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

Leasing of Solid Minerals Other Than Coal and Oil Shale (43 CFR 3500-3590)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 3504-1 Fees, Rental, Royalty, and Bonds (43 CFR 3504) Form
3504-1 Personal Bond and Power of Attorney Form 3504-1.pdf www.blm.gov/blmforms/Forms/index.htm Form
3504-3 Lease Bond for Mining Deposits Form 3504-3.pdf www.blm.gov/blmforms/Forms/index.htm Form
3504-4 Statewide or Nationwide Mineral Bond Form 3504-4.pdf www.blm.gov/blmforms/Forms/index.htm Form

Information Collection (IC) Details

IC Title:	Fees, Rental, Royalty, and Bonds (43 CFR 3504)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3504

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3504-1	Personal Bond and Power of Attorney	Form 3504-1.pdf	http://www.blm.gov/blmforms/Forms/index.htm	Yes	No	Fillable Printable
Form	3504-3	Lease Bond for Mining Deposits	Form 3504-3.pdf	http://www.blm.gov/blmforms/Forms/index.htm	Yes	No	Fillable Printable
Form	3504-4	Statewide or Nationwide Mineral Bond	Form 3504-4.pdf	http://www.blm.gov/blmforms/Forms/index.htm	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 40	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	40	0	5	35
Annual IC Time Burden (Hours)	160	0	20	140
Annual IC Cost Burden (Dollars)	0	-875	0	875

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.