Form ONRR-4430 Solid Minerals Production and Royalty Report

U.S. Department of the Interior
Office of Natural Resources Revenue

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2014

U.S. Department of the Interior
Office of Natural Resources Revenue
Solid Minerals Production and Royalty Report
Customer Name:
Customer Number:
Customer Document ID:
Mine Name:

Payment Due:

Original Data Total:
Other Financial Obligation Total:
Value & Volume Adjustment Total:
Credit Amount:
GRAND TOTAL:
Name of Preparer:
Signature of Preparer:

FOR ONRR USE ONLY

Business Unit:
(Circle one)
Federal/State/Fee
-orIndian/State/Fee

Payment Method (check one):
Electronic Funds Transfer
Check to ONRR
Indian Direct Pay
Indian Lockbox

$
<

>

Credit ID:

Date:
Phone Number:

The Paperwork Reduction Act of 1995 requires us to inform you that we collect this information from all Federal and Indian solid mineral lessees. We estimate the burden is 20 minutes per
report per month reporting electronically. Proprietary information is protected under the Freedom of Information Act (5 U.S.C. 552 (b) (4), the Trade Secrets Act (18 U.S.C. 1832) and
Department 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. Direct any comments regarding the burden estimate or any other aspect of this torm to Office of Natural Resources Revenue, Attn: Rules & Regs Team, MS 61030A,
PO Box 25165, Denver CO 80225-0165.
Form ONRR-4430 (Rev. 6/2013)

Page 1

U.S. Department of the Interior
Office of Natural Resources Revenue

Federal or
Indian
Lease Number

Product

Solid Minerals Production and Royalty Report
Original Data Lease Level Detail

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

Gross Proceeds

$

Allowed
Transportation
Cost

Units
Produced

Units Transferred

Gross Proceeds

Allowed
Transportation
Cost

Allowed
Processing Costs
$
Production
Available
for Sale

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2014

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Royalty Rate

Royalty Payment
Due
$

Units Sold

Ending Inventory

Comments:
Federal or
Indian
Lease Number

Product

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

$

Units
Produced

Units Transferred

Gross Proceeds

Allowed
Transportation
Cost

Allowed
Processing Costs
$
Production
Available
for Sale

Comments:
State
Lease Number

Product

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

$

Units
Produced

Units Transferred

Gross Proceeds

Allowed
Transportation
Cost

Allowed
Processing Costs
$
Production
Available
for Sale

Comments:
Fee
Lease Number

Product

Sales
Month/
Year

Sales Point

Beginning
Inventory

Inventory/
Volume
Adjustment

$

Units
Produced

$

Units Transferred

Allowed
Processing Costs
$
Production
Available
for Sale

Comments:
Form ONRR-4430

Page 2

U.S. Department of the Interior

OMB Control Number 1012-0010

Office of Natural Resources Revenue

Solid Minerals Production and Royalty Report

Mine Data Summary:
Sales
Month/Year

Product

Units
Produced

Units Sold

Units
Produced

Units Sold

Totals:

Remote Data Summary:
Sales
Month/Year

Product

Totals:

$
$
$
$
$

$
$
$
$
$

Gross
Proceeds

Gross
Proceeds

$
$
$
$
$

$
$
$
$
$

Total
Allowed Cost

Total
Allowed Cost

OMB Approval Expires January 31, 2014

$
$
$
$
$

$
$
$
$
$

Royalty
Payment

Royalty
Payment

Other Financial Obligations Detail:
Other financial obligations are any payment obligations other than production royalty, e.g.; Recoupable Rent, Advance Royalty, Minimum
Royalty, Deferred Bonuses, and Minimum Royalty payable in advance.
Obligation
Due Date
(MMDDYY)

Lease
Number

Obligation
Type

Total:
Form ONRR-4430

$
$
$
$
$
$
$

Obligation
Amount

Page 3

U.S. Department of the Interior
Office of Natural Resources Revenue

Solid Minerals Production and Royalty Report
Value and Volume Adjustments

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2014

Summary of Changes for the Mine:
Sales
Month/Year

Product

ONRR/Company Initiated?

