Information Collection

Notification prior to flaring of gas when at least 50 percent of natural gas liquids have been removed and captured for market - 43 CFR 3179.41(b)(12)

IC 252492 under ICR 202309-1004-001 · OMB 1004-0211.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0211 can be found here:

2026-06-24 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3160-5 Notification prior to flaring of gas when at least 50 percent of natural gas liquids have been removed and captured for market - 43 CFR 3179.41(b)(12)	Form and Instruction
Form 3160-5 Sundry Notices and Reports on Wells Notification prior to flaring of gas when at least 50 percent of natural gas liquids have been removed and captured for market - 43 CFR 3179.41(b)(12)	Form and Instruction
3160-005 Revised Instructions 05.29.2024.docx	Instruction
3160-5 Sundry Notices and Reports on Wells Form 3160-5-SUNDRY NOTICES AND REPORTS ON WELLS (OMB No 1004-0137).pdf www.blm.gov/noc/st/en/business/eForms.html	Form and Instruction
3160-5 Sundry Notices and Reports on Wells Form 3160-5-SUNDRY NOTICES AND REPORTS ON WELLS (OMB No 1004-0137).pdf www.blm.gov/noc/st/en/business/eForms.html	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Notification prior to flaring of gas when at least 50 percent of natural gas liquids have been removed and captured for market - 43 CFR 3179.41(b)(12)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3179.41(b)(12)

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	3160-5	Sundry Notices and Reports on Wells	Form 3160-5-SUNDRY NOTICES AND REPORTS ON WELLS (OMB No 1004-0137).pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	Fillable Fileable
Instruction			3160-005 Revised Instructions 05.29.2024.docx		Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	50	50
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.