Miscellaneous Forms, 1600-1699
| Number | Revision Date | OMB Number | OMB Exp Date | Title | Category |
|---|---|---|---|---|---|
| 1822-003 | Sept 2019 | Bid Bond | |||
| 1822-004 | Sept 2019 | Cash Bond (Fillable Form) | Forestry |
Electronic Forms
The BLM's National Operation Center provides most publicly available forms electronically through the links below. We update these forms regularly. Please check back often to ensure that you are using the most recent version of a form.
For questions regarding which form to use or how to complete a form, please contact your local BLM office.
For accessibility questions or if you require assistance with filling out a form, please contact Brianna Huerta, BLM Section 508 Program Manager, at bhuerta@blm.gov. This contact will not be able to identify the correct form to use. Please contact your local BLM office to assist you with identifying the proper form to use.
Miscellaneous
Lands and Realty, Recreation and Visitor
| Number | Revision Date | OMB Number | OMB Exp Date | Title | Category |
|---|---|---|---|---|---|
| 2001-001 | June 2014 | Bidder Registration Form - Competitive Land Sale | Lands and Realty | ||
| 2520-001 | Nov 2018 | 1004-0004 | 9/30/2021 | Desert Land Entry Application | Lands and Realty |
| 2540-001 | Sept 2019 | 1004-0029 | 10/31/2021 | Color of Title Application | Lands and Realty |
| 2540-002 | Sept 2019 | 1004-0029 | 10/31/2021 | Conveyances Affecting Color or Claim of Title | Lands and Realty |
| 2540-003 | Sept 2019 | 1004-0029 | 10/31/2021 | Color of Title Tax Levy and Payment Record | Lands and Realty |
| 2740-001 | May 2016 | 1004-0012 | 3/31/2019 | Application for Land for Recreation or Public Purposes | Lands and Realty |
| 2920-001 | April 2017 | 1004-0009 | 03/31/2020 | Land Use Application and Permit | Lands and Realty |
| 2930-001 | Feb 2017 | 1004-0119 | 01/31/2020 | Special Recreation Permit Application | Lands and Realty |
| 8400-001 | March 2018 | Scenic Quality Field Inventory | Recreation | ||
| 8400-004 | June 2018 | Visual Contrast Rating Worksheet | Recreation | ||
| 8400-005 | August 2017 | Scenic Quality Rating Summary | Recreation | ||
| 8400-006 | March 2018 | Sensitivity Level Rating Sheet | Recreation |
Fluid and Solid Minerals, Mining Claims
Fluid and Solid Minerals, Mining Claims Forms, 3000-3999
Number Revision Date OMB Number OMB Exp Date Title Category 3000-002 07/01/2012 Competitive Oil and Gas or Geothermal Resources Lease Bid Oil and Gas Geothermal 3000-003 August 2018 1004-0034 06/30/2021 Assignment of Record Title Interest in a Lease for Oil and Gas or Geothermal Resource Oil and Gas Geothermal 3000-003a August 2018 1004-0034 06/30/2021 Transfer of Operating Rights (Sublease) in a Lease for Oil and Gas or Geothermal Resources Oil and Gas Geothermal 3000-004 January 2020 Oil and Gas or Geothermal Lease Bond Oil and Gas Geothermal 3000-004a January 2020 Oil and Gas or Geothermal Exploration Bond Oil and Gas Geothermal 3100-011 10/01/2008 Offer to Lease and Lease for Oil and Gas Oil and Gas 3104-003 07/01/1974 Statewide or Nationwide Mineral Lease Bond Oil and Gas 3104-005 12/01/1972 Bond Under Permit to Prospect for Deposits Oil and Gas 3104-008a 12/01/1985 1004-0162 Statewide or Nationwide Oil and Gas Lease Bond Rider Oil and Gas 3150-004 Nov 2018 1004-0162 10/31/2021 Notice of Intent to Conduct Oil and Gas Geophysical Exploration Operations Oil and Gas 3150-005 Nov 2018 1004-0137 10/31/2021 Notice of Completion of Oil and Gas Geophysical Exploration Operations Oil and Gas 3160-003 June 2019 