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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.