Information Collection

420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report

IC 228073 under ICR 202005-1014-003 · OMB 1014-0018.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0018 can be found here:

Documents and Forms

Document Name Document Type
Form BSEE-0125 420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report Form
eWell-Form-0125-EndOperationsRpt - screen shots.docx Other-screen shots
PAPERWORK REDUCTION ACT STATEMENT for eWell 2020.docx Other-PRA Statement for eWell
BSEE-0125 END OF OPERATIONS REPORT (EOR) Form 0125 exp. 2020.xlsx www.bsee.gov/who-we-are/working-with-us/doing-business-bsee/OCS-forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report	Agency IC Tracking Number:	1014-0018 ext'20

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.465(a), (b)(3) 30 CFR 250.420(b)(3); 423(b)(7);

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BSEE-0125	END OF OPERATIONS REPORT (EOR)	Form 0125 exp. 2020.xlsx	https://www.bsee.gov/who-we-are/working-with-us/doing-business-bsee/OCS-forms	Yes	Yes	Fillable Fileable
Other-screen shots			eWell-Form-0125-EndOperationsRpt - screen shots.docx		No		Printable Only
Other-PRA Statement for eWell			PAPERWORK REDUCTION ACT STATEMENT for eWell 2020.docx		No		Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 489	Number of Respondents for Small Entity: 337

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	489	44	445
Annual IC Time Burden (Hours)	1,467	132	1,335
Annual IC Cost Burden (Dollars)	0	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.