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Federal forms, ICRs, and supporting documents

Information Collection

250.192(b) - Initial Damage Report

IC 227523 under ICR 202306-1014-002 · OMB 1014-0022.

Documents and Forms
Document Name
Document Type
Form
Other-PRA Statement for eWell
Other-PRA Statement for eWell
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

250.192(b) - Initial Damage Report 1014-0022 '23
 
No Modified
 
Mandatory
 
30 CFR 250.192(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Form BSEE-0143 FACILITY/EQUIPMENT DAMAGE REPORT Form 0143 exp 2024.docx https://www.bsee.gov/about-bsee/doing-business-with-bsee Yes Yes Fillable Fileable
Other-PRA Statement for eWell PAPERWORK REDUCTION ACT STATEMENT for eWell.docx https://ewell.bsee.gov/ewell/ Yes Yes Fillable Fileable

Energy Energy Production

 

4 3
   
Private Sector Businesses or other for-profits
 
   95 %

  Approved 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 4 0 0 0 0 4
Annual IC Time Burden (Hours) 12 0 0 0 0 12
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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