Free Use Application and Permit for Mineral 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⚠️ Notice: This information collection may be referencing outdated material.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 3604-1 Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments) Form
3604-1 Free Use Application and Permit for Mineral Material Free use form -- mineral material.doc Form

Information Collection (IC) Details

IC Title:	Free Use Application and Permit for Mineral 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 3604.12 43 CFR 3604.11 43 CFR 3604.13 43 CFR 3604.20 43 CFR 3604.21 43 CFR 3604.22 43 CFR 3604.23 43 CFR 3604.24 43 CFR 3604.25 43 CFR 3604.26 43 CFR 3604.27 43 CFR 3604.10

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3604-1	Free Use Application and Permit for Mineral Material	Free use form -- mineral material.doc		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: 80	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	80	80
Annual IC Time Burden (Hours)	60	60
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.