PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Bidder or Osage Tribal Council submits completed lease form
Modified
69
207
4535
Form
Lease Form A
Gas Mining Lease
Form
Lease Form B
Gas Mining Lease
Form
Lease Form C
Oil & Gas Mining Lease Form
Corporate lessees submit corporate information
Modified
279
279
0
Form
Form E
Form for Officer to Execute Papers
Form
N/A
List of Corporate Officers Form
Individual submits application to nominate tracts to be offered for lease
Unchanged
38
38
0
Lessee must submit bond
Modified
279
279
0
Form
Form H
Assignment Bond Form
Form
Form D
Mining Lease Bond
Form
Form G
Collective Bond
Lessee or operator must submit application for trucking permit
Modified
200
600
0
Form
N/A
Trucking Permit
Lessee reports accidents, fires, vandalism and notifies surface owner
Modified
182
5096
0
Form
N/A
Spill Reporting and Remediation Form
Lessee requests approval to use gas for lifting oil
Unchanged
2
4
0
Lessee submits agreement creating overriding royalties or drilling contract
Unchanged
1
1
0
Lessee submits agreement with surface owner for disposition of permanent improvements
Unchanged
2
2
0
Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well
Unchanged
4
8
0
Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member
Unchanged
4
8
0
Lessee submits application to surrender or cancel all or any portion of lease
Unchanged
43
129
0
Lessee submits applications for well drilling, treating, plugging, etc.
Modified
253
2277
0
Form
Form 139
Application to Drill or Reenter
Lessee submits assignment or transfer of lease
Modified
210
1050
0
Form
Form F
Assignment of Lease
Form
N/A
Assignment of Liability Form
Lessee submits commercial or non-commercial easement
Modified
4
12
0
Form
N/A
Easement for Saltwater Disposal
Lessee submits division order or contract
Unchanged
270
270
0
Lessee submits information needed for environmental assessment
Modified
9
216
0
Form
N/A
Environmental Assessment Questionnaire
Lessee submits monthly royalty report
Modified
24660
2055
0
Form
N/A
Tank Bottom Oil Report Form
Form
Form 101, Form 101A, Form 133, Form 157, Form 300
Monthly Accounting Forms
Lessee submits plat showing well location, status, and designation
Modified
1346
4038
0
Form
N/A
Lease Status Report Form
Lessee submits report on settlement agreement for surface damages
Unchanged
20
100
0
Lessee submits reports of tests and surveys
Unchanged
5
5
0
Lessee submits request for lease modification
Modified
1
1
0
Form
N/A
Lease Modification Form
Lessee submits request for variance from line drilling limitations
Unchanged
12
18
0
Lessee submits request for variance from gas measurement requirements
Unchanged
4
4
0
Lessee submits request for variance from pit construction requirements
Unchanged
2
2
0
Lessee submits request to use water from streams and natural water courses
Unchanged
4
8
0
Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements
Unchanged
210
630
0
Lessee submits unit of cooperative agreement and termination of any such agreement
Unchanged
1
1
0
Lessee transmits information on completion of wells, etc.
Modified
205
308
0
Form
Form 208
Well Completion or Re-completion Report and Log
Form
Form 139
Permit to Drill or Reenter
Form
Form 229
Waterflood Operating Report
Oil lessee submits report of connections to gas lessee's well
Unchanged
36
36
0
Person claiming interest in surface damages provides statement of interest
Unchanged
12
6
0
Purchaser submits monthly statement
Unchanged
20172
5043
0
Total burden requested under this ICR:
48539
22731
4535
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