Information Collection

Extension to Well Plugging - Application for Permit § 29.181(a)

IC 215545 under ICR 201907-1018-002 · OMB 1018-0162.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0162 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FWS Form 3-2469 Extension to Well Plugging - Application for Permit § 29.181(a)	Form and Instruction
FWS Form 3-2469 Oil and Gas Operations Special Use Permit Application 3-2469 Oil and Gas Operations Special Use Permit 02282019.pdf	Form and Instruction

IC Title:

Extension to Well Plugging - Application for Permit § 29.181(a)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29.181(a)

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	FWS Form 3-2469	Oil and Gas Operations Special Use Permit Application	3-2469 Oil and Gas Operations Special Use Permit 02282019.pdf		Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title: National Wildlife Refuge Special Use Permits-Interior, FWS-5

FR Citation: 73 FR 31877

Number of Respondents: 10

Number of Respondents for Small Entity: 10

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	1,400	1,400
Annual IC Cost Burden (Dollars)	0	0

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.