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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
250.1151 Form MMS-128
Agency IC Tracking Number:
OMM-1010-0041 re AD12
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR 250.1151
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
128
Semiannual Well Test Report
Form 128 exp 8-08.doc
http://www.gomr.mms.gov/homepg/mmsforms/FormMMS-128.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Resource Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
130
Number of Respondents for Small Entity:
91
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
25 %
Approved
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
13,600
0
0
13,600
0
0
Annual IC Time Burden (Hours)
1,336
0
0
1,336
0
0
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.
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