1861 lines
61 KiB
HTML
1861 lines
61 KiB
HTML
<!DOCTYPE html>
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<html lang="en" dir="ltr">
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<title>Forms, Applications, and Instructions | Office of Surface Mining Reclamation and Enforcement</title>
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<body>
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Skip to main content
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<p class="usa-banner__header-text">An official website of the United States government</p>
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<p class="usa-banner__header-action" aria-hidden="true">Here's how you know</p>
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<span class="usa-banner__button-text">Here's how you know</span>
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<p>
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<strong>Official websites use .gov</strong>
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<br>
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A <strong>.gov</strong> website belongs to an official government organization in the United States.
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) or <strong>https://</strong> means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
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</section>
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<section class="site-alert">
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<div id="block-dmbnotificationsblock" class="settings-tray-editable block block-dismissible-message-bar block-dmb-notifications-block" data-drupal-settingstray="editable">
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<div><div class="dmb-notifications-ajax-wrapper"></div>
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</div>
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</div>
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</div>
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</section>
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<div class="usa-overlay"></div>
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<header class="usa-header usa-header--extended usa-header--extended-megamenu osmre-header" id="header" role="banner">
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<div class="usa-logo site-logo osmre-logo" id="logo">
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<img src="../themes/custom/osmre/OSMLogoColor.png" alt="Home" />
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</a>
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<a href="../index.html" accesskey="1" title="Home" aria-label="Home">
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<span>U.S. Department of the Interior</span>
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Office of Surface Mining Reclamation and Enforcement
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</a>
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</em>
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</div>
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<button class="usa-menu-btn">Menu</button>
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<img src="../themes/custom/osmre/assets/uswds/img/usa-icons/close.svg" alt="close"/>
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<button class="usa-accordion__button usa-nav__link " aria-expanded="false" aria-controls="extended-mega-nav-section-1">
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<span>About OSMRE</span>
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<div id="extended-mega-nav-section-1" class="usa-nav__submenu usa-megamenu osmre-menu" hidden="">
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<div class="usa-nav__submenu-item">
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<a title="Read about OSMRE" href="../about.html">
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<span><h3>About OSMRE</h3></span>
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</a>
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</div>
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</div>
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<div class="osmre-menu-row">
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<div class="">
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<div class="usa-nav__submenu-item">
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<a title="OSMRE Contacts" class="usa-nav__link" href="../about/general-information.html">
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<span><strong>General Information</strong></span>
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</a>
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<li class="usa-nav__submenu-item">
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<a href="../contact-us/map.html" title="OSMRE Map" >
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<span>OSMRE Map</span>
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<a href="../contact-us/state-tribal-contacts.html" title="State & Tribal Contacts" >
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<span>State and Tribal Contacts</span>
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</ul>
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<div class="">
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<div class="usa-nav__submenu-item">
