29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate

30 CFR 553, Oil Spill Financial Responsibility for Offshore Facilities

OMB: 1010-0106

IC ID: 179367

Information Collection (IC) Details

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29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate
 
No Modified
 
Mandatory
 
30 CFR 553.29; 40-41; 43

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form BOEM-1019 Insurance Certificate BOEM-1019 Insurance Certificate_Updated 10.08.2019.pdf http://www.boem.gov/BOEM-OCS-Operation-Forms/ Yes Yes Fillable Printable

Energy Energy Production

 

150 84
   
Private Sector Businesses or other for-profits
 
   90 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 150 0 30 0 0 120
Annual IC Time Burden (Hours) 18,000 0 3,600 0 0 14,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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