Information Collection

Land Use Application and Permit (43 CFR 2920) (State and Local Government)

IC 183063 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (State and Local Government) 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

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Land Use Application and Permit (43 CFR 2920) (State and Local Government)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 2920

Information Collection 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: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5	0	5
Annual IC Time Burden (Hours)	5	0	5
Annual IC Cost Burden (Dollars)	407	407	0

Documents for IC

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.