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<a title="Our Mission and Vision Statements" class="usa-nav__link" href="../about/mission-and-vision.html">
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<span><strong>Mission & Vision</strong></span>
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</a>
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</div>
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<li class="usa-nav__submenu-item">
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<a href="../about/history.html" title="OSMRE History" >
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<span>History</span>
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</a>
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</li>
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</ul>
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</div>
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<div class="">
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<div class="usa-nav__submenu-item">
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<a title="OSMRE Offices" class="usa-nav__link" href="../about/offices.html">
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<span><strong>Offices and Organizations</strong></span>
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</a>
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</div>
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<ul id="basic-nav-section-3" class="usa-nav__submenu-list">
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<li class="usa-nav__submenu-item">
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<a href="../about/principal-deputy-director.html" title="OSMRE Principal Deputy Director" >
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<span>OSMRE Principal Deputy Director</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item">
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<a href="../about/deputy-director.html" title="Deputy Director of OSMRE" >
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<span>OSMRE Deputy Director</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item">
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<a href="../about/youth-volunteers.html" title="Information for Youth and Volunteers" >
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<span>Volunteers and Internships</span>
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</a>
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</li>
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</ul>
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</div>
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</div>
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</div>
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</li>
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<li class="usa-nav__primary-item">
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<button class="usa-accordion__button usa-nav__link " aria-expanded="false" aria-controls="extended-mega-nav-section-2">
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<span>Programs</span>
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</button>
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<div id="extended-mega-nav-section-2" class="usa-nav__submenu usa-megamenu osmre-menu" hidden="">
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<div class="osmre-menu-header">
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<div class="usa-nav__submenu-item">
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<a title="OSMRE's main programs" href="../programs.html">
|
||
<span><h3>Programs</h3></span>
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||
</a>
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</div>
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</div>
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<div class="osmre-menu-row">
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<div class="">
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<div class="usa-nav__submenu-item">
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<a title="Reclaiming Abandoned Mine Lands" class="usa-nav__link" href="../programs/reclaiming-abandoned-mine-lands.html">
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<span><strong>Reclaiming Abandoned Mine Lands</strong></span>
|
||
</a>
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</div>
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<ul id="basic-nav-section-1" class="usa-nav__submenu-list">
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<li class="usa-nav__submenu-item">
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<a href="../programs/abandoned-mine-land-awards-program.html" title="AML Awards" >
|
||
<span>Abandoned Mine Land (AML) Awards</span>
|
||
</a>
|
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|
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</li>
|
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<li class="usa-nav__submenu-item">
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|
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<a href="../programs/reclaiming-abandoned-mine-lands/amler.html" >
|
||
<span>AML Economic Revitalization (AMLER) Program</span>
|
||
</a>
|
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</li>
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<li class="usa-nav__submenu-item">
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<a href="../programs/reclaiming-abandoned-mine-lands/amdtreat.html" title="AMDTreat" >
