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OMB Control No:
1014-0026
ICR Reference No:
202607-1014-001
Status:
Received in OIRA
Previous ICR Reference No:
202208-1014-006
Agency/Subagency:
DOI/BSEE
Agency Tracking No:
1014-0026 APMs Ext '26
Title:
Application for Permit to Modify(APM) and supporting documentation
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
09/22/2026
Requested
Previously Approved
Expiration Date
36 Months From Approved
10/31/2026
Responses
12,391
11,322
Time Burden (Hours)
31,472
16,431
Cost Burden (Dollars)
5,483,295
6,387,110
Abstract:
The regulations at 30 CFR 250 stipulate the various requirements that must be submitted with an Application for Permit to Modify (APM), form BSEE-0124. The form and the numerous submittals that are included and/or attached to the form are the subject of this collection.
Authorizing Statute(s):
US Code:
30 USC 1751
Name of Law: Federal Oil and Gas Royalty Management Act
US Code:
31 USC 9701
Name of Law: Independent Offices Appropriations Act
US Code:
43 USC 1334
Name of Law: Outer Continental Shelf Lands Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
90 FR 59865
12/22/2025
30-day Notice:
Federal Register Citation:
Citation Date:
91 FR 60148
09/22/2026
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
35
IC Title
Form No.
Form Name
250.1618(a), (b), (c) - Changes to Plans (Sulfur)
250.1619(b) - Suspension/Temporary Prohibition (Sulfur)
250.1622(a), (b) - Approval for Operations (Sulfur)
250.1622(c)(2) - Well Tests Results (Sulfur)
250.1704 - Well Abandonment
250.1704(g) - Final Well Schematic
250.1704(h)-Submit with a final well schematic, description, nature and quantities of material used
250.1712; 1704(h) - Permanently Plugging - Certification
250.1712; 1704(h) - Permanently Plugging - Descriptions
250.1721; 1704(h) - Application to Temp. Abandon
250.1722(a) - Approval
250.1723(b) - Request Removal
250.1743(a) - Signed Certification
250.300(b)(1), (2) - Petroleum-based substance
250.471(c) - SCCE
250.471(c), 250.470(f), 250.465(a) - Re-Evaluation of SCCE
250.513 - Well-Completion Operations
250.518(f) - Production Packer Setting Depth
250.526(a) - Corrective Action
250.613(a), (b) - Other than Normal Workover
250.613(c) - New Zone
250.613(d) - Work as Performed
250.619(f) - Production Packer Setting Depth
250.701 - Proposed Alternate Procedures
250.702 - Identify Departures
250.713 - MODU
250.720(b) - Displace Kill Weight Fluid
250.721(g) - Successful Negative Pressure Test
250.731 - BOP System
250.732(b) and (c) - Submit independent third party qualifications to BSEE with the associated permit application.
250.733 - Annulus Monitoring Plan
250.737(d)(12) - Autoshear/Deadman event
250.737(d)(2) - Initial Test
250.737(d)(3) - Stump Test
250.737(d)(4) - Initial Subsea BOP
250.738(m) - BAVO report
250.738(n) - Pipe/Variable Bore Rams
250.750(a) - Operations w/out down-hole check valves
250.801(h) - Safety Device
250.804(a) - SSSVs
250.813-May submit an APM for approval to equip a dry tree well
250.817(a)-remove a wireline subsurface safety device
250.828(b)-Well must not be open to flow SSSV is inoperable
Subparts D, E, F, G, H, P, Q - APM Application
BSEE Form-0124
Application for Permit to Modify (APM)
Subparts D, E, F, G, H, P, Q - Revised APM Application
ICR Summary of Burden
Total Request
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
12,391
11,322
0
1
1,068
0
Annual Time Burden (Hours)
31,472
16,431
0
0
15,041
0
Annual Cost Burden (Dollars)
5,483,295
6,387,110
0
0
-903,815
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$1,620,808
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
No
Agency Contact:
Kelly Odom 703 787-1775
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/22/2026
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