Information Collection Request

Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

ICR 202507-1076-001 · OMB 1076-0180 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Trucking Permit Form Unchanged Available
Environmental Assessment Questionnaire Form Unchanged Available
Lease Modification Form Form Unchanged Available
Easement for Saltwater Disposal Form Unchanged Available
Spill Reporting and Remediation Form Form Unchanged Available
Lease Status Report Form Form Unchanged Available
Form Form 229 Waterflood Operating Report Form Unchanged Available
Form Form 139 Permit to Drill or Reenter Form Unchanged Available
Form Form 208 Well Completion or Re-completion Report and Log Form Unchanged Available
Form Form 139 Application to Drill or Reenter Form Unchanged Available
Assignment of Liability Form Form Unchanged Repair queued
Form Form F Assignment of Lease Form Unchanged Available
Form Form 101, Form 101 Monthly Accounting Forms Form Unchanged Available
Tank Bottom Oil Report Form Form Unchanged Available
List of Corporate Officers Form Form Unchanged Available
Form Form E Form for Officer to Execute Papers Form Unchanged Available
Form Form G Collective Bond Form Unchanged Available
Form Form D Mining Lease Bond Form Unchanged Repair queued
Form Form H Assignment Bond Form Form Unchanged Available
Form Lease Form C Oil & Gas Mining Lease Form Form Unchanged Available
Form Lease Form B Gas Mining Lease Form Unchanged Available
Form Lease Form A Gas Mining Lease Form Unchanged Available
90 FR 42429.pdf Supplementary Document Uploaded 2025-09-03 Available
88 FR 2430.pdf Supplementary Document Uploaded 2025-07-30 Available
79 FR 68292 (November 14, 2014).pdf Supplementary Document Uploaded 2022-06-23 Available
81 FR 16207 (March 25, 2016).pdf Supplementary Document Uploaded 2022-06-23 Available
202507-1076-001_SSA-(1076-0180).docx Supporting Statement A Uploaded 2025-07-30 Available
34Stat543 Sec 3.pdf Supplementary Document Uploaded 2013-05-10 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
232477 Lessee or operator must submit application for trucking permit Form UnchangedTrucking Permit
232476 Lessee requests approval to use gas for lifting oil Unchanged
232475 Lessee submits request for variance from gas measurement requirements Unchanged
232474 Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements Unchanged
232473 Lessee submits request for variance from line drilling limitations Unchanged
232472 Lessee submits agreement with surface owner for disposition of permanent improvements Unchanged
232471 Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member Unchanged
232470 Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well Unchanged
232469 Oil lessee submits report of connections to gas lessee's well Unchanged
232468 Lessee submits request to use water from streams and natural water courses Unchanged
232467 Lessee submits request for variance from pit construction requirements Unchanged
232466 Lessee submits report on settlement agreement for surface damages Unchanged
232465 Lessee submits agreement creating overriding royalties or drilling contract Unchanged
232464 Lessee submits division order or contract Unchanged
232463 Lessee submits application to surrender or cancel all or any portion of lease Unchanged
232462 Lessee submits information needed for environmental assessment Form UnchangedEnvironmental Assessment Questionnaire
232461 Individual submits application to nominate tracts to be offered for lease Unchanged
232460 Lessee submits request for lease modification Form UnchangedLease Modification Form
232459 Lessee submits commercial or non-commercial easement Form UnchangedEasement for Saltwater Disposal
206871 Lessee reports accidents, fires, vandalism and notifies surface owner Form UnchangedSpill Reporting and Remediation Form
206869 Lessee submits plat showing well location, status, and designation Form UnchangedLease Status Report Form
206868 Lessee transmits information on completion of wells, etc. Form UnchangedWaterflood Operating Report
206868 Lessee transmits information on completion of wells, etc. Form UnchangedPermit to Drill or Reenter
206868 Lessee transmits information on completion of wells, etc. Form UnchangedWell Completion or Re-completion Report and Log
206866 Lessee submits reports of tests and surveys Unchanged
206862 Person claiming interest in surface damages provides statement of interest Unchanged
206860 Lessee submits applications for well drilling, treating, plugging, etc. Form UnchangedApplication to Drill or Reenter
206859 Lessee submits assignment or transfer of lease Form UnchangedAssignment of Liability Form
206859 Lessee submits assignment or transfer of lease Form UnchangedAssignment of Lease
206858 Lessee submits unit of cooperative agreement and termination of any such agreement Unchanged
206857 Purchaser submits monthly statement Unchanged
206856 Lessee submits monthly royalty report Form UnchangedMonthly Accounting Forms
206856 Lessee submits monthly royalty report Form UnchangedTank Bottom Oil Report Form
206854 Corporate lessees submit corporate information Form UnchangedList of Corporate Officers Form
206854 Corporate lessees submit corporate information Form UnchangedForm for Officer to Execute Papers
206853 Lessee must submit bond Form UnchangedCollective Bond
206853 Lessee must submit bond Form UnchangedMining Lease Bond
206853 Lessee must submit bond Form UnchangedAssignment Bond Form
206852 Bidder or Osage Tribal Council submits completed lease form Form UnchangedOil & Gas Mining Lease Form
206852 Bidder or Osage Tribal Council submits completed lease form Form UnchangedGas Mining Lease
206852 Bidder or Osage Tribal Council submits completed lease form Form UnchangedGas Mining Lease

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 06/30/2026
48,539 48,539
22,731 22,731
4,535 4,535





Reginfo record details
32
table that charts list of burden
IC Title Form No. Form Name
Bidder or Osage Tribal Council submits completed lease form Lease Form A, Lease Form B, Lease Form C ,   ,  
Corporate lessees submit corporate information Form E, N/A ,  
Individual submits application to nominate tracts to be offered for lease
Lessee must submit bond Form H , Form G , Form D ,   ,  
Lessee or operator must submit application for trucking permit N/A
Lessee reports accidents, fires, vandalism and notifies surface owner N/A
Lessee requests approval to use gas for lifting oil
Lessee submits agreement creating overriding royalties or drilling contract
Lessee submits agreement with surface owner for disposition of permanent improvements
Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well
Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member
Lessee submits application to surrender or cancel all or any portion of lease
Lessee submits applications for well drilling, treating, plugging, etc. Form 139
Lessee submits assignment or transfer of lease Form F, N/A ,  
Lessee submits commercial or non-commercial easement N/A
Lessee submits division order or contract
Lessee submits information needed for environmental assessment N/A
Lessee submits monthly royalty report N/A, Form 101, Form 101A, Form 133, Form 157, Form 300 ,  
Lessee submits plat showing well location, status, and designation N/A
Lessee submits report on settlement agreement for surface damages
Lessee submits reports of tests and surveys
Lessee submits request for lease modification N/A
Lessee submits request for variance from line drilling limitations
Lessee submits request for variance from gas measurement requirements
Lessee submits request for variance from pit construction requirements
Lessee submits request to use water from streams and natural water courses
Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements
Lessee submits unit of cooperative agreement and termination of any such agreement
Lessee transmits information on completion of wells, etc. Form 208 , Form 139, Form 229 ,   ,  
Oil lessee submits report of connections to gas lessee's well
Person claiming interest in surface damages provides statement of interest
Purchaser submits monthly statement

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 48,539 48,539 0 0 0 0
Annual Time Burden (Hours) 22,731 22,731 0 0 0 0
Annual Cost Burden (Dollars) 4,535 4,535 0 0 0 0


Reginfo record details
  No