Request for Extension of Royalty-Free Flaring During Initial Well Testing

Waste Prevention, Production Subject to Royalties, and Resource Conservation (43 CFR parts 3160 and 3170)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0211 can be found here:

Documents and Forms

Document Name Document Type
Form 3160-5 Request for Extension of Royalty-Free Flaring During Initial Well Testing Form and Instruction
3160-5 Sundry Notices and Reports on Wells Sundry Notice, Form 3160-5.pdf www.blm.gov/noc/st/en/business/eForms.html Form and Instruction

Information Collection (IC) Details

IC Title:	Request for Extension of Royalty-Free Flaring During Initial Well Testing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3179.103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3160-5	Sundry Notices and Reports on Wells	Sundry Notice, Form 3160-5.pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 750	Number of Respondents for Small Entity: 499

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	750	250	500
Annual IC Time Burden (Hours)	1,500	500	1,000
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.