30 CFR 250.130-250.193 - Forms

30 CFR 250, Subpart A, General

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0022 can be found here:

Documents and Forms

Document Name Document Type
Form BSEE-1832 30 CFR 250.130-250.193 - Forms Form and Instruction
eWell-Form-0132-StormEvacProdCrtlmnt - screen shots.docx Other-eWell Screen Shots
eWell-Form-0143-FacilityDamage - screen shots.docx Other-eWell Screen Shots
PRA Statement for eWell.docx Other-PRA Statement for eWell
BSEE-1832 NOTIFICATION OF INCIDENT(S) OF NONCOMPLIANCE Form 1832-legal size [for use w tablets] exp 2017.docx Form and Instruction
BSEE-0132 HURRICANE AND TROPICAL STORM EVACUATION AND PRODUCTION C Form 0132 exp 2017.doc www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form
BSEE-0143 FACILITY/EQUIPMENT DAMAGE REPORT Form 0143 exp 2017.doc www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/ Form
BSEE-0011 Internet-Based Safety and Environmental Enforcement Repo Form 0011 exp 2017 iSEE.docx www.bsee.gov/Inspection-and-Enforcement/Accidents-and-Incidents/Incident-Investigations/ Form

Information Collection (IC) Details

IC Title:	30 CFR 250.130-250.193 - Forms	Agency IC Tracking Number:	Subpart A '14

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 30 CFR 250.130-133; 250.186(a) 30 CFR 250.192, (b); 250.193

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	BSEE-1832	NOTIFICATION OF INCIDENT(S) OF NONCOMPLIANCE	Form 1832-legal size [for use w tablets] exp 2017.docx		No		Paper Only
Form	BSEE-0132	HURRICANE AND TROPICAL STORM EVACUATION AND PRODUCTION CURTAILMENT STATISTICS GULF OF MEXICO OCS REGION (GOMR)	Form 0132 exp 2017.doc	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screen Shots			eWell-Form-0132-StormEvacProdCrtlmnt - screen shots.docx		Yes	Yes	Fillable Fileable
Form	BSEE-0143	FACILITY/EQUIPMENT DAMAGE REPORT	Form 0143 exp 2017.doc	http://www.bsee.gov/About-BSEE/Doing-Business-with-BSEE/OCS-Operation-Forms/index/	Yes	Yes	Fillable Fileable
Other-eWell Screen Shots			eWell-Form-0143-FacilityDamage - screen shots.docx		Yes	Yes	Fillable Fileable
Other-PRA Statement for eWell			PRA Statement for eWell.docx		Yes	No	Paper Only
Form	BSEE-0011	Internet-Based Safety and Environmental Enforcement Reporting System	Form 0011 exp 2017 iSEE.docx	http://www.bsee.gov/Inspection-and-Enforcement/Accidents-and-Incidents/Incident-Investigations/	Yes	Yes	Fillable Fileable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,662	Number of Respondents for Small Entity: 2,527

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 90 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,662	6	548	3,108
Annual IC Time Burden (Hours)	10,969	9	5,727	5,233
Annual IC Cost Burden (Dollars)	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.