Information Collection

Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)

IC 10457 under ICR 200907-1004-004 · OMB 1004-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0001 can be found here:

Documents and Forms

Document Name Document Type
Form 5510-1 Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510) Form and Instruction
5510-1 Free Use Application and Permit BLM_5510-1.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)	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 5510 43 CFR 3620

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	5510-1	Free Use Application and Permit	BLM_5510-1.pdf		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 476	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	476	0	476
Annual IC Time Burden (Hours)	238	-714	952
Annual IC Cost Burden (Dollars)	0	0	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.