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OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT
Forms, applications, & instructions
This site provides the most current official version of forms, applications, and instructions. We are linking you directly to the websites of the originators of the forms. This site links to the following form libraries: Department of the Interior; Office of Personnel Management; General Services Administration, and other forms.
| TITLE |
DESCRIPTION |
EXPIRATION |
|---|---|---|
Freedom of Information Act (FOIA) Request Form |
none given | |
(OSM) - Office of Surface Mining Forms | ||
12/31/14 | ||
Amended, Coal Reclamation Fee Report | 12/31/14 | |
Coal Reclamation Fee Report File | none given | |
Instructions for OSM-1, Coal Reclamation Fee Report | none given | |
State Employee Statement of Employment and Financial Interest | 08/31/14 | |
Application for Blaster Certification in Federal Program States and on Indian Lands. Use to request a blaster certification in Federal Program Staes and on Indian Lands | 01/31/15 | |
Small Operator Assistance Application | 08/31/15 | |
Abandoned Mine Land Contractor | 01/31/16 | |
Instructions for Abandoned Mine Land Contractor | none given | |
Citizen's Request for an Inspection | 10/31/14 | |
Hard copy materials are available at your request free of charge while supplies last. Materials such as Annual Reports, Posters, Workbooks, etc. | none given | |
Bond Forms | ||
General Purpose Rider for Surety Bond |
09/30/15 | |
Surety Bond (Corporation) | 09/30/15 | |
Surety Bond (Partnership) | 09/30/15 | |
Surety Bond (Sole Proprietorship) |
09/30/15 | |
Assignment of Certificate of Deposit for Collateral Bond (Corporation) | Assignment of Certificate of Deposit for Collateral Bond (Corporation) | 09/30/15 |
Assignment of Certification of Deposit for Collateral Bond (Partnership) | Assignment of Certification of Deposit for Collateral Bond (Partnership) | 09/30/15 |
Assignment of Certification of Deposit for Collateral Bond (Sole Proprietorship) | Assignment of Certification of Deposit for Collateral Bond (Sole Proprietorship) | 09/30/15 |
Escrow Agreement | 09/30/15 | |
Collateral Bond and Indemnity Agreement (Corporation) | 09/30/15 | |
Amendment to Collateral Bond and Indemnity Agreement (Corporation) | Amendment to Collateral Bond and Indemnity Agreement (Corporation) | 09/30/15 |
Collateral Bond and Indemnity Agreement (Partnership) | 09/30/15 | |
Amendment to Collateral Bond and Indemnity Agreement (Partnership) | Amendment to Collateral Bond and Indemnity Agreement (Partnership) | 09/30/15 |
Collateral Bond and Indemnity Agreement (Sole Propriertorships) | Collateral Bond and Indemnity Agreement (Sole Propriertorships) | 09/30/15 |
Amendment to Collateral Bond and Indemnity Agreement (Sole Propriertorships) | Amendment to Collateral Bond and Indemnity Agreement (Sole Propriertorships) | 09/30/15 |
Application for Self-Bond | 09/30/15 | |
Irrevocable Letter of Credit | 09/30/15 | |
Mortgage or Deed of Trust | 09/30/15 | |
Power of Attorney and Agreement for Collateral Bond (Corporation) |
Power of Attorney and Agreement for Collateral Bond (Corporation) |
09/30/15 |
Power of Attorney and Agreement for Collateral Bond (Partnership) |
Power of Attorney and Agreement for Collateral Bond (Partnership) |
09/30/15 |
Power of Attorney and Agreement for Collateral Bond (Sole Propriertorship) |
Power of Attorney and Agreement for Collateral Bond (Sole Propriertorship) |
09/30/15 |
Self-Bond Agreement |
09/30/15 | |
Self-Bond Indemnity Agreement |
09/30/15 | |
Self-Bond Corporate Guarantee |
09/30/15 | |
Technology Transfer Forms | ||
Your response to this survey will assist us in evaluating and improving our performance on the technical assistance provided for a project or activity (electronic version) | 05/31/14 | |
Your response to this survey will assist us in evaluating and improving the OSM meeting/forum in which you participated (electronic version) |
05/31/14 | |
To better provide technical transfer activities in the future, we would appreciate your input by completing this form |
05/31/14 | |
Financial Assistance-Optional OSM Forms | ||
Budget Information Report |
07/31/15 | |
Instructions for completing Budget Information Form |
none given | |
Budget Information and Financial Reporting |
07/31/15 | |
Instructions for completing the Budget Information and Financial Reporting form |
none given | |
Performance Report/Program Narrative Statement |
07/31/15 | |
Report of Government Property | none given | |
Debarment, Suspension, and Other Responsibility Matters |
none given | |
Financial Assistance-Internal Optional OSM Forms | ||
Financial Assistance Application Checklist |
none given | |
Grant and Cooperative Agreement Closeout Checklist |
none given | |
Grant or Cooperative Agreement Monitoring Statement |
none given | |
(GSA) General Services Administration Forms for Financial Assistance- Linked to GSA | ||
An application for Federal assistance | 03/31/12 | |
Instructions for completing the Federal Assistance Form |
none given | |
Assurances for Non-Construction Programs Form |
06/30/14 | |
Assurances for Construction Programs |
06/30/14 | |
Federal Financial Report | 02/28/15 | |
Federal Financial Report Instructions |
none given | |
Federal Financial Report Attachment |
none given | |
Federal Financial Report Attachment Instructions | none given | |
Disclosure of Lobbying Activities | 07/31/15 | |