Mining Claims

Number

Revision 
Date

OMB 
Number

OMB 
Exp Date

Title

Category

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 20101004-011408/31/2013Maintenance Fee Waiver Certification (Fillable pdf)Mining Claims
3830-003Nov 20101004-011408/31/2013

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 20121004-011408/31/2013Affidavit 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