Information Collection

Assignment of Record Title Interest / Oil and Gas Leases

IC 10487 under ICR 201711-1004-004 · OMB 1004-0034.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0034 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3000-3 Assignment of Record Title Interest / Oil and Gas Leases	Form and Instruction
3000-3 Assignment of Record Title Interest in a Lease for OIl a 3000.3 assignment proposed changes.docx	Form and Instruction

IC Title:

Assignment of Record Title Interest / Oil and Gas Leases

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3106.4-1

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
Form and Instruction	3000-3	Assignment of Record Title Interest in a Lease for OIl and Gas or Geothermal Resources	3000.3 assignment proposed changes.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 7,052

Number of Respondents for Small Entity: 500

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,052	736	6,316
Annual IC Time Burden (Hours)	3,526	368	3,158
Annual IC Cost Burden (Dollars)	669,940	101,500	568,440

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.