Information Collection

BLM Information Access Center (IAC) Customer Comment Card

IC 217104 under ICR 201503-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Customer Comment Card-6-18-2015.doc	Other-customer comment card
Justification for FT4-6-18-2015.doc Justification for FT4	IC Document

IC Title:

BLM Information Access Center (IAC) Customer Comment Card

Agency IC Tracking Number:

FT4

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-customer comment card			Customer Comment Card-6-18-2015.doc		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	500	500
Annual IC Time Burden (Hours)	8	8
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for FT4	Justification for FT4-6-18-2015.doc	06/18/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.