Form 3830-2 - Maintenance Fee Waiver Certification Page 3
Download a blank fillable Form 3830-2 - Maintenance Fee Waiver Certification in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 3830-2 - Maintenance Fee Waiver Certification with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3NOTICES
The Privacy Act and 43 CFR 2.
(d) require that you be furnished the following information in connection with the information
requested by this form.
AUTHORITY: 30 U.S.C. 28f and 43 CFR part 3835 permit collection of the information requested by this form.
PRINCIPAL PURPOSE: The BLM will use the information you provide to verify that the owner(s) (claimants(s)) of a mining claim
has/have complied with 30 U.S.C. 28f and 43 CFR part 3835 and is/are entitled to perform assessment work in lieu of paying the maintenance
fee for the mining claims listed on this form.
ROUTINE USES: The BLM will only disclose this information in accordance with the provisions at 43 CFR 2.
(b) and (c).
EFFECT OF NOT PROVIDING INFORMATION: Disclosure of the requested information is required by 30 U.S.C. 28f and
43 CFR part 3835 for those claimants qualified to request the small miner waiver allowed. Failure to submit all the requested information
or to complete this form will delay the BLM’s processing of the form and may preclude the BLM’s acceptance of the maintenance
fee waiver request, which may result in forfeiture of the mining claim or site by the claimant.
The Paperwork Reduction Act requires us to inform you that:
The BLM collects this information to determine whether or not you are qualified for waiver of maintenance fees.
Submission of the requested information is necessary to obtain or retain a benefit.
You do not have to respond to this or any other Federal agency-sponsored information collection unless it displays a currently valid
OMB control number.
BURDEN HOURS STATEMENT: Public reporting burden for this form is estimated to average 20 minutes per response, including the
time for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. You may submit comments
regarding the burden estimate or any other aspect of this form to: U.S. Department of the Interior, Bureau of Land Management
(1004-0114), Bureau Information Collection Clearance Officer (WO-630), Mail Stop 401 LS, 1849 C St., N.W., Washington, D.C. 20240.
(Form 3830-2, page 3)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 7576013 - Infrastructure Maintenance Fee/franchise Fee - 7576 To Be Used Only By Commonweal Edison - State Of Illinois
Financial
Form 7576 - Infrastructure / Maintenance Fee / Franchise Fee (site Schedule) - Chicago Department Of Revenue
Financial
Form Ct-245 - Maintenance Fee And Activities Return For A Foreign Corporation Disclaiming Tax Liability - 1999
Financial
Form Ct-245 - Maintenance Fee And Activities Return For A Foreign Corporation Disclaiming Tax Liability - 2014
Financial
Related Categories
Parent category: Legal