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Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments
Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912)
OMB: 1004-0012
IC ID: 10474
OMB.report
DOI/BLM
OMB 1004-0012
ICR 200905-1004-002
IC 10474
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0012 can be found here:
2021-09-13 - Extension without change of a currently approved collection
2018-09-11 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 2740-001
Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments
Form and Instruction
2740-001 Application for Land for Recreation or Public Purposes
BLM_2740-1.pdf
www.blm.gov/blmforms/Forms/index.htm
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments
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 2741.4
43 CFR 2741.6
43 CFR 2912.2
43 CFR 2912.3
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
2740-001
Application for Land for Recreation or Public Purposes
BLM_2740-1.pdf
http://www.blm.gov/blmforms/Forms/index.htm
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Recreational Resource Management and Tourism
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
21
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
50 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
21
0
0
19
0
2
Annual IC Time Burden (Hours)
840
0
0
760
0
80
Annual IC Cost Burden (Dollars)
2,100
0
0
1,900
0
200
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.