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OFFICE OF SURFACE MINING RECLAMATION AND ENFORCEMENT
Forms Library
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.
| Originating |
File Type |
Expiration |
Description |
|---|---|---|---|
(OSM) - Office of Surface Mining Forms Library |
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11/2011 |
Coal Reclamation Fee Report |
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11/2011 |
Amended, Coal Reclamation Fee Report |
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Online |
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Coal Reclamation Fee Report File |
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11/30/11 |
Instructions for OSM-1, Coal Reclamation Fee Report |
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09/30/11 |
State Employee Statement of Employment and Financial Interest |
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09/30/11 |
State Employee Statement of Employment and Financial Interest |
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Guidelines for Completing Form OSM-23 |
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Application for Blaster Certification in Federal Program States and on Indian Lands Use to request a blaster certification in Federal Program States and on Indian Lands |
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08/31/09 |
Small Operator Assistance Application |
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01/31/13 |
Abandoned Mine Land Contractor |
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01/31/13 |
Instructions for Abandoned Mine Land Contractor |
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Indefinite |
Hard copy materials are available at your request free of charge while supplies last. Materials such as Annual Reports, Posters, Workbooks, etc. |
Bond Forms |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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Assignment of Certificate of Deposit for Collateral Bond (Corporation) |
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07/31/12 |
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Assignment of Certificate of Deposit for Collateral Bond (Partnership) |
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07/31/12 |
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Assignment of Certificate of Deposit for Collateral Bond (Sole Proprietorship) |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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Amendment to Collateral Bond and Indemnity Agreement |
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07/31/12 |
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07/31/12 |
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Amendment to Collateral Bond and Indemnity Agreement (Partnership) |
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07/31/12 |
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Collateral Bond and Indemnity Agreement |
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07/31/12 |
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Amendment to Collateral Bond and Indemnity Agreement (Sole Proprietorships) |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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Power of Attorney and Agreement for Collateral Bond |
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07/31/12 |
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Power of Attorney and Agreement for Collateral Bond |
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07/31/12 |
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Power of Attorney and Agreement for Collateral Bond |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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07/31/12 |
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Directives Templates |
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Use this sample template to create a Directive |
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Use this sample comment form when preparing a Directive |
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Use this sample change notice form when making changes to an existing Directive |
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Use this sample rescission change notice template to rescend a Directive |
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Financial Assistance Forms |
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Standard Forms |
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03/31/2012 |
Application for Federal Assistance |
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Instructions for completing the Federal Assistance Form |
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07/30/2010 |
Assurances for Non-Construction Programs Form |
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Instructions for completing the Assurances for Non-Construction Programs Form | |
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07/30/2010 |
Assurances for Construction Programs |
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Instructions for completing the Assurances for Construction Programs Form |
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10/31/2011 |
Federal Financial Report |
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10/31/2011 |
Federal Financial Report Attachment |
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7/31/2010 |
Disclosure of Lobbying Activities |
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Debarment, Suspension, and Other Responsibility Matters |
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Optional OSM Forms |
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05/31/2012 |
Budget Information Report |
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Instructions for completing Budget Information Form |
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05/31/2012 |
Budget Information and Financial Reporting |
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Instructions for completing the Budget Information and Financial Reporting form |
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5/31/2012 |
Performance Report/Program Narrative Statement |
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| OSM-60 |
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Report of Government Property |
Internal Optional OSM Forms |
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Financial Assistance Application Checklist |
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Freedom of Information Act (FOIA) Form |
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Freedom of Information Act Form |
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Safety Form |
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Checklist for: Administrative Officers, Collateral Duty Safety Officers and Personnel |
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Technology Transfer Forms |
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03/31/11 |
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) |
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03/31/11 |
Your response to this survey will assist us in evaluating and improving the OSM meeting/forum in which you participated (electronic version) |
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03/31/11 |
Your response to this survey will assist us in evaluating and improving the OSM meeting/forum in which you participated (paper version) |
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(127 KB)