ASSIGNMENT OF RECORD TITLE INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A LEASE FOR OIL & GAS & GEOTHERMAL
ICR 198904-1004-005
OMB: 1004-0034
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1004-0034 can be found here:
ASSIGNMENT OF RECORD TITLE
INTEREST IN A LEASE FOR OIL AND GAS OR GEOTHERMAL RESOURCES
TRANSFER OF OPERATING RIGHTS (SUBLEASE) IN A LEASE FOR OIL &
GAS & GEOTHERMAL
No
material or nonsubstantive change to a currently approved
collection
THE TWO FORMS ARE USED B INDIVIDUALS,
CORPORATIONS AND SMALL BUSINESSES TO ASSIGN/TRANSFER INTERESTS IN
OIL AND GAS AND GEOTHERMAL LEASES UNDER THE TERMS OF THE MINERAL
LEASING LAWS.
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:
(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;
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.