OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Permit to Modify(APM) and supporting documentation

OMB 1014-0026 · DOI/BSEE.

OMB 1014-0026

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.

The latest form for Application for Permit to Modify(APM) and supporting documentation expires 2026-09-30 and is listed under ICR 202208-1014-006.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form BSEE Form-0124 Application for Permit to Modify (APM)Form and Instruction
1014-0026-SS-APMs.9.22.26.docxSupporting Statement A
2026-19291.pdfSupplementary Document
30 CFR Part 250 Subpart Q (up to date as of 8-03-2026).pdfSupplementary Document
30 CFR Part 250 Subpart H (up to date as of 8-03-2026).pdfSupplementary Document
30 CFR Part 250 Subpart G (up to date as of 8-03-2026).pdfSupplementary Document
30 CFR Part 250 Subpart F (up to date as of 8-03-2026).pdfSupplementary Document
30 CFR Part 250 Subpart E (up to date as of 8-03-2026).pdfSupplementary Document
30 CFR Part 250 Subpart D (up to date as of 8-03-2026).pdfSupplementary Document
2025-23572.pdfSupplementary Document
BSEE-2025-0266-0002 (1).htmlPublic Comments
250.1704(h)-Submit with a final well schematic, description, nature and quantities of material used Information collection
250.828(b)-Well must not be open to flow SSSV is inoperable Information collection
250.817(a)-remove a wireline subsurface safety device Information collection
250.813-May submit an APM for approval to equip a dry tree well Information collection
250.732(b) and (c) - Submit independent third party qualifications to BSEE with the associated permit application. Information collection
250.471(c), 250.470(f), 250.465(a) - Re-Evaluation of SCCE Information collection
250.750(a) - Operations w/out down-hole check valves Information collection
250.1743(a) - Signed Certification Information collection
250.1723(b) - Request Removal Information collection
250.1722(a) - Approval Information collection
250.1721; 1704(h) - Application to Temp. Abandon Information collection
250.1712; 1704(h) - Permanently Plugging - Descriptions Information collection
250.1712; 1704(h) - Permanently Plugging - Certification Information collection
250.1704(g) - Final Well Schematic Information collection
250.1704 - Well Abandonment Information collection
250.1622(c)(2) - Well Tests Results (Sulfur) Information collection
250.1622(a), (b) - Approval for Operations (Sulfur) Information collection
250.1619(b) - Suspension/Temporary Prohibition (Sulfur) Information collection
250.1618(a), (b), (c) - Changes to Plans (Sulfur) Information collection
250.804(a) - SSSVs Information collection
250.801(h) - Safety Device Information collection
250.738(n) - Pipe/Variable Bore Rams Information collection
250.738(m) - BAVO report Information collection
250.737(d)(12) - Autoshear/Deadman event Information collection
250.737(d)(4) - Initial Subsea BOP Information collection
250.737(d)(3) - Stump Test Information collection
250.737(d)(2) - Initial Test Information collection
250.733 - Annulus Monitoring Plan Information collection
250.731 - BOP System Information collection
250.721(g) - Successful Negative Pressure Test Information collection
250.720(b) - Displace Kill Weight Fluid Information collection
250.713 - MODU Information collection
250.702 - Identify Departures Information collection
250.701 - Proposed Alternate Procedures Information collection
250.619(f) - Production Packer Setting Depth Information collection
250.613(d) - Work as Performed Information collection
250.613(c) - New Zone Information collection
250.613(a), (b) - Other than Normal Workover Information collection
250.526(a) - Corrective Action Information collection
250.518(f) - Production Packer Setting Depth Information collection
250.513 - Well-Completion Operations Information collection
250.471(c) - SCCE Information collection
250.300(b)(1), (2) - Petroleum-based substance Information collection
Subparts D, E, F, G, H, P, Q - Revised APM Application Information collection
Subparts D, E, F, G, H, P, Q - APM Application Form and Instruction
Subparts D, E, F, G, H, P, Q - APM Application Other-Screen Shots

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202607-1014-001 Extension without change of a currently approved collection 2026-09-22
202208-1014-006 Extension without change of a currently approved collection 2023-06-16 Approved without change
201911-1014-005 Revision of a currently approved collection 2020-07-07 Approved with change
201905-1014-008 Revision of a currently approved collection 2019-05-03 Approved with change
201811-1014-003 Revision of a currently approved collection 2018-12-13 Comment filed on proposed rule and continue
201701-1014-001 Revision of a currently approved collection 2017-03-15 Approved without change
201402-1014-002 New collection (Request for a new OMB Control Number) 2014-03-13 Approved without change

OMB Details

Subparts D, E, F, G, H, P, Q - APM Application

Federal Enterprise Architecture: Energy - Energy Production

Information collection instruments
FormNameElectronic accessType
Form ewell.bsee.gov/ewell/Other
Form ewell.bsee.gov/ewell/Other
Form BSEE Form-0124Application for Permit to Modify (APM)ewell.bsee.gov/ewell/Form and instruction

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