Information Collection

Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)

IC 10457 under ICR 200610-1004-002 · OMB 1004-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5510-1 Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)	Form
5510-1 Free Use Application and Permit Vegetative or Mineral Ma 5510-001[1].pdf web.eforms.blm.gov:8201/FormsCentral/show-form.do?nodeId=900	Form

IC Title:

Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 5510 43 CFR 3620

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5510-1	Free Use Application and Permit Vegetative or Mineral Materials	5510-001[1].pdf	https://web.eforms.blm.gov:8201/FormsCentral/show-form.do?nodeId=900	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 476

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	476	176	300
Annual IC Time Burden (Hours)	952	802	150
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.