Information Collection

550.143-145 - Designation of Operator - Form BOEM-1123

IC 179154 under ICR 202310-1010-003 · OMB 1010-0114.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form BOEM-1123 550.143-145 - Designation of Operator - Form BOEM-1123	Form
Form BOEM-1123 Designation of Operator 550.143-145 - Designation of Operator - Form BOEM-1123	Form
BOEM-1123-Instructions_updated 2019.pdf www.boem.gov/BOEM-OCS-Operation-Forms/	Instruction
BOEM-1123-Instructions_updated 2019.pdf www.boem.gov/BOEM-OCS-Operation-Forms/	Instruction
BOEM-1123 Designation of Operator BOEM-1123 FINAL 2019.pdf www.boem.gov/BOEM-OCS-Operation-Forms/	Form
BOEM-1123 Designation of Operator BOEM-1123 FINAL 2019.pdf www.boem.gov/BOEM-OCS-Operation-Forms/	Form

IC Title:

Agency IC Tracking Number:

omm 1010-0114 '10

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 550.143-145

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	BOEM-1123	Designation of Operator	BOEM-1123 FINAL 2019.pdf	http://www.boem.gov/BOEM-OCS-Operation-Forms/	Yes	Yes	Fillable Printable
Instruction			BOEM-1123-Instructions_updated 2019.pdf	http://www.boem.gov/BOEM-OCS-Operation-Forms/	Yes	No	Printable Only

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,514

Number of Respondents for Small Entity: 588

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,514	3,514
Annual IC Time Burden (Hours)	3,514	3,514
Annual IC Cost Burden (Dollars)	162,750	162,750

Documents for IC

table that charts IC Documents
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.