Information Collection

250.1151(a)(2), (c); 250.1167 - BSEE-0128 form

IC 234572 under ICR 202112-1014-001 · OMB 1014-0019.

Documents and Forms

Document Name Document Type
Form BSEE-0128 250.1151(a)(2), (c); 250.1167 - BSEE-0128 form Form
BSEE-0128 SEMIANNUAL WELL TEST REPORT (SWTR) Form 0128 exp 2023.docx www.bsee.gov/who-we-are/working-with-us/OCS-forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	250.1151(a)(2), (c); 250.1167 - BSEE-0128 form	Agency IC Tracking Number:	1014-0019 '22

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1151(a)(2), (c); 250.1167

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BSEE-0128	SEMIANNUAL WELL TEST REPORT (SWTR)	Form 0128 exp 2023.docx	https://www.bsee.gov/who-we-are/working-with-us/OCS-forms	Yes	Yes	Fillable Fileable Signable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,735	Number of Respondents for Small Entity: 3,267

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

Percentage of Respondents Reporting Electronically: 70 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,735	-1,283	6,018
Annual IC Time Burden (Hours)	18,940	-5,132	24,072
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.