Bureau of Land Management Resource Advisory Council Application (43 CFR Subpart 1784)

Forms and Documents

Document Name	Status
Form 1784 Bureau of Land Management Resource Advisory Council Application Form and Instruction	New
30-day notice.pdf Supplementary Document	2012-09-28
RAC Supporting Statement.doc Supporting Statement A	2012-09-21
60-DAY NOTICE.pdf Supplementary Document	2012-09-12
43 CFR Subpart 1784.pdf Supplementary Document	2012-09-12

IC Document Collections

IC ID	Document Title	Status
204015	Bureau of Land Management Resource Advisory Council Application Form and Instruction	New

ICR Details

OMB Control No: 1004-0204	ICR Reference No: 201209-1004-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Bureau of Land Management Resource Advisory Council Application (43 CFR Subpart 1784)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/03/2012
	Date Received in OIRA: 09/28/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved
Responses	200	0	0
Time Burden (Hours)	800	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The BLM seeks to collect information to determine education, training, and experience related to possible service on advisory committees established under the authority of Section 309 of the Federal Land Policy and Management Act (43 U.S.C. 1739) and the Federal Advisory Committee Act, 5 U.S.C. App. 2. This information is necessary to ensure that each advisory committee is structured to provide fair membership balance, both geographic and interest-specific, in terms of the functions to be performed and points of view to be represented, as prescribed by its charter.

---

Authorizing Statute(s): US Code: 43 USC 1739 Name of Law: Federal Land Policy and Management Act
   US Code: 5 USC App. 2 Name of Law: Federal Advisory Committee Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 81523	12/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 59642	09/28/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Bureau of Land Management Resource Advisory Council Application	1784	Bureau of Land Management Resource Advisory Council Application

---

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	200	0	0	200	0	0
Annual Time Burden (Hours)	800	0	0	800	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The BLM is requesting a program change that would add a new control number and a new form that would add an estimated 800 burdens hours annually (200 responses x 4 hours per response).

---

Annual Cost to Federal Government: $56,547

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 09/28/2012

---