|
||
<span>AMDTreat</span>
|
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</a>
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</li>
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<li class="usa-nav__submenu-item">
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|
||
<a href="../programs/reclamation-in-action.html" title="Reclamation in Action" >
|
||
<span>Reclamation in Action</span>
|
||
</a>
|
||
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</li>
|
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<li class="usa-nav__submenu-item">
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<a href="../programs/e-amlis.html" title="e-AMLIS" >
|
||
<span>e-AMLIS</span>
|
||
</a>
|
||
|
||
</li>
|
||
|
||
|
||
</ul>
|
||
|
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</div>
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<div class="">
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<div class="usa-nav__submenu-item">
|
||
<a title="Regulating Active Coal Mines" class="usa-nav__link" href="../programs/regulating-active-coal-mines.html">
|
||
<span><strong>Regulating Active Coal Mines</strong></span>
|
||
</a>
|
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</div>
|
||
|
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<ul id="basic-nav-section-2" class="usa-nav__submenu-list">
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<li class="usa-nav__submenu-item">
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||
|
||
<a href="../programs/regulating-active-coal-mines/excellence-in-surface-coal-mining-reclamation-awards.html" title="Active Mine Awards" >
|
||
<span>Excellence in Surface Coal Mining Reclamation Awards</span>
|
||
</a>
|
||
|
||
</li>
|
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|
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<li class="usa-nav__submenu-item">
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<a href="../avs.html" title="Applicant Violator System" >
|
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<span>Applicant Violator System</span>
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</a>
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</li>
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<li class="usa-nav__submenu-item">
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<a href="../programs/regulating-active-coal-mines/blasting.html" title="Blasting " >
|
||
<span>Blasting </span>
|
||
</a>
|
||
|
||
</li>
|
||
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<a href="https://sscr.osmre.gov/" title="Coal Reclamation Fee Report" >
|
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<span>Coal Reclamation Fee Report</span>
|
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|
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<span>Compliance Management</span>
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<a href="../programs/regulating-active-coal-mines/chia.html" title="Cumulative Hydrologic Impact Assessment" >
|
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<span>Cumulative Hydrologic Impact Assessment</span>
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<a href="../programs/regulating-active-coal-mines/federal-lands.html" >
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<span>Indian Lands</span>
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<a href="../laws-and-regulations/authorizations-to-proceed.html" title="The process in which individual projects are requested and approved is called the Authorization to Proceed (ATP)." >
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<span>Chronology of Major SMCRA-Related Events</span>
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<a href="../laws-and-regulations/nepa/projects.html" >
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<span>NEPA Projects and Documentation</span>
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<a href="coalex-reports.html" title="Coalex Reports " >
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<div class="usa-nav__submenu-item">
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<a href="federal-assistance-manual.html" title="Federal Assistance Manual (FAM)" >
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<span>Federal Assistance Manual</span>
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<a href="faqs.html" title="FAQs" >
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<span>Frequently Asked Questions</span>
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<a href="grants-resources.html" title="Grants an" >
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<span>Grants and Funding Opportunities</span>
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<div class="usa-nav__submenu-item">
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|
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<a href="reclamation-bonds.html" title="Reclamation Bonds " >
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<span>Reclamation Bonds </span>
|
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</a>
|
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</div>
|
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<div class="">
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<a href="sustainability.html" title="OSMRE Sustainable Procurement Plan (SPP)" >
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<span>Sustainability</span>
|
