Information Collection

Assignment of Record Title Interest / Geothermal Resources

IC 188877 under ICR 202405-1004-001 · OMB 1004-0034.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3000-3 Assignment of Record Title Interest / Geothermal Resources	Form and Instruction
3000-3 Assignment of Record Title Interest in an Lease for Oil 3000.3 assignment REV 2024.docx	Form and Instruction
Form 3000-003 (current form).pdf Current Form 3000.3	IC Document

IC Title:

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 3216.14

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	3000-3	Assignment of Record Title Interest in an Lease for Oil and Gas or Geothermal Resources	3000.3 assignment REV 2024.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21

Number of Respondents for Small Entity: 9

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	21	0	21
Annual IC Time Burden (Hours)	11	0	11
Annual IC Cost Burden (Dollars)	2,415	315	2,100

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current Form 3000.3	Form 3000-003 (current form).pdf	05/07/2024

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