Notification of Change of Operator and Assumption of Past Liability (43 CFR 3809.116)

Surface Management Activities under the General Mining Law (43 CFR Subpart 3809)

Documents and Forms

Document Name Document Type
Form 3809-005 Notification of Change of Operator and Assumption of Past Liability (43 CFR 3809.116) Form
3809-005 Notification of Change of Operator and Assumption of Pas 3809-005-Notification of Change of Operator and Assumption of Past Liability.pdf www.blm.gov/services/electronic-forms Form

Information Collection (IC) Details

IC Title:	Notification of Change of Operator and Assumption of Past Liability (43 CFR 3809.116)	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 3809.116

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3809-005	Notification of Change of Operator and Assumption of Past Liability	3809-005-Notification of Change of Operator and Assumption of Past Liability.pdf	https://www.blm.gov/services/electronic-forms	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: 57	Number of Respondents for Small Entity: 42

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

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	57	5	52
Annual IC Time Burden (Hours)	456	40	416
Annual IC Cost Burden (Dollars)	0	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.