Information Collection

420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report

IC 228073 under ICR 202306-1014-003 · OMB 1014-0018.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form BSEE-0125 420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report	Form and Instruction
eWell-Form-0125-EndOperationsRpt - screen shots.docx www.bsee.gov/about-bsee/doing-business-with-bsee	Other-Screen Shots
eWell-Form-0125-EndOperationsRpt - screen shots.docx www.bsee.gov/about-bsee/doing-business-with-bsee	Other-Screen Shots
PAPERWORK REDUCTION ACT STATEMENT for eWell 2023.docx ewell.bsee.gov/ewell/	Other-PRA Statement for eWell
PAPERWORK REDUCTION ACT STATEMENT for eWell 2023.docx ewell.bsee.gov/ewell/	Other-PRA Statement for eWell
Form BSEE-0125 END OF OPERATIONS REPORT (EOR) Form 0125 exp. 2023.xlsx www.bsee.gov/about-bsee/doing-business-with-bsee	Form and Instruction
Form BSEE-0125 END OF OPERATIONS REPORT (EOR) Form 0125 exp. 2023.xlsx www.bsee.gov/about-bsee/doing-business-with-bsee	Form and Instruction

IC Title:

Agency IC Tracking Number:

1014-0018 ext'23

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.420(b)(3); 423(b)(7); 30 CFR 250.465(a), (b)(3)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	Form BSEE-0125	END OF OPERATIONS REPORT (EOR)	Form 0125 exp. 2023.xlsx	https://www.bsee.gov/about-bsee/doing-business-with-bsee	Yes	Yes	Fillable Fileable Signable
Other-Screen Shots			eWell-Form-0125-EndOperationsRpt - screen shots.docx	https://www.bsee.gov/about-bsee/doing-business-with-bsee	Yes	Yes	Fillable Fileable Signable
Other-PRA Statement for eWell			PAPERWORK REDUCTION ACT STATEMENT for eWell 2023.docx	https://ewell.bsee.gov/ewell/	No		Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 489

Number of Respondents for Small Entity: 337

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	489	489
Annual IC Time Burden (Hours)	1,467	1,467
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.