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|
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<span><h3>Newsroom</h3></span>
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<a href="../news/archive.html" title="OSMRE's News Archive" >
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<span>Archive</span>
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<div class="usa-nav__submenu-item">
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<a href="../news.html" title="Most Recent OSMRE News Releases" >
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<div class="usa-nav__secondary">
|
||
<form class="usa-search usa-search--small" action="https://www.osmre.gov/search/node" method="get" id="search-block-form" accept-charset="UTF-8">
|
||
<div role="search">
|
||
|
||
<input class="usa-input" id="extended-search-field-small" type="search" name="keys" />
|
||
<button class="usa-button" type="submit">
|
||
<img
|
||
src="../themes/custom/osmre/assets/uswds/img/usa-icons-bg/search--white.svg"
|
||
class="usa-search__submit-icon"
|
||
alt="Search" />
|
||
</button>
|
||
</div>
|
||
</form>
|
||
|
||
|
||
<ul class="usa-nav__secondary-links">
|
||
|
||
|
||
|
||
<li class="usa-nav__secondary-item">
|
||
<a title="Definitions for vocabulary found on OSMRE.gov" href="a-z-index.html">
|
||
A-Z Index
|
||
</a>
|
||
</li>
|
||
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
|
||
</div>
|
||
</nav>
|
||
|
||
|
||
</header>
|
||
|
||
|
||
<main class="main-content usa-layout-docs usa-section osmre-section" role="main"
|
||
id="main-content">
|
||
<a id="main-content" tabindex="-1"></a>
|
||
<div class="grid-container">
|
||
|
||
<div class="grid-row">
|
||
|
||
</div>
|
||
|
||
<div class="">
|
||
<div data-drupal-messages-fallback class="hidden"></div>
|
||
|
||
|
||
</div>
|
||
|
||
|
||
<div class="grid-row grid-gap osmre-row">
|
||
<aside
|
||
class="usa-layout-docs__sidenav desktop:grid-col-3 layout-sidebar-first osmre-sidebar-first"
|
||
role="complementary">
|
||
|
||
|
||
|
||
<div id="block-resourcesmenu" class="settings-tray-editable" data-drupal-settingstray="editable">
|
||
|
||
|
||
|
||
|
||
<ul class="usa-sidenav osmre-sidenav ">
|
||
|
||
|
||
|
||
<li class="usa-sidenav__item first last">
|
||
<a title="OSMRE's Resources and Documents" href="../resources.html">
|
||
<span>Resources</span>
|
||
</a>
|
||
|
||
</li>
|
||
</ul>
|
||
|
||
|
||
|
||
|
||
</div>
|
||
|
||
|
||
|
||
</aside>
|
||
|
||
<div class="usa-layout-docs__main desktop:grid-col-9 osmre-layout-docs__main">
|
||
|
||
<h1 class="margin-0">
|
||
<span>Forms, Applications, and Instructions</span>
|
||
</h1>
|
||
|
||
|
||
<div id="block-osmre-content" class="block block-system block-system-main-block">
|
||
|
||
|
||
|
||
|
||
|
||
<div class="node node--type-simple-page node--view-mode-full ds-3col-stacked-fluid clearfix">
|
||
|
||
|
||
|
||
<div class="group-header">
|
||
|
||
<div><p>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.</p>
|
||
<table class="usa-table usa-table--borderless osmre-table">
|
||
<thead>
|
||
<tr>
|
||
<th scope="col">Title</th>
|
||
<th scope="col">Description</th>
|
||
<th scope="col">Expiration Date</th>
|
||
</tr>
|
||
</thead>
|
||
<tbody>
|
||
<tr>
|
||
<th class="bg-primary-lighter" colspan="3">
|
||
<p class="text-center"><a href="https://www.doi.gov/eforms">(DOI) - Department of Interior Forms</a></p>
|
||
</th>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="https://www.doi.gov/foia/contacts">FOIA Request Form</a></th>
|
||
<td>Freedom of Information Act (FOIA) Request Form</td>
|
||
<td>none given</td>
|
||
</tr>
|
||
<tr>
|
||
<th class="bg-primary-lighter" colspan="3">
|
||
<h4 class="text-center">(OSMRE) - Office of Surface Mining Forms</h4>
|
||
</th>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="56d6373d-7d5d-4c78-898b-878a79a1da55" filename="Coal_Reclamation_Fee_Report.pdf" href="../sites/default/files/inline-files/Coal_Reclamation_Fee_Report.pdf" title="Coal Reclamation Fee Report pdf ">OSM-1</a></th>
|
||
<td>Coal Reclamation Fee Report</td>
|
||
<td>2/28/2027</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="147cc5ef-a18d-48db-9cd8-dc80ccaa4ca6" filename="Amended_Coal_Reclamation_Fee_Report.pdf" href="../sites/default/files/inline-files/Amended_Coal_Reclamation_Fee_Report.pdf" title="Amended Coal Reclamation Fee Report pdf">OSM-1 Amended</a></th>
|
||
<td>Amended, Coal Reclamation Fee Report</td>
|
||
<td>2/28/2027</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="http://sscr.osmre.gov/">OSM-1 (online)</a></th>
|
||
<td>Coal Reclamation Fee Report File</td>
|
||
<td>2/29/2024</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="06483008-d729-46be-93fc-4bd8c135f580" filename="Instructions_OSM-1_Coal_Reclamation_Fee_Report.pdf" href="../sites/default/files/inline-files/Instructions_OSM-1_Coal_Reclamation_Fee_Report.pdf" title="Instructions for OSM-1 Coal Reclamation Fee Report, pdf">OSM-1 Instructions</a></th>
|
||
<td>Instructions for OSM-1, Coal Reclamation Fee Report</td>
|
||
<td>2/28/2027</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM23.pdf">OSM-23</a></th>
|
||
<td>State Employee Statement of Employment and Financial Interest</td>
|
||
<td>08/31/2023</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSMRE74.pdf">OSMRE-74</a></th>
|
||
<td>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</td>
|
||
<td>4/30/2024</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM105.pdf">OSM-105</a></th>
|
||
