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Well Completion or Recompletion Report and Log (43 CFR 3162.4-1(a), (b), (d), and (e))
Onshore Oil and Gas Operations and Production (43 CFR Parts 3160 and 3170)
OMB: 1004-0137
IC ID: 178333
OMB.report
DOI/BLM
OMB 1004-0137
ICR 202006-1004-007
IC 178333
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0137 can be found here:
2021-09-17 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 3160-4
Well Completion or Recompletion Report and Log (43 CFR 3162.4-1(a), (b), (d), and (e))
Form and Instruction
3160-4 Well Completion or Recompletion Report and Log
3160-004-BLM-Web 11 29 2017.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Well Completion or Recompletion Report and Log (43 CFR 3162.4-1(a), (b), (d), and (e))
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
43 CFR 3162.4-1(b)
43 CFR 3162.4-1(d)
43 CFR 3162.4-1(e)
43 CFR 3162.4-1(a)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
3160-4
Well Completion or Recompletion Report and Log
3160-004-BLM-Web 11 29 2017.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
5,000
Number of Respondents for Small Entity:
250
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
90 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
5,000
0
0
0
0
5,000
Annual IC Time Burden (Hours)
40,000
0
0
20,000
0
20,000
Annual IC Cost Burden (Dollars)
0
0
0
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.