Information Collection

Surface Management Personal Bond Rider (43 CFR 3809.500)

IC 45378 under ICR 201903-1004-002 · OMB 1004-0194.

⚠️ Notice: This information collection may be referencing outdated material.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 Management Personal Bond Rider 3809-004a.docx www.blm.gov/noc/st/en/business/eForms.html/ Form

Information Collection (IC) Details

View Information Collection (IC)

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 Management Personal Bond Rider	3809-004a.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: Land and Mineral Authorization Tracking System -- Interior, LLM-32	FR Citation: 56 FR 5014

Number of Respondents: 69	Number of Respondents for Small Entity: 55

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	69	69
Annual IC Time Burden (Hours)	552	552
Annual IC Cost Burden (Dollars)	1,380	1,380

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.