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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.