Information Collection

Geothermal Well Completion Report (43 CFR subpart 3264)

IC 46461 under ICR 201911-1004-001 · OMB 1004-0132.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0132 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3260-4 Geothermal Well Completion Report (43 CFR subpart 3264)	Form and Instruction
3260-4 Geothermal Well Completion Report BLM 3260-4.pdf	Form and Instruction

IC Title:

Geothermal Well Completion Report (43 CFR subpart 3264)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3264.11 43 CFR 3264.12 43 CFR 3264.13 43 CFR 3264.10

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	3260-4	Geothermal Well Completion Report	BLM 3260-4.pdf		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	120	120
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.