Information Collection

Securities

IC 10841 under ICR 202603-1012-001 · OMB 1012-0006.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form ONRR 4435 Administrative Appeal Bond Securities	Form
Form ONRR 4437 Assignment of Certificate of Deposit Securities	Form
Form ONRR 4436 Letter of Credit Securities	Form
Updated SuretyInst.pdf www.onrr.gov/document/SuretyInst.pdf	Instruction
ONRR 4435 Administrative Appeal Bond Admin Appeal Bond ONRR-4435_Word.docx www.onrr.gov/document/4435.pdf	Form
ONRR 4437 Assignment of Certificate of Deposit Assignment of Certificate of Deposit ONRR-4437_Word.docx www.onrr.gov/document/4437.pdf	Form
ONRR 4436 Letter of Credit Letter of Credit ONRR-4436_Word.docx www.onrr.gov/document/4436.pdf	Form

IC Title:

Securities

Agency IC Tracking Number:

onrr 1012-0006

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 30 CFR 1243.4(a)(1)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction		https://www.onrr.gov/document/SuretyInst.pdf	Yes	No	Paper Only
Form	ONRR 4435	https://www.onrr.gov/document/4435.pdf	Yes	No	Paper Only
Form	ONRR 4437	https://www.onrr.gov/document/4437.pdf	Yes	No	Paper Only
Form	ONRR 4436	https://www.onrr.gov/document/4436.pdf	Yes	No	Paper Only

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 40

Number of Respondents for Small Entity: 5

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	45	5	40
Annual IC Time Burden (Hours)	90	10	80
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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