Information Collection

Request for longer test period or increased limit -- 43 CFR 3179.81 and 3179.82

IC 252494 under ICR 202309-1004-001 · OMB 1004-0211.

Documents and Forms

Document Name Document Type
Form 3160-5 Request for longer test period or increased limit -- 43 CFR 3179.81 and 3179.82 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:	Request for longer test period or increased limit -- 43 CFR 3179.81 and 3179.82	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 3179.81 and 3179.82

Information Collection 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

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.