| OMB No. 1093-0012 Expires: XX/XX/XXXX Category or Subcategory |
Criteria 1 Authorities in effect when the State submits its application, even if they were also in effect prior to the 10-Year Application Period (YES / NO) (Up to 71 points) |
Criteria 2 Additions or improvements the State made during the 10-Year Application Period (YES or NO) (Up to 121 points) |
State or Agency Submitting Scoresheet | State | |||||||||||||||||||||||
| Point of Contact | First Last phone |
||||||||||||||||||||||||||
| Category 1: Liable parties, scope of liability, and state authorities | Select | ||||||||||||||||||||||||||
| A. Scope of liable parties | NO | NO | Total Program Improvement RIG Eligibility | $- | YES | ||||||||||||||||||||||
| B. Predecessors in Interest | NO | NO | NO | ||||||||||||||||||||||||
| C. Joint and several liability | NO | NO | Score below a total of 72 points | No Award Amount Eligiblity | |||||||||||||||||||||||
| D. State access (e.g., the right to enter premises) and the right to acquire an interest in a well or other wells or related interests | NO | NO | Score at or above 72 points, but less than 96 points | Partial Award Amount Eligibility | |||||||||||||||||||||||
| E. Increased or enhanced compliance or enforcement programs | NO | NO | Score at or above 96 points | Full Grant Award Amount Eligibility | |||||||||||||||||||||||
| Category 2: Transfers of interest | Total Points Available | 192 | |||||||||||||||||||||||||
| A. Notice of transfer sent to state from the transferor, the transferee, or another interested party | YES | YES | Total Points Earned from Criteria 1 | 30 | |||||||||||||||||||||||
| B. Whether a state examines the transferor, the transferee, or both | YES | YES | Total Points Earned from Criteria 2 | 41 | |||||||||||||||||||||||
| C. The scope of examination | YES | YES | Total Points Earned | 71 | |||||||||||||||||||||||
| D. State authority to condition or reject a proposed transfer | YES | YES | % of Total Available Points Earned | 36.9% | |||||||||||||||||||||||
| E. Transferor maintenance of financial assurance through or beyond a transfer | YES | YES | |||||||||||||||||||||||||
| F. Financial assurance adjusted for risk, including requiring over what the transferor posted | YES | YES | |||||||||||||||||||||||||
| Category 3: Financial assurance (e.g., surety bonds, letters of credit, certificates of deposit) | |||||||||||||||||||||||||||
| A. Full-cost well-specific financial assurance, including consideration for inflation | NO | YES | |||||||||||||||||||||||||
| B. Well-specific financial assurance that considers field or area risks, including consideration for location-based inflation | YES | YES | |||||||||||||||||||||||||
| C. Well-specific financial assurance that considers well-related risks (e.g., low production, estimated costs for plugging a particular well), including consideration for relevant equipment- or materials-based- inflation | YES | YES | |||||||||||||||||||||||||
| D. Well-specific financial assurance that considers liable-party-related financial risks | YES | YES | |||||||||||||||||||||||||
| E. Multiple-well financial assurance that considers financial risks and anticipated plugging, reclamation, and restoration burdens | YES | YES | |||||||||||||||||||||||||
| F. Updating state asset/liabilities database | NO | YES | |||||||||||||||||||||||||
| Category 4: Non-assurance state financial protections and incentives | |||||||||||||||||||||||||||
| A. Fees, taxes, and penalties (including enhanced or escalated enforcement of penalties) | YES | NO | 3 | 3 | |||||||||||||||||||||||
| B. Incentives | YES | NO | 5 | 3 | 3 | ||||||||||||||||||||||
| C. State authority to restrict future operations of party | NO | NO | 5 | 0 | 1 | ||||||||||||||||||||||
| D. The creation or presence of a State idle or orphaned well plugging, reclamation, and restoration funds, trusts, or other similar accounts that is funded through non-state-originated funds | YES | NO | 2 | 1 | 1 | ||||||||||||||||||||||
| E. Insurance or warranty for a plug failing | NO | NO | 2 | 0 | #REF! | ||||||||||||||||||||||
| 5 | |||||||||||||||||||||||||||
| Category 5: Reporting and public notice of orphaned wells | |||||||||||||||||||||||||||
| A. Reporting mechanisms for responsible parties, municipalities, or other members of the public | NO | NO | 0 | 2 | |||||||||||||||||||||||
| B. Online notice of aggregate financial assurance by responsible party (including notice targeted for economically disadvantaged and/or non-English speaking populations) | NO | NO | 3 | 0 | 2 | ||||||||||||||||||||||
| C. Online notice of marginal, orphaned, and all other wells by responsible party (including notice targeted for economically disadvantaged and/or non-English speaking populations) | NO | NO | 3 | 0 | 2 | ||||||||||||||||||||||
| D. State notice of future plans for orphaned wells (including notice targeted for economically disadvantaged and/or non-English speaking populations) | NO | NO | |||||||||||||||||||||||||
| E. State notice of ongoing and relatively recent completed orphaned well activities (including notice targeted for economically disadvantaged and/or non-English speaking populations) | NO | NO | 3 | 0 | 2 | ||||||||||||||||||||||
| 3 | |||||||||||||||||||||||||||
| Category 6: Considerations for air, groundwater, and other natural resources, as well as public safety and general environmental or economic justice | |||||||||||||||||||||||||||
| A. Considerations for surface and groundwater or soil, including hazardous materials or other contamination | NO | NO | 0 | 2 | |||||||||||||||||||||||
| B. Special considerations for oil and gas wells converted to water wells | NO | NO | |||||||||||||||||||||||||
| C. Considerations for air quality, including methane, other emissions, and visual resource protection | NO | NO | |||||||||||||||||||||||||
| D. Considerations for public safety and general environmental or economic justice | NO | NO | |||||||||||||||||||||||||
| E. Provisions to address climate impacts of plugging, restoration, such as restrictions on equipment emissions for construction, alternative materials with reduced footprint, and restoration to climate resilient landscapes | YES | NO | |||||||||||||||||||||||||
| F. Land use controls for high-contamination or other categories of orphaned well sites | NO | NO | 3 | 0 | 2 | ||||||||||||||||||||||
| 3 | |||||||||||||||||||||||||||
| Category 7: Internal and external workforce development | |||||||||||||||||||||||||||
| A. State internal workforce enhancements | YES | NO | 2 | 2 | |||||||||||||||||||||||
| B. State contracting process | NO | NO | |||||||||||||||||||||||||
| C. Oversight of vendors, including certificate programs | NO | NO | |||||||||||||||||||||||||
| D. External workforce training programs, including those considering economic justice factors | NO | NO | |||||||||||||||||||||||||
| 3 | |||||||||||||||||||||||||||
| 40 | |||||||||||||||||||||||||||
| PAPERWORK REDUCTION ACT STATEMENT: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number and expiration date. The OMB control number for this template is 1093-0012 (expiration date: XX/XX/XXXX). |
| BURDEN ESTIMATE STATEMENT: Public reporting for this form is estimated to average 24 hours per response. Please direct comments regarding the burden estimate or any other aspect of this information collection to: U.S. Department of the Interior Information Collection Clearance Officer, 1849 C St., N.W., Washington, DC 20240. |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |