Information Collection

250.465(b); 466; 467; 468(b),(c); 469 - Applying for Permit to Modify and Well Records

IC 184671 under ICR 201701-1014-005 · OMB 1014-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0018 can be found here:

Documents and Forms

Document Name Document Type
eWell-Form-0133-WekkActivityRpt - screen shots.docx Other-eWell Screen Shot
Ewell-Form-133S-OpenHoleDataReport - screen shots.pptx Other-eWell Screen Shot
aaa - PRA Statement for eWell as of 9-2-14..docx Other-PRA Statement for eWell
BSEE-0133 Well Activity Report Form 0133 exp. 2014.xlsx www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form
BSEE-0133S Bore Hole Data (Supplement to BSEE-0133) Form 0133s exp. 2014.xlsx www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	250.465(b); 466; 467; 468(b),(c); 469 - Applying for Permit to Modify and Well Records	Agency IC Tracking Number:	1014-0018 '14

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.465(b); 466; 467 30 CFR 250.468(b),(c); 469

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PRA Statement for eWell			aaa - PRA Statement for eWell as of 9-2-14..docx		Yes	No	Printable Only
Form	BSEE-0133	Well Activity Report	Form 0133 exp. 2014.xlsx	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Form	BSEE-0133S	Bore Hole Data (Supplement to BSEE-0133)	Form 0133s exp. 2014.xlsx	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screen Shot			eWell-Form-0133-WekkActivityRpt - screen shots.docx		Yes	Yes	Fillable Fileable
Other-eWell Screen Shot			Ewell-Form-133S-OpenHoleDataReport - screen shots.pptx		Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,596	Number of Respondents for Small Entity: 10,071

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	-14,596	14,596
Annual IC Time Burden (Hours)	-18,822	18,822
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.