Information Collection

Request for Approval or Termination of Off-Lease Measurement (43 CFR 3173.23 and 3173.27)

IC 228367 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 3160-5 Request for Approval or Termination of Off-Lease Measurement (43 CFR 3173.23 and 3173.27) Form and Instruction
3160-5 Sundry Notices and Reports on Wells Services_National-Operations-Center_Eforms_Fluid-and-Solid-Minerals_3160-005.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Approval or Termination of Off-Lease Measurement (43 CFR 3173.23 and 3173.27)	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 3173.27 43 CFR 3173.23

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3160-5	Sundry Notices and Reports on Wells	Services_National-Operations-Center_Eforms_Fluid-and-Solid-Minerals_3160-005.pdf		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 166	Number of Respondents for Small Entity: 27

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

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Previously Approved
Annual Number of Responses for this IC	166	166
Annual IC Time Burden (Hours)	1,660	1,660
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.