Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Trucking Permit	Form	Modified	Available
Lessee or operator must submit application for trucking permit	Form	Modified	Repair queued
Environmental Assessment Questionnaire	Form	Modified	Available
Lessee submits information needed for environmental assessment	Form	Modified	Repair queued
Lease Modification Form	Form	Modified	Available
Lessee submits request for lease modification	Form	Modified	Repair queued
Easement for Saltwater Disposal	Form	Modified	Available
Lessee submits commercial or non-commercial easement	Form	Modified	Repair queued
Spill Reporting and Remediation Form	Form	Modified	Available
Lessee reports accidents, fires, vandalism and notifies surface owner	Form	Modified	Repair queued
Lease Status Report Form	Form	Modified	Available
Lessee submits plat showing well location, status, and designation	Form	Modified	Repair queued
Form Form 229 Waterflood Operating Report	Form	Modified	Available
Form Form 139 Permit to Drill or Reenter	Form	Modified	Available
Form Form 208 Well Completion or Re-completion Report and Log	Form	Modified	Available
Form Form 208 Lessee transmits information on completion of wells, etc.	Form	Modified	Repair queued
Form Form 139 Application to Drill or Reenter	Form	Modified	Available
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Repair queued
Assignment of Liability Form	Form	Modified	Available
Form Form F Assignment of Lease	Form	Modified	Available
Form Form F Lessee submits assignment or transfer of lease	Form	Modified	Repair queued
Form Form 101, Form 101 Monthly Accounting Forms	Form	Modified	Available
Tank Bottom Oil Report Form	Form	Modified	Available
Lessee submits monthly royalty report	Form	Modified	Repair queued
List of Corporate Officers Form	Form	Modified	Available
Form Form E Form for Officer to Execute Papers	Form	Modified	Available
Form Form E Corporate lessees submit corporate information	Form	Modified	Repair queued
Form Form G Collective Bond	Form	Modified	Available
Form Form D Mining Lease Bond	Form	Modified	Available
Form Form H Assignment Bond Form	Form	Modified	Available
Form Form H Lessee must submit bond	Form	Modified	Available
Form Lease Form C Oil & Gas Mining Lease Form	Form	Modified	Available
Form Lease Form B Gas Mining Lease	Form	Modified	Repair queued
Form Lease Form A Gas Mining Lease	Form	Modified	Repair queued
Form Lease Form A Bidder or Osage Tribal Council submits completed lease form	Form	Modified	Available
87 FR 65240.pdf	Supplementary Document	Uploaded 2022-10-28	Repair queued
87 FR 43889.pdf	Supplementary Document	Uploaded 2022-10-14	Repair queued
79 FR 68292 (November 14, 2014).pdf	Supplementary Document	Uploaded 2022-06-23	Repair queued
81 FR 16207 (March 25, 2016).pdf	Supplementary Document	Uploaded 2022-06-23	Repair queued
IAFR001131__SSA (1076-0180)(10-18-2022).docx	Supporting Statement A	Uploaded 2022-10-18	Repair queued
34Stat543 Sec 3.pdf	Supplementary Document	Uploaded 2013-05-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
232477	Lessee or operator must submit application for trucking permit	Form	Modified	Trucking Permit
232477	Lessee or operator must submit application for trucking permit	Form	Modified
232476	Lessee requests approval to use gas for lifting oil		Unchanged
232475	Lessee submits request for variance from gas measurement requirements		Unchanged
232474	Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements		Unchanged
232473	Lessee submits request for variance from line drilling limitations		Unchanged
232472	Lessee submits agreement with surface owner for disposition of permanent improvements		Unchanged
232471	Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member		Unchanged
232470	Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well		Unchanged
232469	Oil lessee submits report of connections to gas lessee's well		Unchanged
232468	Lessee submits request to use water from streams and natural water courses		Unchanged
232467	Lessee submits request for variance from pit construction requirements		Unchanged
232466	Lessee submits report on settlement agreement for surface damages		Unchanged
232465	Lessee submits agreement creating overriding royalties or drilling contract		Unchanged
232464	Lessee submits division order or contract		Unchanged
232463	Lessee submits application to surrender or cancel all or any portion of lease		Unchanged
232462	Lessee submits information needed for environmental assessment	Form	Modified	Environmental Assessment Questionnaire
232462	Lessee submits information needed for environmental assessment	Form	Modified
232461	Individual submits application to nominate tracts to be offered for lease		Unchanged
232460	Lessee submits request for lease modification	Form	Modified	Lease Modification Form
232460	Lessee submits request for lease modification	Form	Modified
232459	Lessee submits commercial or non-commercial easement	Form	Modified	Easement for Saltwater Disposal
232459	Lessee submits commercial or non-commercial easement	Form	Modified
206871	Lessee reports accidents, fires, vandalism and notifies surface owner	Form	Modified	Spill Reporting and Remediation Form
206871	Lessee reports accidents, fires, vandalism and notifies surface owner	Form	Modified
206869	Lessee submits plat showing well location, status, and designation	Form	Modified	Lease Status Report Form
206869	Lessee submits plat showing well location, status, and designation	Form	Modified
206868	Lessee transmits information on completion of wells, etc.	Form	Modified	Waterflood Operating Report
206868	Lessee transmits information on completion of wells, etc.	Form	Modified	Permit to Drill or Reenter
206868	Lessee transmits information on completion of wells, etc.	Form	Modified	Well Completion or Re-completion Report and Log
206868	Lessee transmits information on completion of wells, etc.	Form	Modified
206866	Lessee submits reports of tests and surveys		Unchanged
206862	Person claiming interest in surface damages provides statement of interest		Unchanged
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Application to Drill or Reenter
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified
206859	Lessee submits assignment or transfer of lease	Form	Modified	Assignment of Liability Form
206859	Lessee submits assignment or transfer of lease	Form	Modified	Assignment of Lease
206859	Lessee submits assignment or transfer of lease	Form	Modified
206858	Lessee submits unit of cooperative agreement and termination of any such agreement		Unchanged
206857	Purchaser submits monthly statement		Unchanged
206856	Lessee submits monthly royalty report	Form	Modified	Monthly Accounting Forms
206856	Lessee submits monthly royalty report	Form	Modified	Tank Bottom Oil Report Form
206856	Lessee submits monthly royalty report	Form	Modified
206854	Corporate lessees submit corporate information	Form	Modified	List of Corporate Officers Form
206854	Corporate lessees submit corporate information	Form	Modified	Form for Officer to Execute Papers
206854	Corporate lessees submit corporate information	Form	Modified
206853	Lessee must submit bond	Form	Modified	Collective Bond
206853	Lessee must submit bond	Form	Modified	Mining Lease Bond
206853	Lessee must submit bond	Form	Modified	Assignment Bond Form
206853	Lessee must submit bond	Form	Modified
206852	Bidder or Osage Tribal Council submits completed lease form	Form	Modified	Oil & Gas Mining Lease Form
206852	Bidder or Osage Tribal Council submits completed lease form	Form	Modified	Gas Mining Lease
206852	Bidder or Osage Tribal Council submits completed lease form	Form	Modified	Gas Mining Lease
206852	Bidder or Osage Tribal Council submits completed lease form	Form	Modified

