Information Collection

Request for longer test period or increased limit -- 43 CFR 3179.41

IC 252494 under ICR 202506-1004-002 · OMB 1004-0211.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3160-5 Sundry Notices and Reports on Wells Request for longer test period or increased limit -- 43 CFR 3179.41	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

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 3179.41

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			http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	Fillable Fileable
Instruction					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: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50	-50	100
Annual IC Time Burden (Hours)	50	-50	100
Annual IC Cost Burden (Dollars)	0	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.

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