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Subparts D, E, F, G, H, P, Q - APM Application
Application for Permit to Modify(APM) and supporting documentation
OMB: 1014-0026
IC ID: 225480
OMB.report
DOI/BSEE
OMB 1014-0026
ICR 201905-1014-008
IC 225480
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1014-0026 can be found here:
2023-06-16 - Extension without change of a currently approved collection
2020-07-07 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
eWell_Form-124_screens shots 2017.pdf
Other-Screen Shots
PAPERWORK REDUCTION ACT STATEMENT for eWell 2017.docx
Other-eWell PRA Statement
BSEE-0124 Application for Permit to Modify
Form 0124 for APM ICR exp 2017 additional questions.xlsx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Subparts D, E, F, G, H, P, Q - APM Application
Agency IC Tracking Number:
1014-0026 APM '17
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
30 CFR Subparts D, E, F, G, H, P, Q (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Screen Shots
eWell_Form-124_screens shots 2017.pdf
Yes
Yes
Fillable Fileable Signable
Other-eWell PRA Statement
PAPERWORK REDUCTION ACT STATEMENT for eWell 2017.docx
Yes
No
Printable Only
Form
BSEE-0124
Application for Permit to Modify
Form 0124 for APM ICR exp 2017 additional questions.xlsx
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Energy
Subfunction:
Energy Production
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,468
Number of Respondents for Small Entity:
1,703
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
99 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
2,468
0
0
0
0
2,468
Annual IC Time Burden (Hours)
2,468
0
0
0
0
2,468
Annual IC Cost Burden (Dollars)
308,500
0
0
0
0
308,500
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.