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Surface Management Personal Bond Rider (43 CFR 3809.500)
Surface Management Activities under the General Mining Law (43 CFR Subpart 3809)
OMB: 1004-0194
IC ID: 45378
OMB.report
DOI/BLM
OMB 1004-0194
ICR 202301-1004-002
IC 45378
( )
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-Surface Management Personal Bond Rider.pdf
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-Surface Management Personal Bond Rider.pdf
http://www.blm.gov/noc/st/en/business/eForms.html/
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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:
85
Number of Respondents for Small Entity:
55
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
85
0
0
16
0
69
Annual IC Time Burden (Hours)
680
0
0
128
0
552
Annual IC Cost Burden (Dollars)
1,700
0
0
320
0
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.