Form 3160-5 Sundry Notices and Reports on Wells

Waste Prevention, Production Subject to Royalties, and Resource Conservation (43 CFR Parts 3160, 3170, and 3179)

Form 3160-5-SUNDRY NOTICES AND REPORTS ON WELLS (OMB No 1004-0137)

Request for Approval for Royalty-Free Uses On-Lease or Off-Lease

OMB: 1004-0211