Information Collection

Authorizing Grazing Use, Form 4130-5 (43 CFR 4130.3-2(d))

IC 184144 under ICR 200801-1004-001 · OMB 1004-0041.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0041 can be found here:

Documents and Forms

Document Name Document Type
Form 4130-5 Authorizing Grazing Use, Form 4130-5 (43 CFR 4130.3-2(d)) Form
4130-5 Actual Grazing Use Report BLM_4130-5.pdf www.blm.gov/FormsCentral/show-form.do?nodeId=820 Form
43cfr4130.3-2.pdf 43 CFR 4130.3-2(d) (Terms and Conditions--Other Terms and Conditions) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Authorizing Grazing Use, Form 4130-5 (43 CFR 4130.3-2(d))	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 4130.3-2(d)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	4130-5	Actual Grazing Use Report	BLM_4130-5.pdf	https://www.blm.gov/FormsCentral/show-form.do?nodeId=820	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: 15,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	15,000	15,000
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
43 CFR 4130.3-2(d) (Terms and Conditions--Other Terms and Conditions)	43cfr4130.3-2.pdf	03/14/2008

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