Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BOEM-1023 21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee	Form	Modified	Repair queued
Form BOEM-1025 11(a)(2) Form BOEM-1025 - Independent Designated Applicant Information Certification	Form	Modified	Repair queued
Form BOEM-1022 40-42 - Form BOEM-1022 - Covered Offshore Facility Changes	Form	Modified	Repair queued
Form BOEM-1021 40; 41; 43 - Form BOEM-1021- Covered Offshore Facilities	Form	Modified	Missing upstream
Form BOEM-1020 31; 40-41; 43 - Form BOEM-1020 - Surety Bond	Form	Modified	Repair queued
Form BOEM-1019 29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate	Form	Modified	Repair queued
Form BOEM-1018 21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information	Form	Modified	Repair queued
Form BOEM-1017 11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant	Form	Modified	Repair queued
Form BOEM-1016 11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification	Form	Modified	Repair queued
20220930_30-day notice 1010-0106_87 FR 59451.pdf	Supplementary Document	Uploaded 2022-09-30	Repair queued
CFR-2021-title30-vol2-part553.pdf	Supplementary Document	Uploaded 2022-08-25	Repair queued
2022-07634.pdf	Supplementary Document	Uploaded 2022-07-22	Repair queued
PART 553 Regulations.docx	Supplementary Document	Uploaded 2016-10-17	Repair queued
1010-0106 Supporting Statement _08182022.docx	Supporting Statement A	Uploaded 2022-08-18	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236841	62 - Notify guarantor and responsible party of claim		Unchanged
222643	15 (f) - Provide claimant written explanation of denial		Unchanged
222642	15 - Notify BOEM of change in ability to comply		Unchanged
208724	21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee	Form	Modified
208723	11(a)(2) Form BOEM-1025 - Independent Designated Applicant Information Certification	Form	Modified
179373	60d - Claims for Oil-Spill Removal Costs and Damages		Unchanged
179371	40-42 - Form BOEM-1022 - Covered Offshore Facility Changes	Form	Modified
179370	40; 41; 43 - Form BOEM-1021- Covered Offshore Facilities	Form	Modified
179369	32 - Methods for Demonstrating OSFR		Unchanged
179368	31; 40-41; 43 - Form BOEM-1020 - Surety Bond	Form	Modified
179367	29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate	Form	Modified
179365	21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information	Form	Modified
179364	12 - Request for determination of OSFR applicability.		Modified
179363	11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant	Form	Modified
10801	11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification	Form	Modified

ICR Details

OMB Control No:	ICR Reference No:
Status:	Previous ICR Reference No:
Agency/Subagency:	Agency Tracking No:
Title:
Type of Information Collection:	Common Form ICR:
Type of Review Request:	Date Received in OIRA:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR?

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

table that charts list of burden

	Total	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	0	0	0	0	0	0
Annual Time Burden (Hours)	0	0	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion:

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion:

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods?

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.    

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.    

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?

Is this ICR related to the Pandemic Response?

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Common Form ICR: 

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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:

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