Lessee reports accidents, fires, vandalism and notifies surface owner

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0180 can be found here:

Documents and Forms

Document Name Document Type
Lessee reports accidents, fires, vandalism and notifies surface owner Form
Spill Reporting and Remediation Form Osage_Spill Reporting & Remediation Form.doc Form

Information Collection (IC) Details

IC Title:	Lessee reports accidents, fires, vandalism and notifies surface owner	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 226.41

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	Spill Reporting and Remediation Form	Osage_Spill Reporting & Remediation Form.doc		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 51	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	182	138	44
Annual IC Time Burden (Hours)	5,096	5,052	44
Annual IC Cost Burden (Dollars)	0	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.