Information Collection

Fees, Rental, Royalty, and Bonds (43 CFR 3504)

IC 44836 under ICR 200608-1004-001 · OMB 1004-0121.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0121 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3504-4 Fees, Rental, Royalty, and Bonds (43 CFR 3504)	Form
3504-1 Personal Bond and Power of Attorney BLM_3504-1_KW Fix 20060306[1].pdf	Form
3504-3 Lease Bond for Mining Deposits BLM_3504-3_.pdf	Form
3504-4 Statewide or Nationwide Mineral Bond BLM_3504-4_.pdf	Form

IC Title:

Fees, Rental, Royalty, and Bonds (43 CFR 3504)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3504.50

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3504-4	Statewide or Nationwide Mineral Bond	BLM_3504-4_.pdf	Yes	No	Fillable Printable
Form	3504-1	Personal Bond and Power of Attorney	BLM_3504-1_KW Fix 20060306[1].pdf	Yes	No	Fillable Printable
Form	3504-3	Lease Bond for Mining Deposits	BLM_3504-3_.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	875	875

Documents for IC

table that charts IC Documents
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.