Information Collection Request

Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

ICR 201807-1076-002 · OMB 1076-0180 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Trucking Permit Form New Available
Environmental Assessment Questionnaire Form New Available
Lease Modification Form Form New Available
Easement for Saltwater Disposal Form New Available
Spill Reporting and Remediation Form Form Modified Available
Lease Status Report Form Form Modified Available
Form Form 229 Waterflood Operating Report Form Modified Available
Form Form 139 Permit to Drill or Reenter Form Modified Available
Form Form 208 Well Completion or Re-completion Report and Log Form Modified Available
Form Form 139 Application to Drill or Reenter Form Modified Available
Assignment of Liability Form Form Modified Available
Form Form F Assignment of Lease Form Modified Available
Tank Bottom Oil Report Form Form Modified Available
Form Form 101, Form 101 Monthly Accounting Forms Form Modified Available
Form E Form Modified Repair queued
List of Corporate Officers Form Form Modified Available
Form Form H Bond for Assignments Form Modified Available
Form Form G Collective Bond Form Form Modified Available
Form Form D Bond Form Form Modified Available
Form Lease Form C Oil & Gas Mining Lease Form Form Modified Available
Form Lease Form B Oil Mining Lease Form Modified Available
Form Lease Form A Gas Mining Lease Form Modified Available
Osage Forms_Draft Support Stmt. REVISED 10-1-18.doc Supporting Statement A Uploaded 2018-10-01 Available
7-31-18.Agency IC Activities; Submission to the OMB for Review and Approval; Leasing of Osage Reservation Lands for Oil and Gas Mining.pdf Supplementary Document Uploaded 2018-07-31 Available
4-9-18.Agency IC Activities; Leasing of Osage Reservation Lands for Oil and Gas Mining.pdf Supplementary Document Uploaded 2018-07-31 Available
34Stat543 Sec 3.pdf Supplementary Document Uploaded 2013-05-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232477 Lessee or operator must submit application for trucking permit Form NewTrucking Permit
232476 Lessee requests approval to use gas for lifting oil New
232475 Lessee submits request for variance from gas measurement requirements New
232474 Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements New
232473 Lessee submits request for variance from line drilling limitations New
232472 Lessee submits agreement with surface owner for disposition of permanent improvements New
232471 Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member New
232470 Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well New
232469 Oil lessee submits report of connections to gas lessee's well New
232468 Lessee submits request to use water from streams and natural water courses New
232467 Lessee submits request for variance from pit construction requirements New
232466 Lessee submits report on settlement agreement for surface damages New
232465 Lessee submits agreement creating overriding royalties or drilling contract New
232464 Lessee submits division order or contract New
232463 Lessee submits application to surrender or cancel all or any portion of lease New
232462 Lessee submits information needed for environmental assessment Form NewEnvironmental Assessment Questionnaire
232461 Individual submits application to nominate tracts to be offered for lease New
232460 Lessee submits request for lease modification Form NewLease Modification Form
232459 Lessee submits commercial or non-commercial easement Form NewEasement for Saltwater Disposal
206871 Lessee reports accidents, fires, vandalism and notifies surface owner Form ModifiedSpill Reporting and Remediation Form
206870 Lessee maintains site security plan Removed
206869 Lessee submits plat showing well location, status, and designation Form ModifiedLease Status Report Form
206868 Lessee transmits information on completion of wells, etc. Form ModifiedWaterflood Operating Report
206868 Lessee transmits information on completion of wells, etc. Form ModifiedPermit to Drill or Reenter
206868 Lessee transmits information on completion of wells, etc. Form ModifiedWell Completion or Re-completion Report and Log
206866 Lessee submits reports of tests and surveys Modified
206865 Lessee keeps account of all operations, receipts, disbursements for inspection Removed
206864 Lessee submits contingency plan Removed
206863 Drivers carry documentation of oil and gas Removed
206862 Person claiming interest in surface damages provides statement of interest Modified
206861 Lessee notifies and requests meeting with surface owners, copies Secretary Removed
206860 Lessee submits applications for well drilling, treating, plugging, etc. Form ModifiedApplication to Drill or Reenter
206859 Lessee submits assignment or transfer of lease Form ModifiedAssignment of Liability Form
206859 Lessee submits assignment or transfer of lease Form ModifiedAssignment of Lease
206858 Lessee submits unit of cooperative agreement and termination of any such agreement Modified
206857 Purchaser submits monthly statement Modified
206856 Lessee submits monthly royalty report Form ModifiedTank Bottom Oil Report Form
206856 Lessee submits monthly royalty report Form ModifiedMonthly Accounting Forms
206854 Corporate lessees submit corporate information Form ModifiedForm E
206854 Corporate lessees submit corporate information Form ModifiedList of Corporate Officers Form
206853 Lessee must submit bond Form ModifiedBond for Assignments
206853 Lessee must submit bond Form ModifiedCollective Bond Form
206853 Lessee must submit bond Form ModifiedBond Form
206852 Bidder or Osage Tribal Council submits completed lease form Form ModifiedOil & Gas Mining Lease Form
206852 Bidder or Osage Tribal Council submits completed lease form Form ModifiedOil Mining Lease
206852 Bidder or Osage Tribal Council submits completed lease form Form ModifiedGas Mining Lease

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2020 36 Months From Approved 10/31/2018
48,539 0 14,436
22,731 0 21,954
4,535 0 496





Reginfo record details
32
table that charts list of burden
IC Title Form No. Form Name
Bidder or Osage Tribal Council submits completed lease form Lease Form A, Lease Form C, Lease Form B ,   ,  
Corporate lessees submit corporate information N/A, N/A ,  
Drivers carry documentation of oil and gas
Individual submits application to nominate tracts to be offered for lease
Lessee keeps account of all operations, receipts, disbursements for inspection
Lessee maintains site security plan
Lessee must submit bond Form D, Form G, Form H ,   ,  
Lessee notifies and requests meeting with surface owners, copies Secretary
Lessee or operator must submit application for trucking permit N/A
Lessee reports accidents, fires, vandalism and notifies surface owner N/A
Lessee requests approval to use gas for lifting oil
Lessee submits agreement creating overriding royalties or drilling contract
Lessee submits agreement with surface owner for disposition of permanent improvements
Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well
Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member
Lessee submits application to surrender or cancel all or any portion of lease
Lessee submits applications for well drilling, treating, plugging, etc. Form 139
Lessee submits assignment or transfer of lease N/A, Form F ,  
Lessee submits commercial or non-commercial easement N/A
Lessee submits contingency plan
Lessee submits division order or contract
Lessee submits information needed for environmental assessment N/A
Lessee submits monthly royalty report Form 101, Form 101A, Form 133, Form 157, Form 300, N/A ,  
Lessee submits plat showing well location, status, and designation N/A
Lessee submits report on settlement agreement for surface damages
Lessee submits reports of tests and surveys
Lessee submits request for lease modification N/A
Lessee submits request for variance from line drilling limitations
Lessee submits request for variance from gas measurement requirements
Lessee submits request for variance from pit construction requirements
Lessee submits request to use water from streams and natural water courses
Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements
Lessee submits unit of cooperative agreement and termination of any such agreement
Lessee transmits information on completion of wells, etc. Form 229, Form 208, Form 139 ,   ,  
Oil lessee submits report of connections to gas lessee's well
Person claiming interest in surface damages provides statement of interest
Purchaser submits monthly statement

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 48,539 14,436 0 -914 35,017 0
Annual Time Burden (Hours) 22,731 21,954 0 -2,395 3,172 0
Annual Cost Burden (Dollars) 4,535 496 0 4,039 0 0


Reginfo record details
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