Information Collection

30 CFR 250.130-250.193 - Forms

IC 202060 under ICR 201701-1014-004 · OMB 1014-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BSEE-1832 30 CFR 250.130-250.193 - Forms	Form and Instruction
eWell-Form-0132-StormEvacProdCrtlmnt - screen shots.docx	Other-eWell Screen Shots
eWell-Form-0143-FacilityDamage - screen shots.docx	Other-eWell Screen Shots
PRA Statement for eWell.docx	Other-PRA Statement for eWell
BSEE-1832 NOTIFICATION OF INCIDENT(S) OF NONCOMPLIANCE Form 1832-legal size [for use w tablets] exp 2017.docx	Form and Instruction
BSEE-0132 HURRICANE AND TROPICAL STORM EVACUATION AND PRODUCTION C Form 0132 exp 2017.doc www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Form
BSEE-0143 FACILITY/EQUIPMENT DAMAGE REPORT Form 0143 exp 2017.doc www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Form
BSEE-0011 Internet-Based Safety and Environmental Enforcement Repo Form 0011 exp 2017 iSEE.docx www.bsee.gov/Inspection-and-Enforcement/Accidents-and-Incidents/Incident-Investigations/	Form

IC Title:

30 CFR 250.130-250.193 - Forms

Agency IC Tracking Number:

Subpart A '14

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.130-133; 250.186(a) 30 CFR 250.192, (b); 250.193

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
Form and Instruction	BSEE-1832	NOTIFICATION OF INCIDENT(S) OF NONCOMPLIANCE	Form 1832-legal size [for use w tablets] exp 2017.docx		No		Paper Only
Form	BSEE-0132	HURRICANE AND TROPICAL STORM EVACUATION AND PRODUCTION CURTAILMENT STATISTICS GULF OF MEXICO OCS REGION (GOMR)	Form 0132 exp 2017.doc	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screen Shots			eWell-Form-0132-StormEvacProdCrtlmnt - screen shots.docx		Yes	Yes	Fillable Fileable
Form	BSEE-0143	FACILITY/EQUIPMENT DAMAGE REPORT	Form 0143 exp 2017.doc	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screen Shots			eWell-Form-0143-FacilityDamage - screen shots.docx		Yes	Yes	Fillable Fileable
Other-PRA Statement for eWell			PRA Statement for eWell.docx		Yes	No	Paper Only
Form	BSEE-0011	Internet-Based Safety and Environmental Enforcement Reporting System	Form 0011 exp 2017 iSEE.docx	http://www.bsee.gov/Inspection-and-Enforcement/Accidents-and-Incidents/Incident-Investigations/	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,662

Number of Respondents for Small Entity: 2,527

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-3,662	3,662
Annual IC Time Burden (Hours)	-10,969	10,969
Annual IC Cost Burden (Dollars)	0	0

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.