Form 3860-5, Application for Survey of Mining Claim (43 CFR Subpart 3861)

Mineral Surveys, Mineral Patent Applications, Adverse Claims, Protests, and Contests (43 CFR Parts 3860 and 3870)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0025 can be found here:

Documents and Forms

Document Name Document Type
Form 3860-5 Form 3860-5, Application for Survey of Mining Claim (43 CFR Subpart 3861) Form and Instruction
3860-5 Application for Survey of Mining Claim 1004-0025_FORM3860-5_exp 3.31.19.pdf www.blm.gov/noc/st/en/business/eForms.html Form and Instruction

Information Collection (IC) Details

IC Title:	Form 3860-5, Application for Survey of Mining Claim (43 CFR Subpart 3861)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3861

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3860-5	Application for Survey of Mining Claim	1004-0025_FORM3860-5_exp 3.31.19.pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Lands & Minerals Authorization Tracking System--Interior, LLM-32	FR Citation: 56 FR 5014

Number of Respondents: 1	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.