Application for Permit to Modify(APM) and supporting documentation

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form BSEE Form-0124 Application for Permit to Modify (APM)	Form and Instruction	Modified	Available
1014-0026-SS-APMs.9.22.26.docx	Supporting Statement A	Uploaded 2026-09-22	Available
2026-19291.pdf	Supplementary Document	Uploaded 2026-09-22	Available
30 CFR Part 250 Subpart Q (up to date as of 8-03-2026).pdf	Supplementary Document	Uploaded 2026-08-05	Available
30 CFR Part 250 Subpart H (up to date as of 8-03-2026).pdf	Supplementary Document	Uploaded 2026-08-05	Available
30 CFR Part 250 Subpart G (up to date as of 8-03-2026).pdf	Supplementary Document	Uploaded 2026-08-05	Available
30 CFR Part 250 Subpart F (up to date as of 8-03-2026).pdf	Supplementary Document	Uploaded 2026-08-05	Available
30 CFR Part 250 Subpart E (up to date as of 8-03-2026).pdf	Supplementary Document	Uploaded 2026-08-05	Available
30 CFR Part 250 Subpart D (up to date as of 8-03-2026).pdf	Supplementary Document	Uploaded 2026-08-05	Available
2025-23572.pdf	Supplementary Document	Uploaded 2026-08-05	Available
BSEE-2025-0266-0002 (1).html	Public Comments	Uploaded 2026-07-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
281778	250.1704(h)-Submit with a final well schematic, description, nature and quantities of material used		New
281777	250.828(b)-Well must not be open to flow SSSV is inoperable		New
281776	250.817(a)-remove a wireline subsurface safety device		New
281775	250.813-May submit an APM for approval to equip a dry tree well		New
281738	250.732(b) and (c) - Submit independent third party qualifications to BSEE with the associated permit application.		New
241711	250.471(c), 250.470(f), 250.465(a) - Re-Evaluation of SCCE		Removed
234264	250.750(a) - Operations w/out down-hole check valves		Modified
225532	250.1743(a) - Signed Certification		Modified
225531	250.1723(b) - Request Removal		Modified
225529	250.1722(a) - Approval		Modified
225528	250.1721; 1704(h) - Application to Temp. Abandon		Modified
225526	250.1712; 1704(h) - Permanently Plugging - Descriptions		Modified
225525	250.1712; 1704(h) - Permanently Plugging - Certification		Modified
225523	250.1704(g) - Final Well Schematic		Removed
225522	250.1704 - Well Abandonment		Modified
225521	250.1622(c)(2) - Well Tests Results (Sulfur)		Removed
225520	250.1622(a), (b) - Approval for Operations (Sulfur)		Removed
225517	250.1619(b) - Suspension/Temporary Prohibition (Sulfur)		Removed
225516	250.1618(a), (b), (c) - Changes to Plans (Sulfur)		Removed
225515	250.804(a) - SSSVs		Removed
225513	250.801(h) - Safety Device		Removed
225512	250.738(n) - Pipe/Variable Bore Rams		Modified
225511	250.738(m) - BAVO report		Modified
225510	250.737(d)(12) - Autoshear/Deadman event		Modified
225509	250.737(d)(4) - Initial Subsea BOP		Modified
225508	250.737(d)(3) - Stump Test		Modified
225507	250.737(d)(2) - Initial Test		Modified
225506	250.733 - Annulus Monitoring Plan		Modified
225505	250.731 - BOP System		Modified
225503	250.721(g) - Successful Negative Pressure Test		Modified
225496	250.720(b) - Displace Kill Weight Fluid		Modified
225495	250.713 - MODU		Modified
225494	250.702 - Identify Departures		Modified
225493	250.701 - Proposed Alternate Procedures		Modified
225492	250.619(f) - Production Packer Setting Depth		Modified
225490	250.613(d) - Work as Performed		Modified
225489	250.613(c) - New Zone		Modified
225488	250.613(a), (b) - Other than Normal Workover		Modified
225487	250.526(a) - Corrective Action		Modified
225486	250.518(f) - Production Packer Setting Depth		Modified
225485	250.513 - Well-Completion Operations		Modified
225484	250.471(c) - SCCE		Removed
225483	250.300(b)(1), (2) - Petroleum-based substance		Removed
225481	Subparts D, E, F, G, H, P, Q - Revised APM Application		Modified
225480	Subparts D, E, F, G, H, P, Q - APM Application	Form and Instruction	Modified	Application for Permit to Modify (APM)
225480	Subparts D, E, F, G, H, P, Q - APM Application	Other-Screen Shots	Modified

