Shelf Lands Act
  
None

Not associated with rulemaking

  81 FR 65405 09/22/2016
82 FR 13839 03/15/2017
No

42
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

  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
Yes
Changing Regulations
No
The current OMB inventory for this collection is 9,770 burden hours. In this submission, we are requesting a total of 17,386 burden hours. This represents an adjustment increase of 3,273 burden hours. The adjustment increase is due to re-estimating the average number of annual responses and the amount of time required to respond. This also represents a program increase of 4,343 burden hours due to the publication of the Subpart G regulations, Well Operations and Equipment, which added requirements listed under APMs. The current OMB non-hour cost burden for the APM requirement is $361,625. In this submission, we are requesting a total of $308,500. This represents an adjustment decrease of $53,125. The decrease is due to receiving less APM applications this past cycle.

$721,519
No
No
No
No
No
Uncollected
Nicole Mason 703 787-1605 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/15/2017


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