Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3600, 3620, and 5510)

Forms and Documents

Document	Type	Status	Availability
Form 3604-1a Free Use Application and Permit for Mineral Material (Nonprofit Organizations)	Form	Modified	Repair queued
Form 5510-1 Free Use Application and Permit for Vegetative Material (Mining Claimants and Nonprofit Organizations)	Form	Modified	Repair queued
Form 5510-1 Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)	Form	Removed	Available
Form 3604-1b Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)	Form	Modified	Repair queued
Form 5510-1 Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)	Form	Modified	Repair queued
30-day notice.pdf	Supplementary Document	Uploaded 2016-08-31	Available
SUPPORTING STATEMENT 1004-0001 8 24 2016.doc	Supporting Statement A	Uploaded 2016-08-24	Available
30 U.S.C. 602.docx	Supplementary Document	Uploaded 2016-08-08	Repair queued
30 U.S.C. 601.docx	Supplementary Document	Uploaded 2016-08-08	Available
16 U.S.C. 607a.htm	Supplementary Document	Uploaded 2016-08-08	Repair queued
16 U.S.C. 607.docx	Supplementary Document	Uploaded 2016-08-08	Repair queued
16 U.S.C. 606.docx	Supplementary Document	Uploaded 2016-08-08	Repair queued
16 U.S.C. 605.docx	Supplementary Document	Uploaded 2016-08-08	Repair queued
16 U.S.C. 604.docx	Supplementary Document	Uploaded 2016-08-08	Repair queued
60-day notice.pdf	Supplementary Document	Uploaded 2016-08-04	Repair queued
43 CFR Part 5510.docx	Supplementary Document	Uploaded 2016-07-06	Repair queued
43 CFR Parts 3600 and 3620.docx	Supplementary Document	Uploaded 2016-07-06	Available
Section 302 of the Federal Land Policy and Management Act.docx	Supplementary Document	Uploaded 2016-07-06	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
207395	Free Use Application and Permit for Mineral Material (Nonprofit Organizations)	Form	Modified
207393	Free Use Application and Permit for Vegetative Material (Mining Claimants and Nonprofit Organizations)	Form	Modified
207392	Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)	Form	Removed
206221	Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)	Form	Modified
206220	Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)	Form	Modified

ICR Details

OMB Control No: 1004-0001	ICR Reference No: 201604-1004-004
Status: Historical Active	Previous ICR Reference No: 201210-1004-001
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3600, 3620, and 5510)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/22/2016
	Date Received in OIRA: 08/31/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	403	0	410
Time Burden (Hours)	241	0	246
Cost Burden (Dollars)	0	0	0

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Abstract: The Bureau of Land Management (BLM) collects information from respondents for free use permits for vegetative or mineral materials in order to: (1) determine whether the vegetative or mineral materials at issue qualify for free use; (2) determine whether free use is consistent with pertinent land use plans and authorities; and; and (3) monitor the authorized removal and uses of vegetative and mineral materials to ensure sustainable resource management.

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Authorizing Statute(s): US Code: 30 USC 602 Name of Law: Bidding; Advertising and Other Notice; Conditions for Negotation of Contract
   US Code: 43 USC 1732 Name of Law: Section 302 of the Federal Land Policy and Management Act
   US Code: 16 USC 604 Name of Law: Cutting Timber on Ceertain Mineral Lands; Permits to Corporations; Railroad Corporations
   US Code: 16 USC 605 Name of Law: Unlawful Cutting on Mineral Lands; Notice to Secretary
   US Code: 16 USC 606 Name of Law: Offense for Unlawful Cutting on Mineral Lands; Punishment
   US Code: 16 USC 607 Name of Law: Cutting and Removal of Timber on Certain Public Lands for Certain Purposes
   US Code: 16 USC 607a Name of Law: Cutting and Use of Timber in Alaska by Settlers, Residents, Miners, Etc.
   US Code: 30 USC 601 Name of Law: Rules and Regulations Governing Dispoal of Materials; Payment; Removal Without Charge;Lands Excluded
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 17732	03/30/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60019	08/31/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)	3604-1b, 3604-1a	Mineral Material Free Use Permit ,   Free Use Permit Application Mineral Material
Free Use Application and Permit for Vegetative Material (Mining Claimants and Nonprofit Organizations)	5510-1	Free Use Application and Permit for Vegetative Material
Free Use Application and Permit for Mineral Material (Nonprofit Organizations)	3604-1a, 3604-1b	Free Use Permit Application Mineral Material ,   Mineral Material Free Use Permit
Free Use Application and Permit for Vegetative Material (Federal, State, or Local Governments)	5510-1	Free Use Application and Permit for Vegetative Material
Free Use Application and Permit for Vegetative Material (Nonprofit Organizations)	5510-1	Free Use Application and Permit for Vegetative Material (Nonprofit Orgranizations)

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	403	410	0	0	-7	0
Annual Time Burden (Hours)	241	246	0	0	-5	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This request includes two program changes. At present, the BLM is authorized to use two forms under this control number – a combined application and permit for vegetative material and a combined application and permit for mineral material. In this request, the BLM seeks approval to use three forms: one combined application and permit for vegetative materials (Form 5510-1), and two different forms – an application and a separate permit -- for mineral material (Form 3604-1a and Form 3604-1b). For mineral material, the BLM will use the information from the application to fill out the permit form for mineral materials. Separate forms will facilitate this procedure and may increase the efficiency of processing applications for free use of mineral material . The other program change is that the collection activities for private-sector responses regarding vegetative material have been combined into one collection activity.. This request also includes adjustments of the estimated number of responses annually (from 410 to 403), and the estimated number of burden hours (from 246 to 241). These adjustments reflect the BLM’s recent experience with this collection.

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Annual Cost to Federal Government: $11,568

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/31/2016

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