ROAD USE FEES PAID REPORT

ICR 199103-1004-001

OMB: 1004-0102

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
117053 Migrated
ICR Details
1004-0102 199103-1004-001
Historical Active 198906-1004-008
DOI/BLM
ROAD USE FEES PAID REPORT
Extension without change of a currently approved collection   No
Regular
Approved without change 05/02/1991
Retrieve Notice of Action (NOA) 03/11/1991
  Inventory as of this Action Requested Previously Approved
05/31/1994 05/31/1994 06/30/1991
100 0 100
25 0 25
0 0 0

THE BLM NEEDS TO KNOW THE ROAD USE FEES AND ROAD MAINTENANCE FEES PAID BY THE LICENSEE TO ASCERTAIN THAT THE TERMS AND CONDITIONS OF THE LICENSE AGREEMENT WERE MET AND TO MAINTAIN ROAD AMORTIZATION AND ROAD MAINTENANCE RECORDS.

None
None


No

1
IC Title Form No. Form Name
ROAD USE FEES PAID REPORT BLM 5400-2

  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) 25 25 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.
03/11/1991


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