Application for Transportation and Utility Systems and Facilities on Federal Lands (Standard Form 299)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SF299 USACE Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New	Available
Form SF299 BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New	Repair queued
Form SF299 BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New	Available
Form SF299 BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New	Available
Form SF299 NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New	Available
Form SF299 NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New	Available
Form SF299 NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New	Available
Form SF299 FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New	Available
Form SF299 FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New	Available
Form SF299 FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New	Available
Form SF299 BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Federal Government	Form and Instruction	New	Available
Form SF299 BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New	Available
Form SF299 BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New	Available
Form SF299 BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	Modified	Available
1004-0189-30dayPDF.pdf	Supplementary Document	Uploaded 2008-11-26	Available
2008-1004-0189SuppStatement112208step6.doc	Supporting Statement A	Uploaded 2008-11-22	Available
60-day Federal Register Notice (published).doc.pdf	Supplementary Document	Uploaded 2008-03-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
187176	USACE Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New
187175	BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New
187173	BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New
187172	BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New
187155	NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New
187154	NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New
187153	NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New
187152	FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New
187151	FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New
187150	FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	New
187149	BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Federal Government	Form and Instruction	New
187148	BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	Form and Instruction	New
187147	BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	Form and Instruction	New
10603	BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	Form and Instruction	Modified

ICR Details

OMB Control No: 1004-0189	ICR Reference No: 200803-1004-001
Status: Historical Active	Previous ICR Reference No: 200510-1004-001
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Application for Transportation and Utility Systems and Facilities on Federal Lands (Standard Form 299)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/27/2009
	Date Received in OIRA: 11/26/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	5,786	0	8,340
Time Burden (Hours)	144,351	0	208,500
Cost Burden (Dollars)	8,611,902	0	2,590,000

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Abstract: BLM uses the information to determine whether an applicant is eligible to receive a right-of-way grant, whether the grant is necessary, whether its location and configuration are appropriate.

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Authorizing Statute(s): US Code: 43 USC 1761 et seq. Name of Law: Federal Land Policy and Management Act
   US Code: 30 USC 185 Name of Law: Mineral Leasing Act
   US Code: 16 USC 668dd Name of Law: National Wildlife Refuge System Administration Act
   US Code: 16 USC 3101 et seq. Name of Law: Alaska National Interest Lands Conservation Act
   US Code: 43 USC 959 and 961 Name of Law: null
   US Code: 40 USC 319 Name of Law: null
   US Code: 16 USC 5 Name of Law: null
   US Code: 16 USC 79 Name of Law: null
   US Code: 43 USC 391 Name of Law: The Reclamation Act
   US Code: 43 USC 501 Name of Law: Second Deficiency Appropriation Act for 1924
   US Code: 43 USC 387 Name of Law: Reclamation Project Act of 1939
   US Code: 16 USC 4601-12 et seq. Name of Law: Federal Water Project Recreation Act
   US Code: 16 USC 4601-33 Name of Law: Reclamation Recreation Management Act of 1992
   US Code: 30 USC 603 Name of Law: Mineral Materials Act of 1947
   US Code: 10 USC 2668 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 15192	03/21/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 72074	11/26/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
BLM Application for Transportation and Utility Systems and Facilities on Federal Lands - Federal Government	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
FWS Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	SF299	Application for Transportation and Utility Sytems and Facilities on Federal Lands
NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
NPS Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - Service Providing Industry	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - State and Local Government	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
USACE Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands
BuRec Application for Transportation and Utility Systems and Facilities on Federal Lands - Utilities	SF299	Application for Transportation and Utility Systems and Facilities on Federal Lands

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,786	8,340	0	0	-2,554	0
Annual Time Burden (Hours)	144,351	208,500	0	0	-64,149	0
Annual Cost Burden (Dollars)	8,611,902	2,590,000	0	0	6,021,902	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The adjustments reported are based on three factors: 1) The ICR includes data from four additional agencies; 2) BLM estimates of numbers of applications and burden hours are adjusted based on program experience during the reporting period; and 3) Cost recovery fees have been adjusted.

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Annual Cost to Federal Government: $7,735,634

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 11/26/2008

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