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250.1151(a)(1), (c); 250.1167 - BSEE-0126 Form
30 CFR Part 250, Subpart K, Oil and Gas Production Requirements
OMB: 1014-0019
IC ID: 234571
OMB.report
DOI/BSEE
OMB 1014-0019
ICR 202112-1014-001
IC 234571
( )
Documents and Forms
Document Name
Document Type
Form BSEE-0126
250.1151(a)(1), (c); 250.1167 - BSEE-0126 Form
Form
BSEE-0126 WELL POTENTIAL TEST REPORT (WPT)
Form 0126 exp 2023.docx
www.bsee.gov/who-we-are/working-with-us/OCS-forms
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
250.1151(a)(1), (c); 250.1167 - BSEE-0126 Form
Agency IC Tracking Number:
1014-0019 '22
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR 250.1151(a)(1), (c); 250.1167
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
BSEE-0126
WELL POTENTIAL TEST REPORT (WPT)
Form 0126 exp 2023.docx
https://www.bsee.gov/who-we-are/working-with-us/OCS-forms
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
154
Number of Respondents for Small Entity:
107
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
70 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
154
0
0
-82
0
236
Annual IC Time Burden (Hours)
809
0
0
-430
0
1,239
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
