Form ONRR-4440 Solid Minerals Sales Summary

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Overview

Coal
Sodium Potassium
Western Phosphate
Metals
All Other Ad Valorem

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Sheet 1: Coal

(i) Mine Name:

(ii) Mine Number:

(iii) Customer ID:

(iv) Federal/Indian Indicator (FED/IND):

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

(xii)

(xiii)

(xiv)

(xv)

(xvi)

(xvii)

(xviii)

(xix)

(xx)

(xxi)

(xxii)

(xxiii)

(xxiv)

(xxv)

(xxvi)

(xxvii)

P&R Submission ID

P&R Equivalent Product Name

Sales Point

Submission Type: Original (O) Adjustment (A) Original Revision (O-R) Adjustment Revision (A-R)

Sales Month/Year: (MM/YYYY)

Purchaser Name

Delivery Point

Sales Summary Product Name

Contract ID

Contract Term: Indicate Spot (S) or Long Term (LT)

Contract Type: Indicate Non-Arm's Length (NARM) or Arm's Length (ARMS)

Destination Point(s)

Sales Units

Gross Proceeds

Processing or Washing Costs

Transportation Costs

Size

Btu/lb

Ash (%)

Sulfur (%)

lbs SO2/ MMBtu

Sodium Oxide (%)

Moisture (%)

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et. Seq.) requires us to inform you that we collect this information to receive the mine-level volume and valuation information to start our compliance activities. ONRR uses the information to support ONRR's compliance and asset management process. Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4)), and the Departmental regulations (43 CFR 2). An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. We estimate the public reporting burden for this form at an average 1 hour per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Send your comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Office of Natural Resources Revenue, Attention: Rules & Regs Team, MS 61030A, P.O. Box 25165, Denver, CO 80225-0165.

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Sheet 2: Sodium Potassium

(i) Mine Name:

(ii) Mine Number:

(iii) Customer ID:

(iv) Federal/Indian Indicator (FED/IND):

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

(xii)

(xiii)

(xiv)

(xv)

(xvi)

(xvii)

(xviii)

(xx)

(xxviii)

(xxix)

(xxx)

P&R Submission ID

P&R Equivalent Product Name

Sales Point

Submission Type: Original (O) Adjustment (A) Original Revision (O-R) Adjustment Revision (A-R)

Sales Month/Year: (MM/YYYY)

Purchaser Name

Delivery Point

Sales Summary Product Name

Contract ID

Contract Term: Indicate Spot (S) or Long Term (LT)

Contract Type: Indicate Non-Arm's Length (NARM) or Arm's Length (ARMS)

Destination Point(s)

Sales Units

Gross Proceeds

Transportation Costs

Foreign (F) or Domestic (D)

Reagent Costs

Bagging Costs

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et. Seq.) requires us to inform you that we collect this information to receive the mine-level volume and valuation information to start our compliance activities. ONRR uses the information to support ONRR's compliance and asset management process. Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4)), and the Departmental regulations (43 CFR 2). An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. We estimate the public reporting burden for this form at an average 1 hour per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Send your comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Office of Natural Resources Revenue, Attention: Rules & Regs Team, MS 61030A, P.O. Box 25165, Denver, CO 80225-0165.

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Sheet 3: Western Phosphate

(i) Mine Name:

(ii) Mine Number:

(iii) Customer ID:

(iv) Federal/Indian Indicator (FED/IND):

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xiii)

(xxvii)

(xxxi)

(xxxii)

(xxxiii)

(xxxiv)

(xxxv)

P&R Submission ID

P&R Equivalent Product Name

Sales Point

Submission Type: Original (O) Adjustment (A) Original Revision (O-R) Adjustment Revision (A-R)

Sales Month/Year: (MM/YYYY)

Purchaser Name

Sales Summary Product Name

Moisture (%)

Sales Units (Wet Tons)

Sales Units (Dry Tons)

Unit Value

P2O5 Tons

P2O5 (%)

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et. Seq.) requires us to inform you that we collect this information to receive the mine-level volume and valuation information to start our compliance activities. ONRR uses the information to support ONRR's compliance and asset management process. Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4)), and the Departmental regulations (43 CFR 2). An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. We estimate the public reporting burden for this form at an average 1 hour per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Send your comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Office of Natural Resources Revenue, Attention: Rules & Regs Team, MS 61030A, P.O. Box 25165, Denver, CO 80225-0165.

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Sheet 4: Metals

(i) Mine Name:

(ii) Mine Number:

(iii) Customer ID:

(iv) Federal/Indian Indicator (FED/IND):

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

(xii)

(xiii)

(xiv)

(xv)

xvi

(xvii)

(xviii)

(xix)

(xx)

P&R Submission ID

P&R Equivalent Product Name

Sales Point

Submission Type: Original (O) Adjustment (A) Original Revision (O-R) Adjustment Revision (A-R)

Sales Month/Year: (MM/YYYY)

Purchaser Name

Delivery Point

Sales Summary Product Name

Contract ID

Contract Term: Indicate Spot (S) or Long Term (LT)

Contract Type: Indicate Non-Arm's Length (NARM) or Arm's Length (ARMS)

Destination Point(s)

Sales Units

Gross Proceeds

Processing or Washing Costs

Transportation Costs

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et. Seq.) requires us to inform you that we collect this information to receive the mine-level volume and valuation information to start our compliance activities. ONRR uses the information to support ONRR's compliance and asset management process. Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4)), and the Departmental regulations (43 CFR 2). An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. We estimate the public reporting burden for this form at an average 1 hour per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Send your comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Office of Natural Resources Revenue, Attention: Rules & Regs Team, MS 61030A, P.O. Box 25165, Denver, CO 80225-0165.

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Sheet 5: All Other Ad Valorem

(i) Mine Name:

(ii) Mine Number:

(iii) Customer ID:

(iv) Federal/Indian Indicator (FED/IND):

(v)

(vi)

(vii)

(viii)

(ix)

(x)

(xi)

(xii)

(xiii)

(xiv)

(xv)

(xvi)

(xvii)

(xviii)

(xix)

(xx)

(xxi)

P&R Submission ID

P&R Equivalent Product Name

Sales Point

Submission Type: Original (O) Adjustment (A) Original Revision (O-R) Adjustment Revision (A-R)

Sales Month/Year: (MM/YYYY)

Purchaser Name

Delivery Point

Sales Summary Product Name

Contract ID

Contract Term: Indicate Spot (S) or Long Term (LT)

Contract Type: Indicate Non-Arm's Length (NARM) or Arm's Length (ARMS)

Destination Point(s)

Sales Units

Gross Proceeds

Processing or Washing Costs

Transportation Costs

Size

Paperwork Reduction Act of 1995 (PRA) Statement: The PRA (44 U.S.C. 3501 et. Seq.) requires us to inform you that we collect this information to receive the mine-level volume and valuation information to start our compliance activities. ONRR uses the information to support ONRR's compliance and asset management process. Responses are mandatory (43 U.S.C. 1334). Proprietary information is protected in accordance with standards established by the Federal Oil and Gas Royalty Management Act of 1982 (30 U.S.C. 1733), the Freedom of Information Act (5 U.S.C. 552(b)(4)), and the Departmental regulations (43 CFR 2). An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. We estimate the public reporting burden for this form at an average 1 hour per response, including the time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Send your comments regarding the burden estimate or any other aspect of this form to the Information Collection Clearance Officer, Office of Natural Resources Revenue, Attention: Rules & Regs Team, MS 61030A, P.O. Box 25165, Denver, CO 80225-0165.