Change of Operator - Extension to Well Plugging (Application for Permit) § 29.181(a) (ePermits)

Management of Non-Federal Oil and Gas Rights, 50 CFR 29, Subpart D

Documents and Forms

Document Name Document Type
Form FWS Form 3-2469 Change of Operator - Extension to Well Plugging (Application for Permit) § 29.181(a) (ePermits) Form and Instruction
FWS Form 3-2469 Oil and Gas Operations Special Use Permit Application FWS Form-3-2469 Oil Gas Special Use Final 08292022.pdf fwsepermits.servicenowservices.com/fws/ Form and Instruction

Information Collection (IC) Details

IC Title:	Change of Operator - Extension to Well Plugging (Application for Permit) § 29.181(a) (ePermits)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29.181(a)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FWS Form 3-2469	Oil and Gas Operations Special Use Permit Application	FWS Form-3-2469 Oil Gas Special Use Final 08292022.pdf	https://fwsepermits.servicenowservices.com/fws/	Yes	Yes	Fillable Fileable Signable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title: National Wildlife Refuge Special Use Permits-Interior, FWS-5	FR Citation: 73 FR 31877

Number of Respondents: 5	Number of Respondents for Small Entity: 5

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	525	525
Annual IC Cost Burden (Dollars)	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.