Bsee-0144 - Rig Movement Notification Report Template Page 2
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1
2BSEE OCS CONTACT INFORMATION
BSEE Office
Telephone
Telefax
E-mail Address
New Orleans District
(504) 734-6740
(504) 734-6741
bsee.new.orleans.district@bsee.gov
Houma District
(985) 853-5884
(985) 879-2738
bsee.houma.district@bsee.gov
Lafayette District
(337) 289-5100
(337) 354-0008
bsee.lafayette.district@bsee.gov
Lake Charles District
(337) 437-460
(337)
bsee.lake.charles.district@bsee.gov
Lake Jackson District
(713) 286-2300
(979) 864-3675
bsee.lake.jackson.district@bsee.gov
Alaska OCS Region
(907) 334-5300
(907) 334-5202
kevin.pendergast@bsee.gov
Pacific OCS Region
(805) 389-7745
(805) 389-7784
john.kaiser@bsee.gov
CERTIFICATION: I certify that the information submitted is complete and accurate to the best of my knowledge. I understand that making
a false statement may subject me to criminal penalties under 18 U.S.C. 1001.
Name and Title: __________________________________________________________ Date: ___________________________________
PAPERWORK REDUCTION ACT of 1995 (PRA) STATEMENT: The PRA (44 U.S.C. 3501 et seq.) requires us to inform you that
we collect this information to obtain knowledge of equipment and procedures to be used in drilling, sidetracking, completing, reworking,
recompleting, and abandoning wells. BSEE uses the information to schedule inspections and verify that equipment and/or procedures
are adequate to perform the proposed operations safely. Responses are mandatory (43 U.S.C. 1334). Proprietary data are covered under
30 CFR 250.197. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays a currently valid OMB Control Number. Public reporting burden for reviewing the instructions, completing and filling out this
form is estimated to average 12 minutes per response. Direct comments regarding the burden estimate or any other aspect of this form to
the Information Collection Clearance Officer, Bureau of Safety and Environmental Enforcement, 45600 Woodland Road, Sterling, VA 20166.
Page 2 of 2
(October 2014) – Supersedes all previous versions of this form which may not be used).
BSEE FORM BSEE-0144
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