Surface Management Personal Bond Rider (43 CFR 3809.500)

Surface Management (43 CFR subpart 3809)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0194 can be found here:

Documents and Forms

Document Name Document Type
Form 3809-4a Surface Management Personal Bond Rider (43 CFR 3809.500) Form
3809-4a Surface Manageent Personal Bond Rider BLM_3809-4a_6-2007.pdf www.blm.gov/blmforms/Forms/index.htm Form

Information Collection (IC) Details

IC Title:	Surface Management Personal Bond Rider (43 CFR 3809.500)	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 3809.500

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3809-4a	Surface Manageent Personal Bond Rider	BLM_3809-4a_6-2007.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: 69	Number of Respondents for Small Entity: 55

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	69	59	10
Annual IC Time Burden (Hours)	552	472	80
Annual IC Cost Burden (Dollars)	1,380	1,180	200

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.