Bond Rider Extending Coverage of Bond (43 CFR 3809.500)

Surface Management Activities under the General Mining Law (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⚠️ Notice: This information collection may be referencing outdated material.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 3809-4 Bond Rider Extending Coverage of Bond (43 CFR 3809.500) Form
3809-4 Form for Bond Rider Extending Covering of Bond to Assume 3809-004.docx www.blm.gov/noc/st/en/business/eForms.html/ Form

Information Collection (IC) Details

IC Title:	Bond Rider Extending Coverage of Bond (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	3809-4	Form for Bond Rider Extending Covering of Bond to Assume Liabilities for Operations Conducted by Parties Other Than the Principal (Consent of Surety)	3809-004.docx	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: 25	Number of Respondents for Small Entity: 20

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

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.