View Information Collection (IC)

View Information Collection (IC)

IC Title:	420(b)(3); 423(b)(7); 465(a), (b)(3); plus various ref in A, D, E, F, G, P, and Q - End of Operations Report	Agency IC Tracking Number:	1014-0018 ext'17

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.420(b)(3); 423(b)(7); 30 CFR 250.465(a), (b)(3)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BSEE-0125	End of Operations Report	Form 0125 exp. 2017.xlsx	https://www.bsee.gov/sites/bsee.gov/files/form-0125-exp-2017.pdf	Yes	Yes	Fillable Fileable
Other-eWell screen shots			eWell-Form-0125-EndOperationsRpt - screen shots.docx		Yes	No	Printable Only
Other-PRA Statement for eWell			PRA Statement for eWell.docx		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 445	Number of Respondents for Small Entity: 307

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	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	445	0	0	0	0	445
Annual IC Time Burden (Hours)	1,335	0	0	0	0	1,335
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.