Information Collection Request

Collection of Monies Due the Federal Government

ICR 201705-1012-003 · OMB 1012-0008 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 4425 Designation of Designee Form and Instruction Modified Available
0008 Supporting Statement 20171116cc.docx Supporting Statement A Uploaded 2018-02-07 Available
5271.pdf Supplementary Document Uploaded 2018-02-07 Available
30 CFR 1218.42_.52_.53.pdf Supplementary Document Uploaded 2017-07-28 Available
34333.pdf Supplementary Document Uploaded 2017-07-28 Available
Authorized Legal Statutes.pdf Supplementary Document Uploaded 2017-05-18 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
198922 Tribal Permission for Recoupment on Indian Oil and Gas Leases Modified
198921 Cross-Lease Netting in Calculation of Late-Payment Interest Modified
10806 Designation of Designee Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved 04/30/2018
31 0 35
151 0 59
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Designation of Designee 4425 Designation Form for Royalty Payment Responsibility
Cross-Lease Netting in Calculation of Late-Payment Interest
Tribal Permission for Recoupment on Indian Oil and Gas Leases

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 31 35 0 0 -4 0
Annual Time Burden (Hours) 151 59 0 0 92 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No