Information Collection

43 CFR Part 3430, Subpart 3430 Preference Right Lease

IC 45518 under ICR 201201-1004-001 · OMB 1004-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0073 can be found here:

Documents and Forms

Document Name Document Type
Form 3400-12 43 CFR Part 3430, Subpart 3430 Preference Right Lease Form
3400-12 Coal Lease Form 3400-12.pdf www.blm.gov/blmforms/Forms/index.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	43 CFR Part 3430, Subpart 3430 Preference Right Lease	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 3430.4-1 43 CFR 3430.2-1

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3400-12	Coal Lease	Form 3400-12.pdf	http://www.blm.gov/blmforms/Forms/index.htm	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	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.