Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0001 can be found here:

Documents and Forms

Document Name Document Type
Form 3604-1b Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments) Form
3604-1b Mineral Material Free Use Permit BLM Form 3604-1b_Non-fillable (4).pdf Form
3604-1a Free Use Permit Application Mineral Material 3604-001a.docx Form

Information Collection (IC) Details

IC Title:	Free Use Application and Permit for Mineral Material (Federal, State, or Local Governments)	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 3604.27 43 CFR 3604.10 43 CFR 3604.26 43 CFR 3604.22 43 CFR 3604.12 43 CFR 3604.11 43 CFR 3604.25 43 CFR 3604.13 43 CFR 3604.20 43 CFR 3604.23 43 CFR 3604.24 43 CFR 3604.21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3604-1b	Mineral Material Free Use Permit	BLM Form 3604-1b_Non-fillable (4).pdf		No		Paper Only
Form	3604-1a	Free Use Permit Application Mineral Material	3604-001a.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Land & Minerals Authorizatino Tracking System -- Interior, LLM-32	FR Citation: 56 FR 5015

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	150	70	80
Annual IC Time Burden (Hours)	113	53	60
Annual IC Cost Burden (Dollars)	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.