Information Collection

Well Completion or Recompletion Report and Log (43 CFR 3162.4-1(a), (b), (d), and (e))

IC 178333 under ICR 202006-1004-007 · OMB 1004-0137.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0137 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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

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 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,000	0	5,000
Annual IC Time Burden (Hours)	40,000	20,000	20,000
Annual IC Cost Burden (Dollars)	0	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.