Lessee submits monthly royalty report

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.