Form ONRR 4440 ONRR 4440 Solid Minerals Sales Summary

Solid Minerals and Geothermal Collections - 30 CFR Parts 1202, 1206, 1210, 1212, 1217, and 1218

AA04_Form ONRR-4440_1-25-2016.xlsx

Solid Minerals Sales Summary

OMB: 1012-0010

Document [xlsx]
Download: xlsx | pdf

Overview

Coal
Sodium Potassium
Western Phosphate
Metals
All Other Ad Valorem
All Other No Ad Valorem


Sheet 1: Coal

Mine Name:









Mine Number:









Sales Point:









Customer ID:









Federal/Indian Indicator (FED/IND):









Sales Month/Year:




















(i) (ii) (iii) (iv) (v) (vii) (viii) (ix) (x) (xi) (xvi)
Purchaser Name or Unique Identification Sales Units Gross Proceeds Processing or Washing Costs Transportation Costs Btu/lb Ash (%) Sulfur (%) lbs SO2 Moisture (%) Other Data e.g., Royalty Calculation Worksheet (As Requested)





































































































































































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.

Sheet 2: Sodium Potassium

Mine Name:






Mine Number:






Sales Point:






Customer ID:






Federal/Indian Indicator (FED/IND):






Sales Month/Year:














(i) (ii) (iii) (iv) (v) (vi) (xii) (xvi)
Purchaser Name or Unique Identification Sales Units Gross Proceeds Processing or Washing Costs Transportation Costs Name of Product Type Sold By-product Units (As Requested) Other Data e.g., Royalty Calculation Worksheet























































































































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.

Sheet 3: Western Phosphate

Mine Name:




Mine Number:




Sales Point:




Customer ID:




Federal/Indian Indicator (FED/IND):




Sales Month/Year:










(i) (ii) (xi) (xii) (xxxv) (xvi)
Purchaser Name or Unique Identification Sales Units Moisture (%) By-product Units P2O5 (%) Other Data e.g., Royalty Calculation Worksheet (As Requested)










































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.

Sheet 4: Metals

Mine Name:







Mine Number:







Sales Point:







Customer ID:







Federal/Indian Indicator (FED/IND):







Sales Month/Year:
















(i) (ii) (iii) (iv) (v) (vi) (xii) (xv) (xvi)
Purchaser Name or Unique Identification Sales Units Gross Proceeds Processing or Washing Costs Transportation Costs Name of Product Type Sold By-product Units (As Requested) Net Smelter Return Data Other Data e.g., Royalty Calculation Worksheet (As Requested)







































































































































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.

Sheet 5: All Other Ad Valorem

Mine Name:







Mine Number:







Sales Point:







Customer ID:







Federal/Indian Indicator (FED/IND):







Sales Month/Year:
















(i) (ii) (iii) (iv) (v) (vi) (xii) (xiv) (xvi)
Purchaser Name or Unique Identification Sales Units Gross Proceeds Processing or Washing Costs Transportation Costs Name of Product Type Sold By-product Units (As Requested) Size (As Requested) Other Data e.g., Royalty Calculation Worksheet (As Requested)







































































































































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.

Sheet 6: All Other No Ad Valorem

Mine Name:



Mine Number:



Sales Point:



Customer ID:



Federal/Indian Indicator (FED/IND):



Sales Month/Year:








(i) (ii) (vi) (xvi)
Purchaser Name or Unique Identification (As Requested) Sales Units Name of Product Type Sold (As Requested) Other Data e.g., Royalty Calculation Worksheet (As Requested)











































































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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