Information Collection

Securities

IC 10841 under ICR 201705-1012-001 · OMB 1012-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1012-0006 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Surety Instrument Posting Instr.pdf	Instruction
ONRR 4435 Appeal Bond Form 4435 Appeal Bond 01312015.doc www.onrr.gov/ReportPay/PDFDocs/4435.pdf	Form
ONRR 4436 Letter of Credit Form 4436 LOC 01312015.doc www.onrr.gov/ReportPay/PDFDocs/4436.pdf	Form
ONRR 4437 Certificate of Deposit Form 4437, CD 01312015.doc www.onrr.gov/ReportPay/PDFDocs/4437.pdf	Form

IC Title:

Securities

Agency IC Tracking Number:

onrr 1012-0006

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 1243.4(a)(1)

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
Instruction			Surety Instrument Posting Instr.pdf	N:\PAO\Shared\REGS\ICRs\0006 (0122) -- Suspension Pending Appeal and Bonding\2011 Renewal (exp. 113011)\0122 30-day\ROCIS	Yes	No	Printable Only
Form	ONRR 4435	Appeal Bond	Form 4435 Appeal Bond 01312015.doc	http://www.onrr.gov/ReportPay/PDFDocs/4435.pdf	Yes	No	Printable Only
Form	ONRR 4436	Letter of Credit	Form 4436 LOC 01312015.doc	http://www.onrr.gov/ReportPay/PDFDocs/4436.pdf	Yes	No	Printable Only
Form	ONRR 4437	Certificate of Deposit	Form 4437, CD 01312015.doc	http://www.onrr.gov/ReportPay/PDFDocs/4437.pdf	Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 5

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	80	80
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.