Information Collection

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

IC 44836 under ICR 201209-1004-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 3504-1 Fees, Rental, Royalty, and Bonds (43 CFR 3504)	Form
3504-1 Personal Bond and Power of Attorney Under ___ Mineral Le 3504-001.pdf www.blm.gov/noc/st/en/business/eForms.html	Form
3504-3 Bond Under Lease for Mining ____ Deposits 3504-003.pdf www.blm.gov/noc/st/en/business/eForms.html	Form
3504-4 Statewide or Nationwide Personal Mineral Bond for Prospe 3504-004.pdf www.blm.gov/noc/st/en/business/eForms.html	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 Under ___ Mineral Lease or ___ Prospecting Permit for Mining ___ Deposits	3504-001.pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	Fillable Printable
Form	3504-3	Bond Under Lease for Mining ____ Deposits	3504-003.pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	Fillable Printable
Form	3504-4	Statewide or Nationwide Personal Mineral Bond for Prospecting Permits and Leases Coal, Sodium, Phosphate, Potassium, Sulphur, and Other Mineral Deposits	3504-004.pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	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	Previously Approved
Annual Number of Responses for this IC	40	40
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	0	0

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.