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Forms 3000-3999

Number

Revision 
Date

OMB 
Number

OMB 
Exp Date

Title

Category

3000-002July 2012  Competitive Oil and Gas or Geothermal Resources 
Lease Bid ( Fillable pdf )
Oil and Gas
Geothermal
3000-003July 20121004-003407/31/2015Assignment of Record Title Interest in a Lease for Oil 
and Gas or Geothermal Resources ( Fillable pdf )
Oil and Gas
Geothermal
3000-003aJuly 20121004-003407/31/2015Transfer of Operating Rights (Sublease) in a Lease 
for Oil and Gas or Geothermal Resources
( Fillable pdf )
Oil and Gas
Geothermal
3000-004June 1988  Oil and Gas or Geothermal Lease Bond
( Fillable pdf )
Oil and Gas
Geothermal
3000-004aJune 1988  Oil and Gas or Geothermal Exploration Bond
( Fillable pdf )
Oil and Gas
Geothermal
3100-011Oct 2008  Offer to Lease and lease for Oil and Gas
( Fillable pdf )
Oil and Gas
3104-003July 1974  Statewide or Nationwide Mineral Lease Bond
( Static pdf )
Oil and Gas
3104-005Dec 1972  Bond Under Permit to Prospect for ______ Deposits
( Static pdf )
Oil and Gas
3104-008aDec 1985  Statewide or Nationwide Oil and Gas Lease 
Bond Rider ( Static pdf )
Oil and Gas
3150-004Sept 20131004-016207/31/2015

Notice of Intent to Conduct Oil and Gas Geophysical 
Exploration Operations ( Fillable pdf )

Oil and Gas
3150-005Sept 20131004-016207/31/2015Notice of Completion of Oil and Gas Exploration 
Operations ( Fillable pdf )
Oil and Gas
3160-003Mar 20121004-013710/31/2014Application for Permit to Drill or Reenter ( Fillable pdf )Oil and Gas
3160-004Mar 20121004-013710/31/2014Well Completion or Re-completion Report and Log
( Fillable pdf )
Oil and Gas
3160-005Mar 20121004-013710/31/2014Sundry Notices and Reports on Wells
( Fillable pdf )
Oil and Gas
3160-008Feb 1987  Designation of Operator ( Static pdf )Oil and Gas
3160-019May 2010  Bond For Surface Owner Protection ( MS Word )Oil and Gas
3160-021Feb 2006  Notification of Well Spud ( MS Word )Oil and Gas 
3200-009April 20111004-013212/31/2013Notice of Intent to Conduct Geothermal Resource 
Exploration Operations ( Fillable pdf )
Geothermal
3200-010Dec 1973  Notice of Completion of Geothermal Resource 
Exploration Operations ( Static pdf )
Geothermal
3200-024Nov 2001  Offer to Lease and Lease for Geothermal Resources
( Fillable pdf )
Geothermal 
3200-024aSept 2008  Offer to Lease and Lease for Geothermal Resources
(For New Leases Issued Under the Energy Policy
Act of 2005 ( Fillable pdf )
Geothermal
3203-001April 20111004-013212/31/2013Nomination of Lands for Competitive Geothermal 
Leasing ( MS Word )
Geothermal
3260-002April 20111004-013212/31/2013Geothermal Drilling Permit ( Fillable pdf )Geothermal
3260-003April 20111004-013212/31/2013Geothermal Sundry Notice ( Fillable pdf )Geothermal
3260-004April 20111004-013212/31/2013Geothermal Well Completion Report ( Fillable pdf )Geothermal
3260-005April 20111004-013212/31/2013Monthly Report of Geothermal Operations 
( Fillable pdf )
Geothermal
3400-012Sept 20131004-007306/30/2016Coal Lease ( Static pdf )Coal
3440-001Sept 20101004-007306/30/2013 Application and License to Mine Coal - Free Use 
( Fillable pdf )
Coal
3504-001Mar 20101004-012102/28/2013Personal Bond and Power of Attorney under Mineral 
Lease or Prospecting Permit for Mining ___________ 
Deposits ( Fillable pdf )
Minerals
Management
3504-003Mar 20101004-012102/28/2013 Bond Under Lease for Mining _____________
Deposits
( Fillable pdf
Minerals
Management 
3504-004Mar 20101004-012102/28/2013Statewide or Nationwide Personal Mineral Bond 
for Prospecting Permits and Leases (Coal, Sodium, 
Phosphate, Potassium, Sulphur, and Other Mineral 
Deposits) ( Fillable pdf )
Minerals
Management
3510-001Mar 20101004-012102/28/2013Prospecting Application and Permit ( Fillable pdf )Minerals
Management
3510-002Mar 20101004-012102/28/2013Phosphate or Sodium Use Permit ( Fillable pdf )Minerals
Management
3520-007Mar 20101004-012102/28/2013Lease for Non-energy Leasable Minerals 
( Fillable pdf )
Minerals
Management
3600-009Feb 20121004-010309/30/2014Contract for the Sale of Mineral Materials (Fillable pdf)Minerals
Management
3809-001May 20121004-019407/31/2013Surface Management Surety Bond ( Fillable pdf )Minerals
Management
3809-002May 20121004-019407/31/2013Surface Management Personal Bond ( Fillable pdf )Minerals
Management
3809-004May 20121004-019407/31/2013Form for Bond Rider Extending Coverage of 
Bond to Assume Liabilities for Operations 
Conducted by Parties Other Than the Principal 
(Consent of Surety) RIDER
( Fillable pdf )
Minerals
Management
3809-004aMay 20121004-019407/31/2013Surface Management Personal Bond Rider 
( Fillable pdf )
Minerals
Management
3809-005May 20121004-019407/31/2013Notification of Change of Operator and Assumption 
of Past Liability ( Fillable pdf )
Minerals
Management
3830-002Nov 20101004-011408/31/2016Maintenance Fee Waiver Certification ( Fillable pdf )Mining Claims
3830-003Nov 20101004-011408/31/2016

Notice of Intent to Locate a Lode or Placer 
Mining Claim(s) and/or Tunnel Site(s) on Lands 
Patented Under the Stockraising Homestead 
Act of 1916 as Amended by the 
Act of April 16, 1993 ( Fillable pdf )

Mining Claims
3830-004Sept 20121004-011408/31/2016Affidavit of Annual Assessment Work (Fillable pdf)Mining Claims
3830-005June 2012  Maintenance Fee Payment Form for Lode Claims, 
Mill Sites, and Tunnel Sites (Static pdf)
Mining Claims
3830-005aJune 2012  Maintenance Fee Payment Form for Placer 
Mining Claims (Static pdf)
Mining Claims
3860-002Mar 20101004-002503/31/2013Certificate of Title on Mining Claims ( Fillable pdf )Mining Claims
3860-005Mar 20101004-002503/31/2013Application for Survey of Mining Claim ( Fillable pdf )Mining Claims