Information Collection

43 CFR 3420, Subpart 3422 Award of Lease

IC 45515 under ICR 201601-1004-003 · OMB 1004-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3400-12 43 CFR 3420, Subpart 3422 Award of Lease	Form
3400-12 Coal Lease BLM_Form_3400-12.doc	Form

IC Title:

43 CFR 3420, Subpart 3422 Award of Lease

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 3422.4

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
Form	3400-12	Coal Lease	BLM_Form_3400-12.doc		Yes	Yes	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title: Coal Lease Data System -- Interior, BLM-4

FR Citation: 47 FR 55319

Number of Respondents: 3

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	75	75
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.