<td>Nomination and Request for Payment Form for OSM Technical Training Courses</td>
|
||
<td>02/28/2022</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/SOAP.pdf">OMB 1029-0061</a></th>
|
||
<td>Small Operator Assistance Application</td>
|
||
<td>07/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row">
|
||
<p><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="f13a8b2f-4beb-4561-b317-10b4ccfdc819" filename="AML_Contractor_Information_Form_2024.pdf" href="../sites/default/files/inline-files/AML_Contractor_Information_Form_2024.pdf" title="OMB 1029-0119">OMB 1029-0119</a></p>
|
||
<ul>
|
||
<li><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="fd08b9b9-c1fb-480c-a3fd-96f52b5cc4fd" filename="OMB_1029-0119_instructions_11_10_2022.pdf" href="../sites/default/files/inline-files/OMB_1029-0119_instructions_11_10_2022.pdf" title="OMB 1029-0119">OMB 1029-0119 Instructions</a></li>
|
||
</ul>
|
||
</th>
|
||
<td>
|
||
<p>AML Contractor Information Form</p>
|
||
<p>Instructions for Completing the AML Contractor Form</p>
|
||
</td>
|
||
<td>
|
||
<p>10/31/2024</p>
|
||
<p>none given</p>
|
||
</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OMB1029-0118.pdf">OMB 1029-0118</a></th>
|
||
<td>Citizen's Request for an Inspection</td>
|
||
<td>12/31/2023</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OMB1029-0025.pdf">OMB 1029-0025</a></th>
|
||
<td>Citizen Request for Evaluation of a State Regulatory Program</td>
|
||
<td>12/31/2018</td>
|
||
</tr>
|
||
<tr>
|
||
<th class="bg-primary-lighter" colspan="3">
|
||
<h4 class="text-center">Bond Forms</h4>
|
||
</th>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/General_Purpose_Rider_Surety_Bond.pdf">General Purpose Rider for Surety Bond</a></th>
|
||
<td>General Purpose Rider for Surety Bond</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Surety_Bond_Corporation.pdf">Surety Bond (Corporation)</a></th>
|
||
<td>Surety Bond (Corporation)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Surety_Bond_Partnership.pdf">Surety Bond (Partnership)</a></th>
|
||
<td>Surety Bond (Partnership)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Surety_Bond_Sole_Proprietorship.pdf">Surety Bond (Sole Proprietorship)</a></th>
|
||
<td>Surety Bond (Sole Proprietorship)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Assignment_Certificate_Deposit_Collateral_Bond_Corporation.pdf">Assignment of Certificate of Deposit for Collateral Bond (Corporation)</a></th>
|
||
<td>Assignment of Certificate of Deposit for Collateral Bond (Corporation)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Assignment_Certificate_Deposit_Collateral_Bond_Partnership.pdf">Assignment of Certification of Deposit for Collateral Bond (Partnership)</a></th>
|
||
<td>Assignment of Certification of Deposit for Collateral Bond (Partnership)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Assignment_Certificate_Deposit_Collateral_Bond_Sole_Proprietorship.pdf">Assignment of Certification of Deposit for Collateral Bond (Sole Proprietorship)</a></th>
|
||
<td>Assignment of Certification of Deposit for Collateral Bond (Sole Proprietorship)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Escrow_Agreement.pdf">Escrow Agreement</a></th>
|
||
<td>Escrow Agreement</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Collateral_Bond_Indemnity_Corporation.pdf">Collateral Bond and Indemnity Agreement (Corporation)</a></th>
|
||
<td>Collateral Bond and Indemnity Agreement (Corporation)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Amendment_Collateral_Bond_Indemnity_Corporation.pdf">Amendment to Collateral Bond and Indemnity Agreement (Corporation)</a></th>
|
||
<td>Amendment to Collateral Bond and Indemnity Agreement (Corporation)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Collateral_Bond_Indemnity_Partnership.pdf">Collateral Bond and Indemnity Agreement (Partnership)</a></th>
|
||
<td>Collateral Bond and Indemnity Agreement (Partnership)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Amendment_Collateral_Bond_Indemnity_Partnership.pdf">Amendment to Collateral Bond and Indemnity Agreement (Partnership)</a></th>
|
||
<td>Amendment to Collateral Bond and Indemnity Agreement (Partnership)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Collateral_Bond_Indemnity_Agreement_Sole_Proprietorships.pdf">Collateral Bond and Indemnity Agreement (Sole Proprietorships)</a></th>
|
||
<td>Collateral Bond and Indemnity Agreement (Sole Proprietorships)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Collateral_Bond_Indemnity_Agreement_Sole_Proprietorships.pdf">Amendment to Collateral Bond and Indemnity Agreement (Sole Proprietorships)</a></th>
|
||
<td>Amendment to Collateral Bond and Indemnity Agreement (Sole Proprietorships)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Application_Self-Bond.pdf">Application for Self-Bond</a></th>
|
||
<td>Application for Self-Bond</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Irrevocable_Letter_of_Credit.pdf">Irrevocable Letter of Credit</a></th>
|
||
<td>Irrevocable Letter of Credit</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Mortgage_Deed_of_Trust.pdf">Mortgage or Deed of Trust</a></th>
|
||
<td>Mortgage or Deed of Trust</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Power_of_Attorney_Agreement_Collateral_Bond_Corporation.pdf">Power of Attorney and Agreement for Collateral Bond (Corporation)</a></th>
|
||
