Form BSEE-0132 HURRICANE AND TROPICAL STORM EVACUATION AND PRODUCTION C

U.S. Department of the Interior OMB Control Number 1014-0022

Bureau of Safety and Environmental Enforcement (BSEE) OMB Approval Expires xx/xx/xxxx

HURRICANE AND TROPICAL STORM EVACUATION

AND PRODUCTION CURTAILMENT STATISTICS

GULF OF MEXICO OCS REGION (GOMR)

SEND COMPLETED FORM VIA E-MAIL OR TELEFAX BEFORE 11:00 A.M. DAILY

DURING THE PERIOD OF EVACUATION AND SHUT-IN TO:

E-MAIL: EVACSTATS@BSEE.gov

FAX: GOMR (Primary) - (504) 736-5796

GOMR (Alternate) - (504) 736-2426

BSEE Headquarters (if GOMR office is closed) - (703) 787-1093

Name of Hurricane/Tropical Storm: __________________________________________________________

Company: ___________________________________ Contact: __________________________________

Telephone Number: ____________________ Date: ___________________ Time: _________________

EVACUATION STATISTICS BY GOMR DISTRICT OFFICE

TYPE OF FACILITY

Lake Jackson

Lake Charles

Lafayette

Houma

New Orleans

TOTAL

No. of platforms evacuated

No. of drilling rigs evacuated

No. of platforms not evacuated

No. of drilling rigs not evacuated

PRODUCTION SHUT-IN STATISTICS BY GOMR DISTRICT OFFICE

TYPE OF PRODUCTION	Lake Jackson	Lake Charles	Lafayette	Houma	New Orleans	TOTAL
Oil (BOPD)
Gas (MMSCFD)

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that BSEE collects this information to be informed when operations and production are disrupted due to hurricanes or natural disasters. BSEE uses this information to notify the Coast Guard in case of rescue needs and oil spills; to monitor when production is shut-in and when resumed; and to notify the news media and interested public entities. Responses are mandatory (43 U.S.C. 1331 et seq.). No proprietary information is collected. An agency may not conduct or sponsor, and you are not required to respond to, a collection of information unless it displays a currently valid OMB Control Number.  Public reporting burden for this form is estimated to average 1 hour per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Bureau of Safety and Environmental Enforcement, 381 Elden Street, Herndon, VA 20170.

CERTIFICATION: I certify that the information submitted is complete and accurate to the best of my knowledge. I understand that making a false statement may subject me to the criminal penalties of 18 U.S.C. 1001.

Name and Title: ________________________________________ Date: ________________________

BSEE Form BSEE-0132 (June/2023 -- Supersedes all previous editions of this form which may not be used.) Page 1 of 1