Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
11(a)(2) Form BOEM-1025 - Independent Designated Applicant Information Certification Modified 200 400 0 Form BOEM-1025 Independent Designated Applicant Information Certification
11a(1); 40; 41 - Form BOEM-1016 - Designated Applicant Information Certification Modified 250 750 0 Form BOEM-1016 Designated Applicant Information Certificaton
Instruction
11a(1); 40; 41 - Form BOEM-1017 - Appointment of Designated Applicant Modified 750 7500 0 Form BOEM-1017 Appointment of Designated Applicant
12 - Request for determination of OSFR applicability. Modified 5 10 0
15 (f) - Provide claimant written explanation of denial Unchanged 15 15 0
15 - Notify BOEM of change in ability to comply Unchanged 1 1 0
21-24; 26-27; 30; 40-41; 43 - BOEM-1018 - Self Insurance Information Modified 50 150 0 Form BOEM-1018 Self-Insurance Information
21-24; 26-27; 30; 40-41; 43 Form BOEM-1023 - Financial Guarantee Modified 50 100 0 Form BOEM-1023 Financial Guarantee
29; 40-41; 43 - Form BOEM-1019 - Insurance Certificate Modified 150 18000 0 Form BOEM-1019 Insurance Certificate
31; 40-41; 43 - Form BOEM-1020 - Surety Bond Modified 4 96 0 Form BOEM-1020 Surety Bond
32 - Methods for Demonstrating OSFR Unchanged 1 120 0
40-42 - Form BOEM-1022 - Covered Offshore Facility Changes Modified 500 5000 0 Form BOEM-1022 Covered Offshore Facility Changes
40; 41; 43 - Form BOEM-1021- Covered Offshore Facilities Modified 255 2550 0 Form BOEM-1021 Covered Offshore Facilities
60d - Claims for Oil-Spill Removal Costs and Damages Unchanged 1 2 0
62 - Notify guarantor and responsible party of claim Unchanged 1 1 0
Total burden requested under this ICR: 2233 34695 0  
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