Information Collection

Lessee submits monthly royalty report

IC 206856 under ICR 202001-1076-003 · OMB 1076-0180.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1076-0180 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 101, Form 101 Lessee submits monthly royalty report	Form
Form 101, Form 101 Monthly Accounting Forms Osage Monthly Accounting Forms - 133 157 300 101 101A.doc	Form
Tank Bottom Oil Report Form Osage_Lessee Report (TBO only).doc	Form

IC Title:

Lessee submits monthly royalty report

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 226.13(b)

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	Form 101, Form 101A, Form 133, Form 157, Form 300	Monthly Accounting Forms	Osage Monthly Accounting Forms - 133 157 300 101 101A.doc		Yes	Yes	Fillable Printable
Form	N/A	Tank Bottom Oil Report Form	Osage_Lessee Report (TBO only).doc		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 314

Number of Respondents for Small Entity: 30

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	24,660	24,660
Annual IC Time Burden (Hours)	2,055	2,055
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.