Interest Bearing
(Yes/No)

Interest From
Date

Gross Proceeds
Net Change

Processing
Cost Net
Change

Transportation
Cost Net
Change

Units
Units
Federal or Indian
Produced Transferred Net Units Sold
Royalty Net
Change
Net Change
Net Change
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

$

$

$

$

Totals:
Note: Totals for the mine (above) should equal totals for leases and properties (below).

Above Changes for Mine Affect These Leases and Properties:
Sales
Month/Year

Product

Federal or State Lease
Number or Fee Property

Gross Proceeds
Net Change

Transportation
Cost Net
Change

Processing Cost
Net Change

Units Produced
Net Change

Units
Transferred
Net Change

Units Sold
Net Change

Federal or Indian
Royalty Net
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

5

$

$

$

$

6

$

$

$

$

7

$

$

$

$

8

$

$

$

$

9

$

$

$

$

10

$

$

$

$

11

$

$

$

$

12

$

$

$

$

13

$

$

$

$

14

$

$

$

$

15

$

$

$

$

16

$

$

$

$

$

$

$

$

Do you have cascading changes?

Totals:

Most changes to mine and lease volumes (lease production, transfers, sales) in one month will cause volume changes (to sales, transfers, lease allocations) in subsequent months
(cascading effect). Do any of the volume changes reported above cause changes in mine or lease-level inventories or lease-level allocation ratios for subsequent months? (Yes/No) _______
If the answer is "Yes," prepare another Volume and Value Adjustment page for each affected month. In all likelihood, you will need to submit volume adjustments for all months after
the month you reported changes for (above) through the most recent month for which you submitted original data.
Form ONRR-4430

Page 4

U.S. Department of the Interior
Office of Natural Resources Revenue

Solid Minerals Production and Royalty Report
Value and Volume Adjustments

OMB Control Number 1012-0010
OMB Approval Expires January 31, 2014

Summary of Changes for the Remote:
Sales
Month/Year

Product

ONRR/Company Initiated?

Interest Bearing
(Yes/No)

Interest From
Date

Gross Proceeds
Net Change

Processing
Cost Net
Change

Transportation
Cost Net
Change

Units
Units
Federal or Indian
Produced Transferred Net Units Sold
Royalty Net
Change
Net Change
Net Change
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

$

$

$

$

Totals:

Note: Totals for the remote (above) should equal totals for leases and properties (below).

Above Changes for Remote Affect These Leases and Properties:
Sales
Month/Year

Product

Federal or State Lease
Number or Fee Property

Gross Proceeds
Net Change

Transportation
Cost Net
Change

Processing Cost Units Produced
Net Change
Net Change

Units
Transferred
Net Change

Units Sold
Net Change

Federal or Indian
Royalty Net
Change

1

$

$

$

$

2

$

$

$

$

3

$

$

$

$

4

$

$

$

$

5

$

$

$

$

6

$

$

$

$

7

$

$

$

$

8

$

$

$

$

9

$

$

$

$

10

$

$

$

$

11

$

$

$

$

12

$

$

$

$

13

$

$

$

$

14

$

$

$

$

15

$

$

$

$

16

$

$

$

$

$

$

$

$

Do you have cascading changes?

Totals:

Most changes to remote and lease volumes (lease production, transfers, sales) in one month will cause volume changes (to sales, transfers, lease allocations) in subsequent months
(cascading effect). Do any of the volume changes reported above cause changes in mine or lease-level inventories or lease-level allocation ratios for subsequent months? (Yes/No) _______
If the answer is "Yes," prepare another Volume and Value Adjustment page for each affected month. In all likelihood, you will need to submit volume adjustments for all months after
the month you reported changes for (above) through the most recent month for which you submitted original data.
Form ONRR-4430

Page 5