Information Collection Request

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

ICR 202203-1076-001 · OMB 1076-0180 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1076-0180 can be found here:

2025-09-03 - Extension without change of a currently approved collection

Forms and Documents

Document	Type	Status	Availability
Lessee or operator must submit application for trucking permit	Form	Modified	Missing upstream
Lessee submits information needed for environmental assessment	Form	Modified	Repair queued
Lessee submits request for lease modification	Form	Modified	Repair queued
Lessee submits commercial or non-commercial easement	Form	Modified	Missing upstream
Lessee reports accidents, fires, vandalism and notifies surface owner	Form	Modified	Missing upstream
Lessee submits plat showing well location, status, and designation	Form	Modified	Missing upstream
Form Form 208 Lessee transmits information on completion of wells, etc.	Form	Modified	Repair queued
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified	Repair queued
Form Form F Lessee submits assignment or transfer of lease	Form	Modified	Repair queued
Lessee submits monthly royalty report	Form	Modified	Repair queued
Form Form E Corporate lessees submit corporate information	Form	Modified	Repair queued
Form Form H Lessee must submit bond	Form	Modified	Repair queued
Form Lease Form A Bidder or Osage Tribal Council submits completed lease form	Form	Modified	Repair queued
87 FR 65240.pdf	Supplementary Document	Uploaded 2022-10-28	Repair queued
87 FR 43889.pdf	Supplementary Document	Uploaded 2022-10-14	Repair queued
79 FR 68292 (November 14, 2014).pdf	Supplementary Document	Uploaded 2022-06-23	Missing upstream
81 FR 16207 (March 25, 2016).pdf	Supplementary Document	Uploaded 2022-06-23	Repair queued
IAFR001131__SSA (1076-0180)(10-18-2022).docx	Supporting Statement A	Uploaded 2022-10-18	Repair queued
34Stat543 Sec 3.pdf	Supplementary Document	Uploaded 2013-05-10	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
232477	Lessee or operator must submit application for trucking permit	Form	Modified
232476	Lessee requests approval to use gas for lifting oil		Unchanged
232475	Lessee submits request for variance from gas measurement requirements		Unchanged
232474	Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements		Unchanged
232473	Lessee submits request for variance from line drilling limitations		Unchanged
232472	Lessee submits agreement with surface owner for disposition of permanent improvements		Unchanged
232471	Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member		Unchanged
232470	Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well		Unchanged
232469	Oil lessee submits report of connections to gas lessee's well		Unchanged
232468	Lessee submits request to use water from streams and natural water courses		Unchanged
232467	Lessee submits request for variance from pit construction requirements		Unchanged
232466	Lessee submits report on settlement agreement for surface damages		Unchanged
232465	Lessee submits agreement creating overriding royalties or drilling contract		Unchanged
232464	Lessee submits division order or contract		Unchanged
232463	Lessee submits application to surrender or cancel all or any portion of lease		Unchanged
232462	Lessee submits information needed for environmental assessment	Form	Modified
232461	Individual submits application to nominate tracts to be offered for lease		Unchanged
232460	Lessee submits request for lease modification	Form	Modified
232459	Lessee submits commercial or non-commercial easement	Form	Modified
206871	Lessee reports accidents, fires, vandalism and notifies surface owner	Form	Modified
206869	Lessee submits plat showing well location, status, and designation	Form	Modified
206868	Lessee transmits information on completion of wells, etc.	Form	Modified
206866	Lessee submits reports of tests and surveys		Unchanged
206862	Person claiming interest in surface damages provides statement of interest		Unchanged
206860	Lessee submits applications for well drilling, treating, plugging, etc.	Form	Modified
206859	Lessee submits assignment or transfer of lease	Form	Modified
206858	Lessee submits unit of cooperative agreement and termination of any such agreement		Unchanged
206857	Purchaser submits monthly statement		Unchanged
206856	Lessee submits monthly royalty report	Form	Modified
206854	Corporate lessees submit corporate information	Form	Modified
206853	Lessee must submit bond	Form	Modified
206852	Bidder or Osage Tribal Council submits completed lease form	Form	Modified

ICR Details

Status	Received in OIRA
Agency/Subagency	DOI/BIA
OMB Control No	1076-0180
Type of Information Collection	Extension without change of a currently approved collection
Previous ICR Reference No	202001-1076-003
Agency Tracking No	IAFR001131
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31