Form MMS-4377 Stripper Royalty Rate Reduction Notification

U.S. DEPARTMENT OF THE INTERIOR
Minerals Management Service
Minerals Revenue Management

OMB 1010-0090
(Expires 10/31/2007)

STRIPPER ROYALTY RATE REDUCTION NOTIFICATION
NOTE: Reduced Royalty Rate is not effective until the month after this notification is received
by the Minerals Management Service. See 43 CFR Part 3100 for complete instructions.
OPERATOR NAME: ___________________________________________ DATE SUBMITTED: ________________
OPERATOR NUMBER: ________________________________________
PERSON TO CONTACT: _______________________________________ ________ _____________ ________
AREA
TELEPHONE
EXTEN.
CODE
NUMBER
LEASE
NUMBERS(S)

AGREEMENT
NUMBER \1

QUALIFYING
OR CURRENT
PERIOD \2

QUALIFYING
ROYALTY
RATE

CURRENT
ROYALTY
RATE \3

EFFECTIVE
DATES

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NOTE: THIS NOTIFICATION MUST BE SUBMITTED TO MMS AND ALL PAYORS ON THE LEASES.
\1 Include agreement number for any lease located in an agreement. All leases in the agreement must be listed separately.
\2 Initial qualifying period August 1, 1990, through July 31, 1991, or current period. If the property does not initially qualify,
subsequent qualifying period would be the latest 12-month period before the property qualifies (i.e., a 12-month rolling
average).
\3 Current period royalty rate must be compared to qualifying period royalty rate and the lower of the two rates will be the royalty
rate for the subsequent year, when notification is received by MMS.
The Paperwork Reduction Act of 1995 requires us to inform you that this information is being collected to aid the Minerals Management Service (MMS) in updating its database
with accepted reduced royalty rates. Operators of stripper oil properties use a formula developed by BLM and included under 43 CFR 3103.4-2(b)(3)(ii) to determine the
reduced royalty rate. Operators are then required to notify the MMS of the reduced royalty rate. Respondents need only submit this information if they choose to obtain a
reduction in the royalty rate for a property producing less than 15 barrels of oil per well-day. We estimate the annual burden for voluntarily filing is 1.2 hours. Comments on
the accuracy of this burden estimate or suggestions on reducing this burden should be directed to the Information Collection Clearance Officer, MMS, MS 4230, 1849 C Street,
N.W., Washington, DC 20240. Proprietary information submitted to the U.S. Department of the Interior is protected in accordance with standards established by the Federal Oil
and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4), and the Departmental Regulations (43 CFR 2). The Indian
Minerals Development Act of 1982 (25 U.S.C. 2103) provides that all information related to any Indian minerals agreement covered by the Act in the possession of the
Department shall be held as proprietary information. Storage of such information and access to it is controlled by strict security measures. 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 OMB control number.

FORM MMS-4377 (08/2001)