Information Collection

30 CFR 250, Subparts D, E, F, H, P, Q - actual APM

IC 210255 under ICR 201701-1014-001 · OMB 1014-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0026 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
eWell_Form-124_screens 2013.pdf	Other-actual screen shot from eWell
PRA Statement for eWell.docx	Other-Revised PRA Statement for eWel
BSEE-0124 Application for Permit to Modify (APM) Form 0124 for the APM ICR exp 2017.xlsx www.bsee.gov/About-BSEE/Procurement-Business-Opportunities/BSEE-OCS-Operation-Forms/BSEE-OCS-Operation-Forms/	Form

IC Title:

30 CFR 250, Subparts D, E, F, H, P, Q - actual APM

Agency IC Tracking Number:

2014-APMs

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 250

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-actual screen shot from eWell			eWell_Form-124_screens 2013.pdf		Yes	Yes	Fillable Fileable
Other-Revised PRA Statement for eWell			PRA Statement for eWell.docx		Yes	No	Printable Only
Form	BSEE-0124	Application for Permit to Modify (APM)	Form 0124 for the APM ICR exp 2017.xlsx	http://www.bsee.gov/About-BSEE/Procurement-Business-Opportunities/BSEE-OCS-Operation-Forms/BSEE-OCS-Operation-Forms/	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4,444

Number of Respondents for Small Entity: 3,066

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-4,444	4,444
Annual IC Time Burden (Hours)	-4,444	4,444
Annual IC Cost Burden (Dollars)	-361,625	361,625

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.