ICR Details

OMB Control No: 1076-0180	ICR Reference No: 202203-1076-001
Status: Historical Active	Previous ICR Reference No: 202001-1076-003
Agency/Subagency: DOI/BIA	Agency Tracking No: IAFR001131
Title: Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/01/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/31/2022
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years. As provided by previous terms of clearance, the Bureau of Indian Affairs must enable the electronic reporting of monthly reports under 226.26 and 226.27(a) (which both now fall within 226.13(b)) by the time that this information collection request is renewed. If electronic reporting is not enabled by the renewal, OMB will not reapprove this collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2025	36 Months From Approved	03/31/2023
Responses	48,539	0	48,539
Time Burden (Hours)	22,731	0	22,731
Cost Burden (Dollars)	4,535	0	4,535

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Abstract: This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.

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Authorizing Statute(s): Statute at Large: 34 Stat. 543 Name of Statute: Act for division of lands and funds of Osage Indians in Oklahoma territory, and for other purposes.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 43889	07/22/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 65240	10/28/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 32

table that charts list of burden

IC Title	Form No.	Form Name
Bidder or Osage Tribal Council submits completed lease form	Lease Form A, Lease Form B, Lease Form C	Gas Mining Lease ,   Gas Mining Lease ,   Oil & Gas Mining Lease Form
Corporate lessees submit corporate information	Form E, N/A	Form for Officer to Execute Papers ,   List of Corporate Officers Form
Individual submits application to nominate tracts to be offered for lease
Lessee must submit bond	Form H , Form G , Form D	Assignment Bond Form ,   Mining Lease Bond ,   Collective Bond
Lessee or operator must submit application for trucking permit	N/A	Trucking Permit
Lessee reports accidents, fires, vandalism and notifies surface owner	N/A	Spill Reporting and Remediation Form
Lessee requests approval to use gas for lifting oil
Lessee submits agreement creating overriding royalties or drilling contract
Lessee submits agreement with surface owner for disposition of permanent improvements
Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well
Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member
Lessee submits application to surrender or cancel all or any portion of lease
Lessee submits applications for well drilling, treating, plugging, etc.	Form 139	Application to Drill or Reenter
Lessee submits assignment or transfer of lease	Form F, N/A	Assignment of Lease ,   Assignment of Liability Form
Lessee submits commercial or non-commercial easement	N/A	Easement for Saltwater Disposal
Lessee submits division order or contract
Lessee submits information needed for environmental assessment	N/A	Environmental Assessment Questionnaire
Lessee submits monthly royalty report	N/A, Form 101, Form 101A, Form 133, Form 157, Form 300	Tank Bottom Oil Report Form ,   Monthly Accounting Forms
Lessee submits plat showing well location, status, and designation	N/A	Lease Status Report Form
Lessee submits report on settlement agreement for surface damages
Lessee submits reports of tests and surveys
Lessee submits request for lease modification	N/A	Lease Modification Form
Lessee submits request for variance from line drilling limitations
Lessee submits request for variance from gas measurement requirements
Lessee submits request for variance from pit construction requirements
Lessee submits request to use water from streams and natural water courses
Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements
Lessee submits unit of cooperative agreement and termination of any such agreement
Lessee transmits information on completion of wells, etc.	Form 208 , Form 139, Form 229	Well Completion or Re-completion Report and Log ,   Permit to Drill or Reenter ,   Waterflood Operating Report
Oil lessee submits report of connections to gas lessee's well
Person claiming interest in surface damages provides statement of interest
Purchaser submits monthly statement

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	48,539	48,539	0	0	0	0
Annual Time Burden (Hours)	22,731	22,731	0	0	0	0
Annual Cost Burden (Dollars)	4,535	4,535	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $794,246

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/31/2022

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