ICR Details

OMB Control No: 1014-0026	ICR Reference No: 202607-1014-001
Status: Received in OIRA	Previous ICR Reference No: 202208-1014-006
Agency/Subagency: DOI/BSEE	Agency Tracking No: 1014-0026 APMs Ext '26
Title: Application for Permit to Modify(APM) and supporting documentation
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/22/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2026
Responses	12,391	11,322
Time Burden (Hours)	31,472	16,431
Cost Burden (Dollars)	5,483,295	6,387,110

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Abstract: The regulations at 30 CFR 250 stipulate the various requirements that must be submitted with an Application for Permit to Modify (APM), form BSEE-0124. The form and the numerous submittals that are included and/or attached to the form are the subject of this collection.

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Authorizing Statute(s): US Code: 30 USC 1751 Name of Law: Federal Oil and Gas Royalty Management Act
   US Code: 31 USC 9701 Name of Law: Independent Offices Appropriations Act
   US Code: 43 USC 1334 Name of Law: Outer Continental Shelf Lands Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 59865	12/22/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 60148	09/22/2026
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 35

table that charts list of burden

IC Title	Form No.	Form Name
250.1618(a), (b), (c) - Changes to Plans (Sulfur)
250.1619(b) - Suspension/Temporary Prohibition (Sulfur)
250.1622(a), (b) - Approval for Operations (Sulfur)
250.1622(c)(2) - Well Tests Results (Sulfur)
250.1704 - Well Abandonment
250.1704(g) - Final Well Schematic
250.1704(h)-Submit with a final well schematic, description, nature and quantities of material used
250.1712; 1704(h) - Permanently Plugging - Certification
250.1712; 1704(h) - Permanently Plugging - Descriptions
250.1721; 1704(h) - Application to Temp. Abandon
250.1722(a) - Approval
250.1723(b) - Request Removal
250.1743(a) - Signed Certification
250.300(b)(1), (2) - Petroleum-based substance
250.471(c) - SCCE
250.471(c), 250.470(f), 250.465(a) - Re-Evaluation of SCCE
250.513 - Well-Completion Operations
250.518(f) - Production Packer Setting Depth
250.526(a) - Corrective Action
250.613(a), (b) - Other than Normal Workover
250.613(c) - New Zone
250.613(d) - Work as Performed
250.619(f) - Production Packer Setting Depth
250.701 - Proposed Alternate Procedures
250.702 - Identify Departures
250.713 - MODU
250.720(b) - Displace Kill Weight Fluid
250.721(g) - Successful Negative Pressure Test
250.731 - BOP System
250.732(b) and (c) - Submit independent third party qualifications to BSEE with the associated permit application.
250.733 - Annulus Monitoring Plan
250.737(d)(12) - Autoshear/Deadman event
250.737(d)(2) - Initial Test
250.737(d)(3) - Stump Test
250.737(d)(4) - Initial Subsea BOP
250.738(m) - BAVO report
250.738(n) - Pipe/Variable Bore Rams
250.750(a) - Operations w/out down-hole check valves
250.801(h) - Safety Device
250.804(a) - SSSVs
250.813-May submit an APM for approval to equip a dry tree well
250.817(a)-remove a wireline subsurface safety device
250.828(b)-Well must not be open to flow SSSV is inoperable
Subparts D, E, F, G, H, P, Q - APM Application	BSEE Form-0124	Application for Permit to Modify (APM)
Subparts D, E, F, G, H, P, Q - Revised APM Application

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ICR Summary of Burden

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	12,391	11,322	0	1	1,068	0
Annual Time Burden (Hours)	31,472	16,431	0	0	15,041	0
Annual Cost Burden (Dollars)	5,483,295	6,387,110	0	0	-903,815	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,620,808

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/22/2026

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