Information Collection

Land Use Application and Permit (43 CFR 2920) (private sector / typical)

IC 183064 under ICR 201009-1004-005 · OMB 1004-0009.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0009 can be found here:

Documents and Forms

Document Name Document Type
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (private sector / typical) Form and Instruction
2920-1 Land Use Application and Permit Form 2920-1.pdf www.blm.gov/blmforms/Forms/index.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Land Use Application and Permit (43 CFR 2920) (private sector / typical)	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 2920

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2920-1	Land Use Application and Permit	Form 2920-1.pdf	http://www.blm.gov/blmforms/Forms/index.htm	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: 286	Number of Respondents for Small Entity: 286

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	286	-223	509
Annual IC Time Burden (Hours)	286	-1,413	1,699
Annual IC Cost Burden (Dollars)	22,880	-125,239	148,119

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.