Information Collection Request

30 CFR 553, Oil Spill Financial Responsibility for Offshore Facilities

ICR 201907-1010-001 · OMB 1010-0106 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form BOEM-1023 Financial Guarantee Form Modified Available
Form BOEM-1025 Independent Designated Applicant Information Certification Form Modified Available
Form BOEM-1022 Covered Offshore Facility Changes Form Modified Available
Form BOEM-1021 Covered Offshore Facilities Form Modified Available
Form BOEM-1020 Surety Bond Form Modified Repair queued
Form BOEM-1019 Insurance Certificate Form Modified Available
Form BOEM-1018 Self-Insurance Information Form Modified Available
Form BOEM-1017 Appointment of Designated Applicant Form Modified Available
Form BOEM-1016 Designated Applicant Information Certificaton Form Modified Repair queued
2019-25409_2019 30-day notice.pdf Supplementary Document Uploaded 2019-11-22 Available
2019-18213_60-day FRN_84FR44328_August 23 2019.pdf Supplementary Document Uploaded 2019-10-10 Available
PART 553 Regulations.docx Supplementary Document Uploaded 2016-10-17 Available
1010-0106 Supporting Statement 10172019.doc Supporting Statement A Uploaded 2019-10-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
236841 62 - Notify guarantor and responsible party of claim New
222643 15 (f) - Provide claimant written explanation of denial Unchanged
222642 15 - Notify BOEM of change in ability to comply Unchanged
208724 21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee Form ModifiedFinancial Guarantee
208723 11(a)(2) Form BOEM-1025 - Independent Designated Applicant Information Certification Form ModifiedIndependent Designated Applicant Information Certification
179373 60d - Claims for Oil-Spill Removal Costs and Damages Unchanged
179371 40-42 - Form BOEM-1022 - Covered Offshore Facility Changes Form ModifiedCovered Offshore Facility Changes
179370 40; 41; 43 - Form BOEM-1021- Covered Offshore Facilities Form ModifiedCovered Offshore Facilities
179369 32 - Methods for Demonstrating OSFR Unchanged
179368 31; 40-41; 43 - Form BOEM-1020 - Surety Bond Form ModifiedSurety Bond
179367 29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate Form ModifiedInsurance Certificate
179365 21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information Form ModifiedSelf-Insurance Information
179364 12 - Request for determination of OSFR applicability. Unchanged
179363 11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant Form ModifiedAppointment of Designated Applicant
10801 11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification Form ModifiedDesignated Applicant Information Certificaton
10801 11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved 01/31/2020
1,823 0 1,822
22,133 0 22,132
0 0 0





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 1,823 1,822 0 1 0 0
Annual Time Burden (Hours) 22,133 22,132 0 1 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No