Information Collection

43 CFR 3420, Subpart 3422 Award of Lease

IC 45515 under ICR 201812-1004-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Form 3400-12 43 CFR 3420, Subpart 3422 Award of Lease Form and Instruction
3400-12 Coal Lease Form 3400-012 for IC 1004-0073.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3400-12	Coal Lease	Form 3400-012 for IC 1004-0073.docx		Yes	Yes	Fillable Fileable

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 %

	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

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.