OMB control number

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

OMB 1076-0180 · DOI/BIA.

OMB 1076-0180

This ICR covers information collection requirements associated with Secretarial approval and monitoring of oil and gas leasing on Osage reservation lands.

The latest form for Leasing of Osage Reservation Lands for Oil and Gas Mining (25 CFR 226) expires 2026-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Lessee or operator must submit application for trucking permit Form
Lessee submits information needed for environmental assessment Form
Lessee submits request for lease modification Form
Lessee submits commercial or non-commercial easement Form
Lessee reports accidents, fires, vandalism and notifies surface owner Form
Lessee submits plat showing well location, status, and designation Form
Form Form 208 Lessee transmits information on completion of wells, etc. Form
Form Form 139 Lessee submits applications for well drilling, treating, plugging, etc. Form
Form Form F Lessee submits assignment or transfer of lease Form
Lessee submits monthly royalty report Form
Form Form E Corporate lessees submit corporate information Form
Form Form H Lessee must submit bond Form
Form Lease Form A Bidder or Osage Tribal Council submits completed lease form Form
90 FR 42429.pdf Supplementary Document
88 FR 2430.pdf Supplementary Document
79 FR 68292 (November 14, 2014).pdf Supplementary Document
81 FR 16207 (March 25, 2016).pdf Supplementary Document
202507-1076-001_SSA-(1076-0180).docx Supporting Statement A
34Stat543 Sec 3.pdf Supplementary Document
Lessee or operator must submit application for trucking permit Form
Lessee requests approval to use gas for lifting oil
Lessee submits request for variance from gas measurement requirements
Lessee submits tank table and meter tests; lessee requests variance from oil storage requirements
Lessee submits request for variance from line drilling limitations
Lessee submits agreement with surface owner for disposition of permanent improvements
Lessee submits application for termination of agreement to furnish gas to Osage Tribe or Osage Tribe Member
Lessee submits application for approval to shut down, abandon, or otherwise discontinue the operation of a well
Oil lessee submits report of connections to gas lessee's well
Lessee submits request to use water from streams and natural water courses
Lessee submits request for variance from pit construction requirements
Lessee submits report on settlement agreement for surface damages
Lessee submits agreement creating overriding royalties or drilling contract
Lessee submits division order or contract
Lessee submits application to surrender or cancel all or any portion of lease
Lessee submits information needed for environmental assessment Form
Individual submits application to nominate tracts to be offered for lease
Lessee submits request for lease modification Form
Lessee submits commercial or non-commercial easement Form
Lessee reports accidents, fires, vandalism and notifies surface owner Form
Lessee submits plat showing well location, status, and designation Form
Lessee transmits information on completion of wells, etc. Form
Lessee submits reports of tests and surveys
Person claiming interest in surface damages provides statement of interest
Lessee submits applications for well drilling, treating, plugging, etc. Form
Lessee submits assignment or transfer of lease Form
Lessee submits unit of cooperative agreement and termination of any such agreement
Purchaser submits monthly statement
Lessee submits monthly royalty report Form
Corporate lessees submit corporate information Form
Lessee must submit bond Form
Bidder or Osage Tribal Council submits completed lease form Form

All Historical Document Collections

202507-1076-001	Extension without change of a currently approved collection	2025-09-03
202203-1076-001 Approved without change	Extension without change of a currently approved collection	2022-10-31
202001-1076-003 Approved without change	Extension without change of a currently approved collection	2020-01-29
201807-1076-002 Approved with change	Revision of a currently approved collection	2018-07-31
201507-1076-001 Approved without change	Revision of a currently approved collection	2015-07-10
201501-1076-005 Preapproved	Existing collection in use without an OMB Control Number	2015-02-12
201305-1076-001 Comment filed on proposed rule	Existing collection in use without an OMB Control Number	2013-08-28

OMB Details

Bidder or Osage Tribal Council submits completed lease form

Federal Enterprise Architecture: Energy - Energy Production

Form Lease Form A	Gas Mining Lease	www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form
Form Lease Form C	Oil & Gas Mining Lease Form	www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form
Form Lease Form B	Gas Mining Lease	www.bia.gov/policy-forms/online-forms/paperwork-reduction-act	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.