Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

Forms and Documents

Document Name	Status
Form Form 208 Lessee transmits information on completion of wells, etc. Form	Modified
Form Form 139A Lessee keeps records and reports completed wells Form	Modified
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc. Form	Modified
Form Form F Submit assignment or transfer of lease Form	Modified
Form Form 101, Form 101 Lessee provides monthly reports Form	Modified
Form Form D Lessee submits bond. Form	Modified
Form Lease Form A Lessee submits completed lease form Form	Modified
SS Osage Mineral Rule_FINAL.doc Supporting Statement A	2015-03-17
34Stat543 Sec 3.pdf Supplementary Document	2013-05-10

IC Document Collections

IC ID	Document Title	Status
206871	Lessee reports accidents, fires, vandalism and notifies surface owner	Modified
206870	Lessee maintains site security plan	Unchanged
206869	Lessee provides plat of wells	Unchanged
206868	Lessee transmits information on completion of wells, etc. Form	Modified
206866	Lessee keeps records and reports completed wells Form	Modified
206865	Lessee keeps account of all operations, receipts, disbursements for inspection	Unchanged
206864	Lessee submits contingency plan	Unchanged
206863	Drivers carry documentation of oil and gas	Unchanged
206862	Person claiming interest provides statement of claimed interest or damages	Unchanged
206861	Lessee notifies and requests meeting with surface owners, copies Secretary	Unchanged
206860	Lessee submits applications for well drilling, treating, plugging, etc. Form	Modified
206859	Submit assignment or transfer of lease Form	Modified
206858	Lesses submit agreement to unitize or terminate unitization	Unchanged
206857	Purchaser provides statement of gross oil or gas sold	Unchanged
206856	Lessee provides monthly reports Form	Modified
206854	Corporate lessees submit corporate documents.	Unchanged
206853	Lessee submits bond. Form	Modified
206852	Lessee submits completed lease form Form	Modified

ICR Details

OMB Control No: 1076-0180	ICR Reference No: 201507-1076-001
Status: Historical Active	Previous ICR Reference No: 201501-1076-005
Agency/Subagency: DOI/BIA	Agency Tracking No:
Title: Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/10/2015
	Date Received in OIRA: 07/10/2015
Terms of Clearance: The Bureau of Indian Affairs must enable the electronic reporting of monthly reports under 226.26 and 226.27(a) within one year of the approval date of this information collection request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2018	36 Months From Approved
Responses	14,436	0	0
Time Burden (Hours)	21,954	0	0
Cost Burden (Dollars)	496	0	0

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Abstract: This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.

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Authorizing Statute(s): Statute at Large: 34 Stat. 543 Name of Statute: Act for division of lands and funds of Osage Indians in Oklahoma territory, and for other purposes.
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1076-AF17	Final or interim final rulemaking	80 FR 26994	05/11/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 18

IC Title	Form No.	Form Name
Lessee submits bond.	None, None, Form D, Form G, Form H	Bond Form ,   Collective Bond Form ,   Bond for Assignments ,   Nationwide Oil and Gas Lease Bond ,   Letter of Credit
Lessee provides monthly reports	Form 101, Form 101A, Form 133, Form 157, Form 300	Monthly Accounting Forms
Lessee notifies and requests meeting with surface owners, copies Secretary
Person claiming interest provides statement of claimed interest or damages
Lessee keeps records and reports completed wells	Form 139A	Notice and Reports on Wells
Lessee provides plat of wells
Lessee maintains site security plan
Lessee submits completed lease form	Form E, Lease Form A, Lease Form C, Lease Form B, None	Gas Mining Lease ,   Oil Mining Lease ,   Oil & Gas Mining Lease Form ,   Evidence of Authority ,   Lease Modification Form
Lesses submit agreement to unitize or terminate unitization
Lessee transmits information on completion of wells, etc.	Form 208	Well Completion or Re-completion Report and Log
Corporate lessees submit corporate documents.
Purchaser provides statement of gross oil or gas sold
Lessee reports accidents, fires, vandalism and notifies surface owner
Submit assignment or transfer of lease	None, Form F	Assignment of Lease ,   Assignment of Operating Rights Form
Lessee submits applications for well drilling, treating, plugging, etc.	None, None, None, Form 139	Application to Drill or Reenter ,   Easement Form ,   Notification of Well Spud Form ,   Seismic Permit
Drivers carry documentation of oil and gas
Lessee submits contingency plan
Lessee keeps account of all operations, receipts, disbursements for inspection

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ICR Summary of Burden

	Total Approved	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	14,436	0	0	14,436	0	0
Annual Time Burden (Hours)	21,954	0	0	21,954	0	0
Annual Cost Burden (Dollars)	496	0	0	496	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new information collection. At the time the regulations governing this program were promulgated, the information collections contained therein were not subject to the Paperwork Reduction Act that was in effect. Since that time, the 1995 amendments to the Paperwork Reduction Act were passed. We have determined in reviewing this regulation for revisions that the 1995 amendments to the Paperwork Reduction Act now subject the information collection requirements in these regulations to OMB approval. For this reason, the hour and cost burden is new.

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Annual Cost to Federal Government: $244,895

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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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: 02/12/2015

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