Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3620 and 5510)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3604-1 Free Use Application and Permit for Mineral Material	Form	New	Available
Form 5510-1 Free Use Application and Permit for Vegetative Material	Form	New	Available
Form 5510-1 Free Use Application and Permit for Vegetative Material (Nonprofit Orgranizations)	Form	New	Available
Form 3604-1 Free Use Application and Permit for Mineral Material	Form	New	Available
Form 5510-1 Free Use Application and Permit for Vegetative Material	Form	New	Available
Form 5510-1 Free Use Application and Permit	Form and Instruction	Removed	Available
BLM-0001--30-day FR notice.pdf	Supplementary Document	Uploaded 2013-06-25	Available
Supporting Statement 2013.doc	Supporting Statement A	Uploaded 2013-06-19	Available
60-day notice.pdf	Supplementary Document	Uploaded 2013-01-31	Available
Title 43 Parts 3620 and 5510.doc	Supplementary Document	Uploaded 2006-10-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207395	Free Use Application and Permit for Mineral Material (Nonprofit Organizations)	Form	New	Free Use Application and Permit for Mineral Material
207393	Free Use Application and Permit for Vegetative Material (Mining Claimants)	Form	New	Free Use Application and Permit for Vegetative Material
207392	Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)	Form	New	Free Use Application and Permit for Vegetative Material (Nonprofit Orgranizations)
206221	Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)	Form	New	Free Use Application and Permit for Mineral Material
206220	Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)	Form	New	Free Use Application and Permit for Vegetative Material
10457	Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)	Form and Instruction	Removed	Free Use Application and Permit

ICR Details

OMB Control No: 1004-0001	ICR Reference No: 201210-1004-001
Status: Historical Active	Previous ICR Reference No: 200907-1004-004
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3620 and 5510)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/07/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/25/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved	08/31/2013
Responses	410	0	476
Time Burden (Hours)	246	0	238
Cost Burden (Dollars)	0	0	0

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Abstract: The Bureau of Land Management (BLM) collects information from respondents for free use permits for vegetative or mineral materials in order to: (1) determine whether the vegetative or mineral materials at issue qualify for free use; (2) determine whether free use is consistent with pertinent land use plans and authorities; and; and (3) monitor the authorized removal and uses of vegetative and mineral materials to ensure sustainable resource management. At present, the BLM uses the same form for free use of both vegetative and mineral materials. In this request, the BLM seeks approval to use one form for vegetative materials, and a differnet form for mineral materials.

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Authorizing Statute(s): US Code: 48 USC 423 Name of Law: The Nonsale Disposal Act of May 4, 1898
   US Code: 16 USC 607 Name of Law: The Act March 3, 1891
   US Code: 30 USC 601-602 Name of Law: The Materials Act of 1847
   US Code: 16 USC 604-606 Name of Law: Nonsale Disposal Act of June 3, 1878
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 6830	01/31/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 38070	06/25/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Free Use Application and Permit (Vegetative or Mineral Materials) (43 CFR 3620 and 5510)	5510-1	Free Use Application and Permit
Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)	3604-1	Free Use Application and Permit for Mineral Material
Free Use Application and Permit for Mineral Material (Nonprofit Organizations)	3604-1	Free Use Application and Permit for Mineral Material
Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)	5510-1	Free Use Application and Permit for Vegetative Material
Free Use Application and Permit for Vegetative Material (Mining Claimants)	5510-1	Free Use Application and Permit for Vegetative Material
Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)	5510-1	Free Use Application and Permit for Vegetative Material (Nonprofit Orgranizations)

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ICR Summary of Burden

table that charts list 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	410	476	0	-66	0	0
Annual Time Burden (Hours)	246	238	0	8	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This request includes the following program changes: 1. Form 5510, which the BLM has used for free use of both vegetative and mineral materials, has been removed. It has been replaced with Form 5510-1, Free Use Application and Permit for Vegetative Material; and Form 3604-1, Free Use Application and Permit for Mineral Material. 2. The collection for vegetative material has been separated to show that this information is collected from three categories of respondents: Federal, State, or Local Governments; Nonprofit Organizations; and Mining Claimants. The previous request erroneously did not distinguish among these three categories of respondents. 3. The collection for mineral material has been separated to show that this information is collected from two categories of respondents: Federal, State, or Local Governments; and Nonprofit Organizations. The previous request erroneously did not distinguish between these two categories of respondents. This request also includes adjustments of the estimated number of responses annually (from 476 to 410), and the estimated number of burden hours (from 238 to 245). These adjustments reflect the BLM's recent experience with this collection.

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Annual Cost to Federal Government: $10,945

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

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Common Form ICR:  No

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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: 06/25/2013

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