<td>Power of Attorney and Agreement for Collateral Bond (Corporation)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Power_of_Attorney_Agreement_Collateral_Bond_Partnership.pdf">Power of Attorney and Agreement for Collateral Bond (Partnership)</a></th>
|
||
<td>Power of Attorney and Agreement for Collateral Bond (Partnership)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Power_of_Attorney_Agreement_Sole_Proprietorship.pdf">Power of Attorney and Agreement for Collateral Bond (Sole Proprietorship)</a></th>
|
||
<td>Power of Attorney and Agreement for Collateral Bond (Sole Proprietorship)</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Self-Bond_Agreement.pdf">Self-Bond Agreement</a></th>
|
||
<td>Self-Bond Agreement</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Self-Bond_Indemnity_Agreement.pdf">Self-Bond Indemnity Agreement</a></th>
|
||
<td>Self-Bond Indemnity Agreement</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/Self-Bond_Corporate_Guarantee.pdf">Self-Bond Corporate Guarantee</a></th>
|
||
<td>Self-Bond Corporate Guarantee</td>
|
||
<td>10/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th class="bg-primary-lighter" colspan="3">
|
||
<h4 class="text-center">Technology Transfer Forms</h4>
|
||
</th>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="f160d415-df27-463a-8ecc-819dcc1b11d3" filename="TechAsstEval_2026_fillable.pdf" href="../sites/default/files/inline-files/TechAsstEval_2026_fillable.pdf" title="Technical Assistance Evaluation ">Technical Assistance Evaluation</a></th>
|
||
<td>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)</td>
|
||
<td>08/31/2026</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/MeetingForumEval.pdf">Meeting/Forum Evaluation</a></th>
|
||
<td>Your response to this survey will assist us in evaluating and improving the OSMRE meeting/forum in which you participated (electronic version)</td>
|
||
<td>08/31/2023</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a class="file file--mime-application-pdf file--application-pdf" data-entity-type="file" data-entity-uuid="15b02a31-1ddc-4b83-95d2-5727cd9612a6" filename="techtransfereval_2026_fillable.pdf" href="../sites/default/files/inline-files/techtransfereval_2026_fillable.pdf" title="Technical Transfer Evaluation ">Technical Transfer Evaluation</a></th>
|
||
<td>To better provide technical transfer activities in the future, we would appreciate your input by completing this form</td>
|
||
<td>08/31/2026</td>
|
||
</tr>
|
||
<tr>
|
||
<th class="bg-primary-lighter" colspan="3">
|
||
<h4 class="text-center">Financial Assistance-Optional OSMRE Forms</h4>
|
||
</th>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM47.pdf">OSMRE-47</a></th>
|
||
<td>Budget Information Report</td>
|
||
<td>07/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM47-Instructions.pdf">OSMRE-47 Instructions</a></th>
|
||
<td>Instructions for completing Budget Information Form</td>
|
||
<td>none given</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM49.pdf">OSMRE-49</a></th>
|
||
<td>Budget Information and Financial Reporting</td>
|
||
<td>07/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM49-Instructions.pdf">OSMRE-49 Instructions</a></th>
|
||
<td>Instructions for completing the Budget Information and Financial Reporting form</td>
|
||
<td>none given</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/OSM51.pdf">OSMRE-51</a></th>
|
||
<td>Performance Report/Program Narrative Statement</td>
|
||
<td>07/31/2021</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row">OSMRE-60</th>
|
||
<td>Report of Government Property
|
||
<p> <em>Note</em>: As of 8/8/13, this form has been discontinued. Please use <a href="https://www.gsa.gov/Forms/TrackForm/33025">SF-428</a> and <a href="https://www.gsa.gov/Forms/TrackForm/33030">SF-429</a></p></td>
|
||
<td>N/A</td>
|
||
</tr>
|
||
<tr>
|
||
<th scope="row"><a href="../sites/default/files/pdfs/ApplicationChecklist.pdf">Application Checklist</a></th>
|
||
<td>Financial Assistance Application Checklist</td>
|
||
<td>none given</td>
|
||
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<tr>
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<th scope="row"><a href="../sites/default/files/pdfs/GCACC.pdf">Grant and Cooperative Agreement Closeout Checklist</a></th>
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<td>Grant and Cooperative Agreement Closeout Checklist</td>
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<td>none given</td>
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<th scope="row"><a href="../sites/default/files/pdfs/GCAMS.pdf">Grant or Cooperative Agreement Monitoring Statement</a></th>
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<td>Grant or Cooperative Agreement Monitoring Statement</td>
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<td>none given</td>
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<h4 class="text-center">Financial Assistance Forms - Pre and Post Award Reporting</h4>
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<tr>
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<td class="text-align-center" colspan="3">All forms can be found at <a href="https://www.grants.gov/web/grants/forms/sf-424-family.html">www.grants.gov</a>.</td>
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<td>none given</td>
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<th scope="row"><a href="http://www.gsa.gov/portal/getFormFormatPortalData?mediaId=30797">SF-LLL</a></th>
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<td>07/31/2015</td>
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