250.1151(a)(2), (c); 250.1167 - BSEE-0128 form

30 CFR Part 250, Subpart K, Oil and Gas Production Requirements

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0019 can be found here:

Documents and Forms

Document Name Document Type
Form BSEE-0128 250.1151(a)(2), (c); 250.1167 - BSEE-0128 form Form and Instruction
BSEE-0128 Semiannual Well Test Report Form 0128 exp 2019.docx www.bsee.gov/who-we-are/working-with-us/doing-business-bsee/OCS-forms Form and Instruction

Information Collection (IC) Details

IC Title:	250.1151(a)(2), (c); 250.1167 - BSEE-0128 form	Agency IC Tracking Number:	1014-0019 '19

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.1151(a)(2), (c); 250.1167

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BSEE-0128	Semiannual Well Test Report	Form 0128 exp 2019.docx	https://www.bsee.gov/who-we-are/working-with-us/doing-business-bsee/OCS-forms	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,018	Number of Respondents for Small Entity: 4,153

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 30 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6,018	6,018
Annual IC Time Burden (Hours)	24,072	24,072
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.