OMB control number

30 CFR 553, Oil Spill Financial Responsibility for Offshore Facilities

OMB 1010-0106 · DOI/BOEM.

OMB 1010-0106

BOEM uses the information to confirm that applicants can pay for cleanup and damages from oil-spill discharge of more than 1,000 barrels; to determine if the risk of a lesser amount of an oil-spill discharge would warrant a showing of financial responsibility; to establish eligibility of applicants for a Certification of Oil Spill Financial Responsibility; and as a reference source for claims associated with oil pollution from designated offshore facilities. Respondents are holders of leases, permits, and rights of use and easement in the OCS and in state coastal waters who will appoint designated applicants.

The latest form for 30 CFR 553, Oil Spill Financial Responsibility for Offshore Facilities expires 2027-02-28 and is listed under ICR 202207-1010-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form BOEM-1023 Financial GuaranteeForm
Form BOEM-1025 Independent Designated Applicant Information CertificateForm
Form BOEM-1022 Covered Offshore Facilities ChangesForm
Form BOEM-1021 Covered Offshore FacilitiesForm
Form BOEM-1020 Surety BondForm
Form BOEM-1019 Insurance CertificateForm
Form BOEM-1018 Self-Insurance InformationForm
Form BOEM-1017 Appointment of Designated ApplicantForm
Form BOEM-1016 Designated ApplicantForm
2026.10.22_91FR66736_OSFR_1010-0106_30day.pdfSupplementary Document
LMA and IUA Comments.pdfPublic Comments
2026.08.4_1010-0106_Supporting_Statement.docxSupporting Statement A
W&T Offshore Comments.pdfPublic Comments
NOIA Comments.pdfPublic Comments
Arena Energy Comments.pdfPublic Comments
20206.05.20_Comment_From_MSAnonymous.pdfPublic Comments
30 CFR Part 553 (up to date as of 6-12-2026).pdfSupplementary Document
2026.05.15_91FR27981_60D_OSFR_2026-09793.pdfSupplementary Document
62 - Notify guarantor and responsible party of claim Information collection
15(f) - Provide claimant written explanation of denial Information collection
15 - Notify BOEM of change in ability to comply Information collection
30; 40-41; 43 Form BOEM-1023 - Financial Guarantee Form
11(a)(1); (2) Form BOEM-1025 - Independent Designated Applicant Information Certification Form
60d - Claims for Oil-Spill Removal Costs and Damages Information collection
40-42 - Form BOEM-1022 - Covered Offshore Facility Changes Form
14; 40-41; 43 - Form BOEM-1021- Covered Offshore Facilities Form
32 - Methods for Demonstrating OSFR Information collection
31; 40-41; 43 - Form BOEM-1020 - Surety Bond Form
29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate Form
21-28; 40 - BOEM-1018 - Self Insurance Information Form
12, 45 - Request for determination of OSFR applicability. Information collection
11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant Form
11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification Form
11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification Instruction

All Historical Document Collections

OMB Details

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

Federal Enterprise Architecture: Energy - Energy Production

Information collection instruments
FormNameElectronic accessType
Form BOEM-1016Designated Applicant Information Certificatonwww.boem.gov/BOEM-OCS-Operation-Forms/Form
Form www.boem.gov/BOEM-OCS-Operation-Forms/Instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.