Information Collection

Land Use Application and Permit (43 CFR 2920) (individuals)

IC 10465 under ICR 200712-1004-001 · OMB 1004-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0009 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (individuals)	Form
2920-1 Land Use Application and Permit BLM_2920-1 Final Changes Legs-Regs Fill Fields Fix.pdf web.eforms.blm.gov:8201/FormsCentral/show-form.do?nodeId=665#	Form

IC Title:

Land Use Application and Permit (43 CFR 2920) (individuals)

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 2920

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	2920-1	Land Use Application and Permit	BLM_2920-1 Final Changes Legs-Regs Fill Fields Fix.pdf	https://web.eforms.blm.gov:8201/FormsCentral/show-form.do?nodeId=665#	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: 5

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	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	0	-585	590
Annual IC Time Burden (Hours)	5	0	-2,132	2,137
Annual IC Cost Burden (Dollars)	407	-15,593	0	16,000

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.