Form BOEM-1832 Notification of Incidents of Noncompliance

OMB Control No.: 1010-0114
Expiration Date: xx/3x/202x

U.S. Department of the Interior
Bureau of Ocean Energy Management

NOTIFICATION OF INCIDENT(S) OF NONCOMPLIANCE
You are hereby ordered to correct the identified Incident(s) of
Noncompliance (INC) listed below. You have the right to appeal
any INC Notification in accordance with Title 30 CFR, part 590.
You must file your appeal in the office of the official issuing this
Notification. However, the filing of an appeal will not suspend
the requirement to comply with this Notification.
BOEM Office Address

Lease/RUE/ROW Area and Block
Permit No.

PINC
No.

Enf.
Action

W -– Warning
Authority
30 CFR

BOEM Rep. (Print Last
Name)

Complex ID No.

S -– Facility Shut-in

INC Description and any Special Orders (shut-in of operations, facility, wells, etc.)
Potential INC (PINC) Guidelines at https://www.boem.gov/National-Office-PINC-List/

BOEM Representative

of

Date
Time (24-Hour Clock)

Drill, Prod, P/L, Permit Contractor (Print) Turnkey Company (Print)

Operator/Permittee (Print)

Enforcement Action:

Facility/Rig and Well or
Pipeline Segment No./Vessels

Page

Date
Corrected

Operator/Permittee Representative

Signature
Print Name
Signature
Date
The operator must insert in the “Date Corrected” column the date each INC was corrected; sign and date this form; and return it to the
BOEM office identified above no later than 20 DAYS from the date of issuance. If the copy cannot be returned within the allotted time, the
operator must obtain an extension from the appropriate BOEM office. This process should ensure that the Operator’s management is
aware of and acknowledges that INCs were issued on this date but in no way delays any enforcement action taken.
Unless specifically ordered otherwise, the operator representative must correct and inspect all components and facility shut-in INCs identified
and notify the issuing BOEM office before returning to operations.
Operator’s/Permittee's Manager/Supervisor: I certify each Incident of Noncompliance listed above has been corrected on the
corresponding date and I understand that the submission of false statements to the United States is a criminal offense under 18
U.S.C. Section 1001.
Print Name

Signature

Date

Small Business Statement: Your comments are important. The Small Business and Agriculture Regulatory Enforcement Ombudsman and ten Regional Fairness Boards
were established to receive comments from small businesses about Federal agency enforcement actions. The Ombudsman will annually evaluate the enforcement activities
and rate each agency’s responsiveness to small business. If you wish to comment on the actions of BOEM, call 1-888-REG-FAIR (1-888-734-3247). You may comment to
the Small Business Administration without fear of retaliation. Disciplinary action for retaliation by a BOEM employee may include suspension or termination from
employment with the Department of the Interior.
Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that BOEM collects this information to ensure that
facility management is knowledgeable of the incident of noncompliance issued; corrective action is taken in a reasonable period of time; and for component or facility shutin enforcement actions, that the identified component or facility is not returned to operation without the prior notice to the appropriate BOEM office. Responses are
mandatory (43 U.S.C. 1331 et seq.). No proprietary information is collected. An agency may not conduct or sponsor, and you are not required to respond to, a collection of
information unless it displays a currently valid OMB Control Number. Public reporting burden for this form is estimated to average 2 hours per response, including the time
for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may direct comments regarding the burden estimate or any other
aspect of this form to the Information Collection Clearance Officer, Bureau of Ocean Energy Management, 45600 Woodland Road, Sterling, VA 20166.

Form BOEM-1832 (Month 2020)
Previous Editions are Obsolete.

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