Information Collection

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

IC 44836 under ICR 200906-1004-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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 3504-1 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

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:

table that charts list of 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 %

table that charts list of burden
	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

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.