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Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)
Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3620 and 5510)
OMB: 1004-0001
IC ID: 207392
OMB.report
DOI/BLM
OMB 1004-0001
ICR 201210-1004-001
IC 207392
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0001 can be found here:
2022-09-20 - Extension without change of a currently approved collection
2019-12-03 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 5510-1
Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)
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
View Information Collection (IC)
IC Title:
Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)
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 5511.2-3
43 CFR 5511.2-4
43 CFR 5511.3-1
43 CFR 5511.3-2
43 CFR 5511.1
43 CFR 5511.1-1
43 CFR 5511.1-2
43 CFR 5510.0-3
43 CFR 5511.1-3
43 CFR 5511.2
43 CFR 5511.2-1
43 CFR 5511.2-2
43 CFR 5511.3
43 CFR 5511.3-3
43 CFR 5511.3-4
43 CFR 5511.3-5
43 CFR 5511.3-6
43 CFR 5511.3-7
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 (Nonprofit Orgranizations)
13_03_29 Final Word Version BLM_5510-1edited110712fillable w jes comments.docx
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
83
0
83
0
0
0
Annual IC Time Burden (Hours)
42
0
42
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.