Land Use Application and Permit

ICR 199505-1004-002

OMB: 1004-0009

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
116821 Migrated
ICR Details
1004-0009 199505-1004-002
Historical Active 199207-1004-003
DOI/BLM
Land Use Application and Permit
Extension without change of a currently approved collection   No
Regular
Approved without change 07/24/1995
Retrieve Notice of Action (NOA) 05/18/1995
This information collection request is cleared contingent upon addition of a burden statement informing the public of burden hours and whom they may contact at DOI and OMB with comments. The form must also display an expiration date.
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998 08/31/1995
620 0 0
5,955 0 3,230
0 0 0

The regulations at 43 CFR 2920 provide for non-Federal use of Bureau administered land via lease or permit. Uses include agriculture, trade, or manufacturing concerns and business uses such as outdoor recreation concessions. BLM will determine the validity of uses proposed by private individuals and other qualified proponents from information provided by the proponent on the Land Use Application and Permit form.

None
None


No

1
IC Title Form No. Form Name
Land Use Application and Permit 2920-1

  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 620 0 0 620 0 0
Annual Time Burden (Hours) 5,955 3,230 0 2,725 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
05/18/1995


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