11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification

Status: Original and derived artifacts are available for this document.

Download: pdf

U.S. Department of the Interior

Bureau of Ocean Energy Management

OMB Control No.: 1010-0106
Expiration Date: 02/28/2027

PAPERWORK REDUCTION ACT STATEMENT
BUREAU OF OCEAN ENERGY MANAGEMENT
OIL POLLUTION ACT OF 1990
OIL SPILL FINANCIAL RESPONSIBILITY FOR OFFSHORE FACILITIES
The Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.) requires us to inform you that the Bureau of
Ocean Energy Management (BOEM) collects this information to:
1.

Provide a standard method for establishing eligibility for oil spill financial responsibility (OSFR) for
offshore facilities;

2.

Identify and maintain a record of those offshore facilities that have a potential oil spill liability;

3.

Establish and maintain a continuous record, over the liability term specified in Title I of the Oil
Pollution Act of 1990, of financial evidence and instruments established to pay claims for oil spill
cleanup and damages resulting from operations conducted on offshore facilities and the
transportation of oil from offshore platforms and wells;

4.

Establish and maintain a continuous record of Responsible Parties, as defined in Title I of the Oil
Pollution Act of 1990, and their agents or Authorized Representatives for oil spill financial
responsibility for offshore facilities; and

5.

Establish and maintain a continuous record, over the liability term specified in Title I of the Oil
Pollution Act of 1990, of persons to contact and U.S. Agents for Service of Process for claims
associated with oil spills from offshore facilities.

The BOEM will routinely use the information to:
1.

Ensure compliance of offshore lessees and owners and operators of offshore facilities with Title I of
the Oil Pollution Act of 1990;

2

Establish eligibility of applicants for OSFR; and

3.

Establish a reference source of names, addresses, and telephone numbers of Responsible Parties
for offshore facilities and their Authorized Representatives and Guarantors for claims associated
with oil pollution from designated offshore facilities.

Responses are mandatory (33 U.S.C. 2716). No confidential or proprietary information is required to be
submitted. The BOEM considers oil spill financial responsibility demonstrations, including supporting audited
financial statements, to be public information open for review under the Freedom of Information Act (5
U.S.C. 552).
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid Office of Management and Budget (OMB) Control Number.
The public reporting burden for an application for certification of oil spill financial responsibility is listed
below. The burden includes the time for reviewing instructions, gathering and maintaining data, and
completing and reviewing the application. The average burden for each of the forms and required
information that could comprise a submission is:
Form BOEM-1016, Designated Applicant Information Certification ................... 3 hours
Form BOEM-1017, Appointment of Designated Applicant ............................... 10 hours
Form BOEM-1018, Self-Insurance Information ..................................................3 hours
Form BOEM-1019, Insurance Certificate ....................................................... 120 hours
Form BOEM-1020, Surety Bond .......................................................................24 hours
Form BOEM-1021, Covered Offshore Facilities................................................. 10 hours
Form BOEM-1022, Covered Offshore Facility Changes ..................................... 10 hours
Form BOEM-1023, Financial Guarantee…………………………………….....…...2 hours
Form BOEM-1025, Independent Designated Applicant Information Certification..2 hours
Comments regarding the burden estimate or any other aspect of this form should be directed to the
Information Collection Clearance Officer, Bureau of Ocean Energy Management, 45600 Woodland Road,
Sterling, VA 20166.

(February 2024)