Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0001 can be found here:

Documents and Forms

Document Name Document Type
Form 5510-1 Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments) Form
5510-1 Free Use Application and Permit for Vegetative Material 13_03_29 Final Word Version BLM_5510-1edited110712fillable w jes comments.docx Form

Information Collection (IC) Details

IC Title:	Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 3622.2 43 CFR 3622.3 43 CFR 5511.3-7 43 CFR 3622.1 43 CFR 3622,4 43 CFR 5510.0-3 43 CFR 5511.1 43 CFR 5511.1-1 43 CFR 5511.1-2 43 CFR 5511.1-3 43 CFR 5511.2 43 CFR 5511.2-1 43 CFR 5511.2-2 43 CFR 5511.2-3 43 CFR 5511.2-4 43 CFR 5511.3 43 CFR 5511.3-1 43 CFR 5511.3-2 43 CFR 5511.3-4 43 CFR 5511.3-3 43 CFR 5511.3-5 43 CFR 5511.3-6 43 CFR 5511.3-8 43 CFR 5511.4 43 CFR 5511.5 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	5510-1	Free Use Application and Permit for Vegetative Material	13_03_29 Final Word Version BLM_5510-1edited110712fillable w jes comments.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 83	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	83	83
Annual IC Time Burden (Hours)	42	42
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.