1004-0137 10/31/2021 Application for Permit to Drill or Reenter Oil and Gas 3160-004 June 2019 1004-0137 10/31/2021 Well Completion or Re-completion Report and Log Oil and Gas 3160-005 June 2019 10/31/2021 Sundry Notices and Reports on Wells Oil and Gas 3160-008 02/01/1987 Designation of Operator Oil and Gas 3160-019 05/01/2010 Bond for Surface Owner Protection Oil and Gas 3160-021 02/01/2006 1004-0179 Notification of Well Spud Oil and Gas 3195-001 November 2018 10/31/2021 Calculation of Excess Refining Capacity Oil and Gas 3195-002 November 2018 1004-0179 10/31/2021 Refiners' Annual Tolling Report Oil and Gas 3195-003 November 2018 1004-0179 10/31/2021 Refiners' Tolling Occurrence Report Oil and Gas 3200-009 April 2019 1004-0132 02/29/2020 Notice of Intent to Conduct Geothermal Resource Exploration Operations Geothermal 3200-010 12/01/1973 Notice of Completion of Geothermal Resource Exploration Operations Geothermal 3200-024 11/01/2001 Offer to lease and Lease for Geothermal Resources Geothermal 3200-024a 09/01/2008 Offer to Lease and Lease for Geothermal Resources (For New Leases Issued Under the Energy Policy Act of 2005) Geothermal 3203-001 Sept 2019 1004-0132 02/29/2020 Nomination of Lands for Competitive Geothermal Leasing Geothermal 3260-002 April 2019 1004-0132 02/29/2020 Geothermal Drilling Permit Geothermal 3260-003 April 2019 1004-0132 02/29/2020 Geothermal Sundry Notice Geothermal 3260-004 April 2019 1004-0132 02/29/2020 Geothermal Well Completion Report Geothermal 3260-005 April 2019 1004-0132 02/29/2020 Monthly Report of Geothermal Operations Geothermal 3400-012 July 2018 1004-0073 01/31/2020 Coal Lease Coal 3440-001 Dec 2019 1004-0073 01/31/2020 Application and License to Mine Coal - Free Use Coal 3504-001 08/01/2016 1004-0121 08/31/2019 Personal Bond and Power of Attorney under Mineral Lease or Prospecting Permit for Mining Minerals Management 3504-003 08/01/2016 1004-0121 08/31/2019 Bond under Lease for Mining Deposits Minerals Management 3504-004 08/01/2016 1004-0121 08/31/2019 Statewide or Nationwide Personal Mineral Bond for Prospecting Permits and Leases (Coal, Sodium, Phosphate, Potassium, Sulphur, and Other Mineral) Minerals Management 3510-001 08/01/2016 1004-0121 08/31/2019 Prospecting Application and Permit Minerals Management 3510-002 08/01/2016 1004-0121 08/31/2019 Phosphate or Sodium Use Permit Minerals Management 3510-007 08/01/2016 1004-0121 08/31/2019 Lease for Non-energy Leasable Minerals Minerals Management 3600-009 Oct 2019 1004-0103 12/31/2020 Contract for the Sale of Mineral Materials Minerals Management 3604-001 06/01/2013 1004-001 08/31/2016 Free Use Permit Application Mineral Material Minerals Management 3604-001a Feb 2017 1004-001 12/31/2019 Free Use Permit Application Minerals Management 3604-001b Feb 2017 1004-001 12/31/2019 Mineral Material Free Use Permit Minerals Management 3809-001 May 2020 1004-0194 04/30/2023 Surface Management Surety Bond Minerals Management 3809-002 May 2020 1004-0194 04/30/2023 Surface Management Personal Bond Minerals Management 3809-004 May 2020 1004-0194 04/30/2023 Form for Bond Rider Extending Coverage of Bond to Assume Liabilities for Operations Conducted by Parties Other Than the Principal (Consent of Surety) Rider Minerals Management 3809-004a May 2020 1004-0194 04/30/2023 Surface Management Personal Bond Rider Minerals Management 3809-005 May 2020
