Information Collection

21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information

IC 179365 under ICR 202207-1010-001 · OMB 1010-0106.

Documents and Forms

Document Name Document Type
Form BOEM-1018 21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information Form
BOEM-1018 Self-Insurance Information BOEM-1018 Self Insurance Information_updated 10.08.2019.pdf www.boem.gov/BOEM-OCS-Operation-Forms/ Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 553.21-24; 26-27; 30; 40-41;43

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BOEM-1018	Self-Insurance Information	BOEM-1018 Self Insurance Information_updated 10.08.2019.pdf	http://www.boem.gov/BOEM-OCS-Operation-Forms/	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 32

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

Percentage of Respondents Reporting Electronically: 90 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	0	50
Annual IC Time Burden (Hours)	150	100	50
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.