Information Collection

Well Completion or Recompletion Report and Log – 43 CFR 3162.4-1(a), (b), (d), and (e) (Form 3160-4 and Related Information)

IC 258515 under ICR 202302-1004-005 · OMB 1004-0220.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0220 can be found here:

Documents and Forms

Document Name Document Type
Form 3160-4 Well Completion or Recompletion Report and Log – 43 CFR 3162.4-1(a), (b), (d), and (e) (Form 3160-4 and Related Information) Form and Instruction
3160-4 WELL COMPLETION OR RECOMPLETION REPORT AND LOG Form 3160-004.pdf www.blm.gov/services/electronic-forms Form and Instruction
3160-4 WELL COMPLETION OR RECOMPLETION REPORT AND LOG Form 3160-004.pdf www.blm.gov/services/electronic-forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Well Completion or Recompletion Report and Log â 43 CFR 3162.4-1(a), (b), (d), and (e) (Form 3160-4 and Related Information)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3162.4-1(a), (b), (d), and (e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3160-4	WELL COMPLETION OR RECOMPLETION REPORT AND LOG	Form 3160-004.pdf	https://www.blm.gov/services/electronic-forms	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,000	5,000
Annual IC Time Burden (Hours)	20,000	20,000
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.