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Subparts D, E, F, G, H, P, Q - APM Application
Application for Permit to Modify(APM) and supporting documentation
OMB: 1014-0026
IC ID: 225480
OMB.report
DOI/BSEE
OMB 1014-0026
ICR 202208-1014-006
IC 225480
( )
Documents and Forms
Document Name
Document Type
eWell_Form-124_screens shots 2023.pdf
ewell.bsee.gov/ewell/
Other-Screen Shots
PAPERWORK REDUCTION ACT STATEMENT for eWell 2023.docx
ewell.bsee.gov/ewell/
Other-PRA Statement in eWell
BSEE Form-0124 Application for Permit to Modify (APM)
Form 0124 for APM ICR 2023.xlsx
ewell.bsee.gov/ewell/
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Subparts D, E, F, G, H, P, Q - APM Application
Agency IC Tracking Number:
1014-0026 APM '23
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR Subparts D, E, F, G, H, P, Q (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screen Shots
eWell_Form-124_screens shots 2023.pdf
https://ewell.bsee.gov/ewell/
Yes
Yes
Fillable Fileable
Other-PRA Statement in eWell
PAPERWORK REDUCTION ACT STATEMENT for eWell 2023.docx
https://ewell.bsee.gov/ewell/
No
Printable Only
Form and Instruction
BSEE Form-0124
Application for Permit to Modify (APM)
Form 0124 for APM ICR 2023.xlsx
https://ewell.bsee.gov/ewell/
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,718
Number of Respondents for Small Entity:
1,185
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
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
1,718
0
0
-790
0
2,508
Annual IC Time Burden (Hours)
1,718
0
0
-790
0
2,508
Annual IC Cost Burden (Dollars)
249,110
0
0
-64,390
0
313,500
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.