Information Collection

Lessee submits applications for well drilling, treating, plugging, etc.

IC 206860 under ICR 202507-1076-001 · OMB 1076-0180.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form 139 Application to Drill or Reenter Lessee submits applications for well drilling, treating, plugging, etc.	Form
Form 139 Application to Drill or Reenter Application_to_Drill_or_Reenter.docx www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 25 CFR 226.16(b) 25 CFR 226.29(c)

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	Form 139			https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 58

Number of Respondents for Small Entity: 30

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	253	253
Annual IC Time Burden (Hours)	2,277	2,277
Annual IC Cost Burden (Dollars)	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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