Helium Contracts (43 CFR part 3195)

Forms and Documents

Document Name	Status
Form 3195-3 Refiners' Tolling Occurrence Report Form	Modified
Form 3195-2 Refiner's Annual Tolling Report Form	Modified
Form 3195-1 Calculation of Excess Refining Capacity Form	Modified
Form 3195-4 Refined Helium Deliveries Detail Form	Modified
1004-0179_30 Day Notice_8.28.18.pdf Supplementary Document	2018-08-28
2018 Supporting Statement for 1004-0179.docx Supporting Statement A	2018-07-10
60-day notice for 1004-0179 3 13 2018.pdf Supplementary Document	2018-03-13
Title 43 CFR part 3195.doc Supplementary Document	2007-07-23

IC Document Collections

IC ID	Document Title	Status
217863	Refiners' Tolling Occurrence Report Form	Modified
217862	Refiner's Annual Tolling Report Form	Modified
217860	Calculation of Excess Refining Capacity Form	Modified
217859	Refined Helium Deliveries Detail Form	Modified

ICR Details

OMB Control No: 1004-0179	ICR Reference No: 201803-1004-001
Status: Active	Previous ICR Reference No: 201504-1004-001
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Helium Contracts (43 CFR part 3195)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/15/2018
	Date Received in OIRA: 08/28/2018
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved	11/30/2018
Responses	60	0	60
Time Burden (Hours)	240	0	240
Cost Burden (Dollars)	0	0	0

---

Abstract: This control number authorizes the Bureau of Land Management to collect information that enables in-kind sales of helium in accordance with the Helium Stewardship Act (50 U.S.C. 167-167q) and 43 CFR Part 3195..

---

Authorizing Statute(s): US Code: 50 USC 167, et seq. Name of Law: Helium Stewardship Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 10872	03/13/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 43897	08/28/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Calculation of Excess Refining Capacity	3195-1	Calculatoin of Excess Refining Capacity
Refiner's Annual Tolling Report	3195-2	Refiners' Annual Tolling Report
Refined Helium Deliveries Detail	3195-4	refined Helium Deliveries Detail
Refiners' Tolling Occurrence Report	3195-3	Refiners' Tolling Occurrence Report

---

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	60	60	0	0	0	0
Annual Time Burden (Hours)	240	240	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $15,960

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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

---

Common Form ICR:  No

---

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: 08/28/2018

---