Information Collection

Subparts D, E, F, G, H, P, Q - APM Application

IC 225480 under ICR 201911-1014-005 · OMB 1014-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0026 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
eWell_Form-124_screens shots 2020.pdf ewell.bsee.gov/ewell/	Other-eWell Screenshots
PAPERWORK REDUCTION ACT STATEMENT for eWell 2020.docx ewell.bsee.gov/ewell/	Other-PRA Statement for eWell
BSEE-0124 Applications for Permit to Modify Form 0124 for APM ICR 2020 10-21-20.xlsx ewell.bsee.gov/ewell/	Form and Instruction

IC Title:

Subparts D, E, F, G, H, P, Q - APM Application

Agency IC Tracking Number:

1014-0026 APM '20

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR Subparts D, E, F, G, H, P, Q (To search for a specific CFR, visit the Code of Federal Regulations.)

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
Other-eWell Screenshots			eWell_Form-124_screens shots 2020.pdf	https://ewell.bsee.gov/ewell/	Yes	Yes	Fillable Fileable
Other-PRA Statement for eWell			PAPERWORK REDUCTION ACT STATEMENT for eWell 2020.docx	https://ewell.bsee.gov/ewell/	Yes	No	Printable Only
Form and Instruction	BSEE-0124	Applications for Permit to Modify	Form 0124 for APM ICR 2020 10-21-20.xlsx	https://ewell.bsee.gov/ewell/	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,508

Number of Respondents for Small Entity: 1,731

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 99 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,508	40	2,468
Annual IC Time Burden (Hours)	2,508	40	2,468
Annual IC Cost Burden (Dollars)	313,500	5,000	308,500

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.