1004-0194 04/30/2023 Notification of Change of Operator and Assumption of Past Liability Minerals Management 3830-002 April 2020 1004-0114 04/30/2023 Maintenance Fee Waiver Certification Mining Claims 3830-003 April 2020 1004-0114 04/30/2023 Notice of Intent to Locate a Lode or Placer Mining Claim(s) and/or Tunnel Site(s) on Lands Patented under the Stock-raising Homestead Act of 1916 as Amended by the Act of April 16, 1993 Mining Claims 3830-004 April 2020 1004-0114 04/30/2023 Affidavit of Annual Assessment Work Mining Claims 3830-005 July 2019 Maintenance Fee Payment Form for Lode Claims, Mill Sites, and Tunnel Sites Mining Claims 3830-005a July 2019 Maintenance Fee Payment Form for Placer Mining Claims Mining Claims 3860-002 March 2019 1004-0025 03/31/2022 Certificate of Title on Mining Claims Mining Claims 3860-005 March 2019 1004-0025 03/31/2022 Application for Survey of Mining Claim Mining Claims
Rangeland Resources, Wild Horse and Burros
Rangeland Resources, Wild Horse and Burros Forms, 4000-4999
| Number | Revision Date | OMB Number | OMB Exp Date | Title | Category |
|---|---|---|---|---|---|
| 4120-006 | May 2020 | 1004-0019 | 03/31/2023 | Cooperative Range Improvement Agreement | Rangeland Resources |
| 4120-007 | May 2020 | 1004-0019 | 03/31/2023 | Application and Approval for Range Improvement Permit - For Removable and/or Temporary Improvements | Rangeland Resources |
| 4130-001 | Jan 2018 | 1004-0041 | 12/31/2020 | Grazing Schedule - Grazing Application | Rangeland Resources |
| 4130-001a | Jan 2018 | 1004-0041 | 12/31/2020 | Grazing Preference Application and Preference Transfer Application (Base Property Preference Attachment and Assignment) | Rangeland Resources |
| 4130-001b | Jan 2018 | 1004-0041 | 12/31/2020 | Grazing Application - Supplemental Information | Rangeland Resources |
| 4130-004 | Jan 2018 | 1004-0041 | 12/31/2020 | Application for Exchange of Use Grazing Agreement | Rangeland Resources |
| 4130-005 | Jan 2018 | 1004-0041 | 12/31/2020 | Actual Grazing Use Report | Rangeland Resources |
| 4710-010 | July 2020 | 1004-0042 | 02/28/2021 | Application for Adoption of Wild Horse(s) or Burro(s) | Rangeland Resources |
| 4710-024 | July 2020 | 1004-0042 | 02/28/2021 | Facility Certification Form | Rangeland Resources |
Forestry
Forestry Forms, 5000-5999
| Number | Revision Date | OMB Number | OMB Exp Date | Title | Category |
|---|---|---|---|---|---|
| SBA 723 |
Small Business Certification Required on all Preferential Sales of Set-aside Timber |
||||
| 5430-001 | May 1965 | ||||
| 5430-011 | Nov 2011 | Independent Price Determination Certificate | |||
| 5440-009 | Jan 2018 | Deposit & Bid for Timber and other Vegetative Resource Sales | |||
| 5450-003 | Dec 2011 | Contract for the sale of Timber – Lump Sum Sale | |||
| 5450-017 | June 2016 | 1004-0058 | 11/30/2022 | Export Determination | Forestry |
| 5450-020 | Jan 2017 | 1004-0194 | 01/31/2020 | Notification of Change of Operator and Assumption of Past Liability | Forestry |
| 5450-022 | Nov 2011 | Cash Bid Bond | |||
| 5460-017 | Dec 2019 | 1004-0058 | 11/30/2022 | Substitution Determination | Forestry |
| 5510-001 | April 2017 | 1004-001 | 12/31/2019 | Free Use Application and Permit - Vegetation or Mineral Material | Forestry |
Frequently Used GSA Form: SF-299, Application for Transportation and Utility Systems and Facilities on Federal Lands.
There are two types of PDF forms: fillable and static. Fillable PDF Forms can be filled in online and then printed. Static PDF Forms can be printed and information can be handwritten or typed on the paper copy. To view, complete and print PDF forms you will need the freely available Adobe Acrobat® Reader software installed on your computer.