Information Collection

Annual FLPMA Documents (43 CFR Part 3835, Subpart C)

IC 192034 under ICR 201206-1004-002 · OMB 1004-0114.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0114 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3830-4 Annual FLPMA Documents (43 CFR Part 3835, Subpart C)	Form and Instruction
3830-4 Affidavit of Annual Assessment Work Final 3830-4 Affidavit of Annual Assessment Work.docx	Form and Instruction

IC Title:

Annual FLPMA Documents (43 CFR Part 3835, Subpart C)

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 Part 3835, Subpart C (To search for a specific CFR, visit the Code of Federal Regulations.)

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	3830-4	Affidavit of Annual Assessment Work	Final 3830-4 Affidavit of Annual Assessment Work.docx		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: 6,316

Number of Respondents for Small Entity: 4,381

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	6,316	462	5,854
Annual IC Time Burden (Hours)	3,158	231	2,927
Annual IC Cost Burden (Dollars)	63,160	4,620	58,540

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.