Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Forms and Documents

Document Name	Status
Lessee or operator must submit application for trucking permit Form	Unchanged
Lessee submits information needed for environmental assessment Form	Unchanged
Lessee submits request for lease modification Form	Unchanged
Lessee submits commercial or non-commercial easement Form	Unchanged
Lessee reports accidents, fires, vandalism and notifies surface owner Form	Unchanged
Lessee submits plat showing well location, status, and designation Form	Unchanged
Form Form 229 Lessee transmits information on completion of wells, etc. Form	Unchanged
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc. Form	Unchanged
Form Form F Lessee submits assignment or transfer of lease Form	Unchanged
Form Form 101, Form 101 Lessee submits monthly royalty report Form	Unchanged
Corporate lessees submit corporate information Form	Unchanged
Form Form D Lessee must submit bond Form	Unchanged
Form Lease Form A Bidder or Osage Tribal Council submits completed lease form Form	Unchanged
Osage Regs_IC Renewal_Support Stmt1-16-20.docx Supporting Statement A	2020-01-16
1-29-20.Agency IC Activities; Submission to the OMB for Review and Approval; Leasing of Osage Reservation Lands for Oil and Gas Mining.pdf Supplementary Document	2020-01-29
10-31-19.Agency IC Activities; Leasing of Osage Reservation Lands for Oil and Gas Mining.pdf Supplementary Document	2020-01-16
34Stat543 Sec 3.pdf Supplementary Document	2013-05-10

IC Document Collections

IC ID	Document Title	Status
232477	Lessee or operator must submit application for trucking permit Form	Unchanged
232476	Lessee requests approval to use gas for lifting oil	Unchanged
232475	Lessee submits request for variance from gas measurement requirements	Unchanged
232474	Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements	Unchanged
232473	Lessee submits request for variance from line drilling limitations	Unchanged
232472	Lessee submits agreement with surface owner for disposition of permanent improvements	Unchanged
232471	Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member	Unchanged
232470	Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well	Unchanged
232469	Oil lessee submits report of connections to gas lessee's well	Unchanged
232468	Lessee submits request to use water from streams and natural water courses	Unchanged
232467	Lessee submits request for variance from pit construction requirements	Unchanged
232466	Lessee submits report on settlement agreement for surface damages	Unchanged
232465	Lessee submits agreement creating overriding royalties or drilling contract	Unchanged
232464	Lessee submits division order or contract	Unchanged
232463	Lessee submits application to surrender or cancel all or any portion of lease	Unchanged
232462	Lessee submits information needed for environmental assessment Form	Unchanged
232461	Individual submits application to nominate tracts to be offered for lease	Unchanged
232460	Lessee submits request for lease modification Form	Unchanged
232459	Lessee submits commercial or non-commercial easement Form	Unchanged
206871	Lessee reports accidents, fires, vandalism and notifies surface owner Form	Unchanged
206869	Lessee submits plat showing well location, status, and designation Form	Unchanged
206868	Lessee transmits information on completion of wells, etc. Form	Unchanged
206866	Lessee submits reports of tests and surveys	Unchanged
206862	Person claiming interest in surface damages provides statement of interest	Unchanged
206860	Lessee submits applications for well drilling, treating, plugging, etc. Form	Unchanged
206859	Lessee submits assignment or transfer of lease Form	Unchanged
206858	Lessee submits unit of cooperative agreement and termination of any such agreement	Unchanged
206857	Purchaser submits monthly statement	Unchanged
206856	Lessee submits monthly royalty report Form	Unchanged
206854	Corporate lessees submit corporate information Form	Unchanged
206853	Lessee must submit bond Form	Unchanged
206852	Bidder or Osage Tribal Council submits completed lease form Form	Unchanged

ICR Details

OMB Control No: 1076-0180	ICR Reference No: 202001-1076-003
Status: Active	Previous ICR Reference No: 201807-1076-002
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/24/2020
	Date Received in OIRA: 01/29/2020
Terms of Clearance: The previous terms of clearance still stand, which are: The Bureau of Indian Affairs must enable the electronic reporting of monthly reports under 226.26 and 226.27(a) (which both now fall within 226.13(b)) by the time that this information collection request is renewed.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	03/31/2020
Responses	48,539	0	48,539
Time Burden (Hours)	22,731	0	22,731
Cost Burden (Dollars)	4,535	0	4,535

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Abstract: This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.

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Authorizing Statute(s): Statute at Large: 34 Stat. 543 Name of Statute: Act for division of lands and funds of Osage Indians in Oklahoma territory, and for other purposes.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 58409	10/31/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5231	01/29/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 32

IC Title	Form No.	Form Name
Lessee submits agreement creating overriding royalties or drilling contract
Lessee submits report on settlement agreement for surface damages
Lessee submits request for variance from pit construction requirements
Lessee submits request to use water from streams and natural water courses
Oil lessee submits report of connections to gas lessee's well
Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well
Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member
Lessee submits agreement with surface owner for disposition of permanent improvements
Lessee submits request for variance from line drilling limitations
Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements
Lessee submits request for variance from gas measurement requirements
Lessee requests approval to use gas for lifting oil
Lessee or operator must submit application for trucking permit	N/A	Trucking Permit
Lessee submits request for lease modification	N/A	Lease Modification Form
Individual submits application to nominate tracts to be offered for lease
Lessee submits information needed for environmental assessment	N/A	Environmental Assessment Questionnaire
Lessee submits application to surrender or cancel all or any portion of lease
Lessee submits unit of cooperative agreement and termination of any such agreement
Lessee transmits information on completion of wells, etc.	Form 229, Form 208, Form 139	Waterflood Operating Report ,   Well Completion or Re-completion Report and Log ,   Permit to Drill or Reenter
Corporate lessees submit corporate information	N/A, N/A	Form E ,   List of Corporate Officers Form
Purchaser submits monthly statement
Lessee reports accidents, fires, vandalism and notifies surface owner	N/A	Spill Reporting and Remediation Form
Lessee submits assignment or transfer of lease	Form F, N/A	Assignment of Lease ,   Assignment of Liability Form
Lessee submits applications for well drilling, treating, plugging, etc.	Form 139	Application to Drill or Reenter
Lessee submits plat showing well location, status, and designation	N/A	Lease Status Report Form
Bidder or Osage Tribal Council submits completed lease form	Lease Form A, Lease Form C, Lease Form B	Gas Mining Lease ,   Oil Mining Lease ,   Oil & Gas Mining Lease Form
Lessee must submit bond	Form D, Form G, Form H	Bond Form ,   Collective Bond Form ,   Bond for Assignments
Lessee submits monthly royalty report	Form 101, Form 101A, Form 133, Form 157, Form 300, N/A	Monthly Accounting Forms ,   Tank Bottom Oil Report Form
Person claiming interest in surface damages provides statement of interest
Lessee submits reports of tests and surveys
Lessee submits commercial or non-commercial easement	N/A	Easement for Saltwater Disposal
Lessee submits division order or contract

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ICR Summary 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	48,539	48,539	0	0	0	0
Annual Time Burden (Hours)	22,731	22,731	0	0	0	0
Annual Cost Burden (Dollars)	4,535	4,535	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $774,309

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/29/2020

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