Information Collection

Bureau of Land Management Resource Advisory Council Application

IC 204015 under ICR 201507-1004-001 · OMB 1004-0204.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0204 can be found here:

Documents and Forms

Document Name Document Type
Form 1120-19 Bureau of Land Management Resource Advisory Council Application Form and Instruction
1120-19 Bureau of Land Management Resource Advisory Council Appl NominationForm2015.pdf www.blm.gov/pgdata/etc/medialib/blm/wo/Communications_Directorate/legislation/rac_documents.Par.91838.File.tmp/Form1120-1 Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Bureau of Land Management Resource Advisory Council Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 43 CFR 1784.2-1 43 CFR 1784.2-2 43 CFR 1784.0-4 43 CFR 1784.0-1 43 CFR 1784.0-5 43 CFR 1784.0-6 43 CFR 1784.1 43 CFR 1784.1-1 43 CFR 1784.1-2 43 CFR 1784.2 43 CFR 1784.3 43 CFR 1784.4 43 CFR 1784.4-1 43 CFR 1784.4-2 43 CFR 1784.4-3 43 CFR 1784.5 43 CFR 1784.0-3 43 CFR 1784.5-1 43 CFR 1784.5-2 43 CFR 1784.5-3 43 CFR 1784.6 43 CFR 1784.6-1 43 CFR 1784.6-2 43 CFR 1784.0-2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1120-19	Bureau of Land Management Resource Advisory Council Application	NominationForm2015.pdf	http://www.blm.gov/pgdata/etc/medialib/blm/wo/Communications_Directorate/legislation/rac_documents.Par.91838.File.tmp/Form1120-19.pdf	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Interior Volunteer Service File System (Interior/DOI-05)	FR Citation: 66 FR 28536

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	800	800
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.