Forms, Applications, and 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 Date |
|---|---|---|
| FOIA Request Form | Freedom of Information Act (FOIA) Request Form | none given |
(OSMRE) - Office of Surface Mining Forms |
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| OSM-1 | Coal Reclamation Fee Report | 2/28/2027 |
| OSM-1 Amended | Amended, Coal Reclamation Fee Report | 2/28/2027 |
| OSM-1 (online) | Coal Reclamation Fee Report File | 2/29/2024 |
| OSM-1 Instructions | Instructions for OSM-1, Coal Reclamation Fee Report | 2/28/2027 |
| OSM-23 | State Employee Statement of Employment and Financial Interest | 08/31/2023 |
| OSMRE-74 | Application for Blaster Certification in Federal Program States and on Indian Lands. Used to request a blaster certification in Federal Program States and on Indian Lands | 4/30/2024 |
| OSM-105 | Nomination and Request for Payment Form for OSM Technical Training Courses | 02/28/2022 |
| OMB 1029-0061 | Small Operator Assistance Application | 07/31/2021 |
|
AML Contractor Information Form Instructions for Completing the AML Contractor Form |
10/31/2024 none given |
|
| OMB 1029-0118 | Citizen's Request for an Inspection | 12/31/2023 |
| OMB 1029-0025 | Citizen Request for Evaluation of a State Regulatory Program | 12/31/2018 |
Bond Forms |
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| General Purpose Rider for Surety Bond | General Purpose Rider for Surety Bond | 10/31/2021 |
| Surety Bond (Corporation) | Surety Bond (Corporation) | 10/31/2021 |
| Surety Bond (Partnership) | Surety Bond (Partnership) | 10/31/2021 |
| Surety Bond (Sole Proprietorship) | Surety Bond (Sole Proprietorship) | 10/31/2021 |
| Assignment of Certificate of Deposit for Collateral Bond (Corporation) | Assignment of Certificate of Deposit for Collateral Bond (Corporation) | 10/31/2021 |
| Assignment of Certification of Deposit for Collateral Bond (Partnership) | Assignment of Certification of Deposit for Collateral Bond (Partnership) | 10/31/2021 |
| Assignment of Certification of Deposit for Collateral Bond (Sole Proprietorship) | Assignment of Certification of Deposit for Collateral Bond (Sole Proprietorship) | 10/31/2021 |
| Escrow Agreement | Escrow Agreement | 10/31/2021 |
| Collateral Bond and Indemnity Agreement (Corporation) | Collateral Bond and Indemnity Agreement (Corporation) | 10/31/2021 |
| Amendment to Collateral Bond and Indemnity Agreement (Corporation) | Amendment to Collateral Bond and Indemnity Agreement (Corporation) | 10/31/2021 |
| Collateral Bond and Indemnity Agreement (Partnership) | Collateral Bond and Indemnity Agreement (Partnership) | 10/31/2021 |
| Amendment to Collateral Bond and Indemnity Agreement (Partnership) | Amendment to Collateral Bond and Indemnity Agreement (Partnership) | 10/31/2021 |
| Collateral Bond and Indemnity Agreement (Sole Proprietorships) | Collateral Bond and Indemnity Agreement (Sole Proprietorships) | 10/31/2021 |
| Amendment to Collateral Bond and Indemnity Agreement (Sole Proprietorships) | Amendment to Collateral Bond and Indemnity Agreement (Sole Proprietorships) | 10/31/2021 |
| Application for Self-Bond | Application for Self-Bond | 10/31/2021 |
| Irrevocable Letter of Credit | Irrevocable Letter of Credit | 10/31/2021 |
| Mortgage or Deed of Trust | Mortgage or Deed of Trust | 10/31/2021 |
| Power of Attorney and Agreement for Collateral Bond (Corporation) | Power of Attorney and Agreement for Collateral Bond (Corporation) | 10/31/2021 |
| Power of Attorney and Agreement for Collateral Bond (Partnership) | Power of Attorney and Agreement for Collateral Bond (Partnership) | 10/31/2021 |
| Power of Attorney and Agreement for Collateral Bond (Sole Proprietorship) | Power of Attorney and Agreement for Collateral Bond (Sole Proprietorship) | 10/31/2021 |
| Self-Bond Agreement | Self-Bond Agreement | 10/31/2021 |
| Self-Bond Indemnity Agreement | Self-Bond Indemnity Agreement | 10/31/2021 |
| Self-Bond Corporate Guarantee | Self-Bond Corporate Guarantee | 10/31/2021 |
Technology Transfer Forms |
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| Technical Assistance Evaluation | 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) | 08/31/2026 |
| Meeting/Forum Evaluation | Your response to this survey will assist us in evaluating and improving the OSMRE meeting/forum in which you participated (electronic version) | 08/31/2023 |
| Technical Transfer Evaluation | To better provide technical transfer activities in the future, we would appreciate your input by completing this form | 08/31/2026 |
Financial Assistance-Optional OSMRE Forms |
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| OSMRE-47 | Budget Information Report | 07/31/2021 |
| OSMRE-47 Instructions | Instructions for completing Budget Information Form | none given |
| OSMRE-49 | Budget Information and Financial Reporting | 07/31/2021 |
| OSMRE-49 Instructions | Instructions for completing the Budget Information and Financial Reporting form | none given |
| OSMRE-51 | Performance Report/Program Narrative Statement | 07/31/2021 |
| OSMRE-60 | Report of Government Property
Note: As of 8/8/13, this form has been discontinued. Please use SF-428 and SF-429 |
N/A |
| Application Checklist | Financial Assistance Application Checklist | none given |
| Grant and Cooperative Agreement Closeout Checklist | Grant and Cooperative Agreement Closeout Checklist | none given |
| Grant or Cooperative Agreement Monitoring Statement | Grant or Cooperative Agreement Monitoring Statement | none given |
Financial Assistance Forms - Pre and Post Award Reporting |
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| All forms can be found at www.grants.gov. | ||
| SF-425 OSMRE Guidance | OSMRE Guidance for Federal Financial Report SF-425 | none given |
| SF-LLL | Disclosure of Lobbying Activities | 07/31/2015 |
(OPM) - Office of Personnel Management Forms |
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| All forms can be found at www.opm.gov/forms. | ||