Information Collection

Lessee submits commercial or non-commercial easement

IC 232459 under ICR 202507-1076-001 · OMB 1076-0180.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Easement for Saltwater Disposal Lessee submits commercial or non-commercial easement	Form
Easement for Saltwater Disposal Easement_for_Saltwater_Disposal.rtf 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 226.23

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	N/A			https://www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Yes	Yes	Printable Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 4

Number of Respondents for Small Entity: 0

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	4	4
Annual IC Time Burden (Hours)	12	12
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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