FREE USE APPLICATION AND PERMIT

ICR 198711-1004-001

OMB: 1004-0001

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
116795 Migrated
ICR Details
1004-0001 198711-1004-001
Historical Active 198409-1004-001
DOI/BLM
FREE USE APPLICATION AND PERMIT
Extension without change of a currently approved collection   No
Regular
Approved without change 01/22/1988
Retrieve Notice of Action (NOA) 11/04/1987
BLM should specify on the form that the annual report on the amount of material removed is only needed for ALaska. BLM should submit the revised form to OMB when it is printed.
  Inventory as of this Action Requested Previously Approved
10/31/1990 10/31/1990 10/31/1987
100 0 100
8 0 8
0 0 0

TO ENABLE PROPER MANAGEMENT OF MATERIA DISPOSAL (CHRISTMAS TREES, FUELWOOD, ETC.) WHEN PRODUCT SALE IS NOT FEASIBLE OR IN THE BEST INTEREST OF THE GOVERNMENT, FREE USE IS PROVIDED. THIS FORM IS USED TO IDENTIFY SPECIFIC TYPES OF MATERIAL AN GEOGRAPHIC LOCATION AS WELL AS AUTHORIZATION FOR REMOVAL.

None
None


No

1
IC Title Form No. Form Name
FREE USE APPLICATION AND PERMIT 5510-1

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 100 0 0 0 0
Annual Time Burden (Hours) 8 8 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/04/1987


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