Information Collection

420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report

IC 228073 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⚠️ Notice: This information collection may be referencing outdated material.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
Form BSEE-0125 420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report Form
eWell-Form-0125-EndOperationsRpt - screen shots.docx Other-eWell screen shots
PRA Statement for eWell.docx Other-PRA Statement for eWell
BSEE-0125 End of Operations Report Form 0125 exp. 2017.xlsx www.bsee.gov/sites/bsee.gov/files/form-0125-exp-2017.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report	Agency IC Tracking Number:	1014-0018 ext'17

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.420(b)(3); 423(b)(7); 30 CFR 250.465(a), (b)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BSEE-0125	End of Operations Report	Form 0125 exp. 2017.xlsx	https://www.bsee.gov/sites/bsee.gov/files/form-0125-exp-2017.pdf	Yes	Yes	Fillable Fileable
Other-eWell screen shots			eWell-Form-0125-EndOperationsRpt - screen shots.docx		Yes	No	Printable Only
Other-PRA Statement for eWell			PRA Statement for eWell.docx		Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 445	Number of Respondents for Small Entity: 307

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

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	445	445
Annual IC Time Burden (Hours)	1,335	1,335
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.