43 CFR § 3173.10 - Form 3160-5, Sundry Notices and Reports on Wells.

---
identifier: "/us/cfr/t43/s3173.10"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "43 CFR § 3173.10 - Form 3160-5, Sundry Notices and Reports on Wells."
title_number: 43
title_name: "Public Lands: Interior"
section_number: "3173.10"
section_name: "Form 3160-5, Sundry Notices and Reports on Wells."
chapter_name: "BUREAU OF LAND MANAGEMENT, DEPARTMENT OF THE INTERIOR"
subchapter_number: "C"
subchapter_name: "MINERALS MANAGEMENT (3000)"
part_number: "3170"
part_name: "ONSHORE OIL AND GAS PRODUCTION"
positive_law: false
currency: "2026-03-24"
last_updated: "2026-03-24"
format_version: "1.1.0"
generator: "[email protected]"
authority: "25 U.S.C. 396d and 2107; 30 U.S.C. 189, 306, 359, and 1751; and 43 U.S.C. 1732(b), 1733, and 1740."
regulatory_source: "81 FR 81421, Nov. 17, 2016, unless otherwise noted."
cfr_part: "3170"
---


# 3173.10 Form 3160-5, Sundry Notices and Reports on Wells.

(a) The operator must submit a Form 3160-5, Sundry Notices and Reports on Wells (Sundry Notice) for the following:

(1) Site facility diagrams (see § 3173.11);

(2) Request for an FMP number (see § 3173.12);

(3) Request for FMP amendments (see § 3173.13(b));

(4) Requests for approval of off-lease measurement (see § 3173.23);

(5) Request to amend an approval of off-lease measurement (see § 3173.23(k));

(6) Requests for approval of CAAs (see § 3173.15); and

(7) Request to modify a CAA (see § 3173.18).

(b) The operator must submit all Sundry Notices electronically to the BLM office having jurisdiction over the lease, unit, or CA using WIS, unless the submitter:

(1) Is a small business, as defined by the U.S. Small Business Administration; and

(2) Does not have access to the Internet.