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Federal forms, ICRs, and supporting documents

Information Collection Request

Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)

ICR 201507-1076-001 · OMB 1076-0180 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form 208 Lessee transmits information on completion of wells, etc. Form Modified Repair queued
Form Form 139A Lessee keeps records and reports completed wells Form Modified Available
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc. Form Modified Repair queued
Form Form F Submit assignment or transfer of lease Form Modified Repair queued
Form Form 101, Form 101 Lessee provides monthly reports Form Modified Repair queued
Form Form D Lessee submits bond. Form Modified Repair queued
Form Lease Form A Lessee submits completed lease form Form Modified Available
SS Osage Mineral Rule_FINAL.doc Supporting Statement A Uploaded 2015-03-17 Available
34Stat543 Sec 3.pdf Supplementary Document Uploaded 2013-05-10 Available
IC Document Collections
IC IDCollectionTypeStatusForm
206871 Lessee reports accidents, fires, vandalism and notifies surface owner Modified
206870 Lessee maintains site security plan Unchanged
206869 Lessee provides plat of wells Unchanged
206868 Lessee transmits information on completion of wells, etc. Form Modified
206866 Lessee keeps records and reports completed wells Form Modified
206865 Lessee keeps account of all operations, receipts, disbursements for inspection Unchanged
206864 Lessee submits contingency plan Unchanged
206863 Drivers carry documentation of oil and gas Unchanged
206862 Person claiming interest provides statement of claimed interest or damages Unchanged
206861 Lessee notifies and requests meeting with surface owners, copies Secretary Unchanged
206860 Lessee submits applications for well drilling, treating, plugging, etc. Form Modified
206859 Submit assignment or transfer of lease Form Modified
206858 Lesses submit agreement to unitize or terminate unitization Unchanged
206857 Purchaser provides statement of gross oil or gas sold Unchanged
206856 Lessee provides monthly reports Form Modified
206854 Corporate lessees submit corporate documents. Unchanged
206853 Lessee submits bond. Form Modified
206852 Lessee submits completed lease form Form Modified
ICR Details
1076-0180 201507-1076-001
Historical Active 201501-1076-005
DOI/BIA
Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226)
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 07/10/2015
Retrieve Notice of Action (NOA) 07/10/2015
The Bureau of Indian Affairs must enable the electronic reporting of monthly reports under 226.26 and 226.27(a) within one year of the approval date of this information collection request.
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved
14,436 0 0
21,954 0 0
496 0 0
This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.
Statute at Large: 34 Stat. 543 Name of Statute: Act for division of lands and funds of Osage Indians in Oklahoma territory, and for other purposes.
  
None
1076-AF17 Final or interim final rulemaking 80 FR 26994 05/11/2015
No
18
IC Title Form No. Form Name
Lessee submits bond. None, None, Form D, Form G, Form H Bond Form ,   Collective Bond Form ,   Bond for Assignments ,   Nationwide Oil and Gas Lease Bond ,   Letter of Credit
Lessee provides monthly reports Form 101, Form 101A, Form 133, Form 157, Form 300 Monthly Accounting Forms
Lessee notifies and requests meeting with surface owners, copies Secretary
Person claiming interest provides statement of claimed interest or damages
Lessee keeps records and reports completed wells Form 139A Notice and Reports on Wells
Lessee provides plat of wells
Lessee maintains site security plan
Lessee submits completed lease form Form E, Lease Form A, Lease Form C, Lease Form B, None Gas Mining Lease ,   Oil Mining Lease ,   Oil & Gas Mining Lease Form ,   Evidence of Authority ,   Lease Modification Form
Lesses submit agreement to unitize or terminate unitization
Lessee transmits information on completion of wells, etc. Form 208 Well Completion or Re-completion Report and Log
Corporate lessees submit corporate documents.
Purchaser provides statement of gross oil or gas sold
Lessee reports accidents, fires, vandalism and notifies surface owner
Submit assignment or transfer of lease None, Form F Assignment of Lease ,   Assignment of Operating Rights Form
Lessee submits applications for well drilling, treating, plugging, etc. None, None, None, Form 139 Application to Drill or Reenter ,   Easement Form ,   Notification of Well Spud Form ,   Seismic Permit
Drivers carry documentation of oil and gas
Lessee submits contingency plan
Lessee keeps account of all operations, receipts, disbursements for inspection
  Total Approved 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 14,436 0 0 14,436 0 0
Annual Time Burden (Hours) 21,954 0 0 21,954 0 0
Annual Cost Burden (Dollars) 496 0 0 496 0 0
Yes
Changing Regulations
No
This is a new information collection. At the time the regulations governing this program were promulgated, the information collections contained therein were not subject to the Paperwork Reduction Act that was in effect. Since that time, the 1995 amendments to the Paperwork Reduction Act were passed. We have determined in reviewing this regulation for revisions that the 1995 amendments to the Paperwork Reduction Act now subject the information collection requirements in these regulations to OMB approval. For this reason, the hour and cost burden is new.
$244,895
No
No
No
No
No
Uncollected
Elizabeth Appel 202 273-4680 [email protected]
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/12/2015