Information Collection

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

IC 206221 under ICR 201903-1004-001 · OMB 1004-0001.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
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

View Information Collection (IC)

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 3604.22 43 CFR 3604.12 43 CFR 3604.11 43 CFR 3604.13 43 CFR 3604.20 43 CFR 3604.23 43 CFR 3604.24 43 CFR 3604.27 43 CFR 3604.10 43 CFR 3604.26 43 CFR 3604.25 43 CFR 3604.21

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	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

Federal Enterprise Architecture Business Reference Module

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: 166

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	166	16	150
Annual IC Time Burden (Hours)	83	-30	113
Annual IC Cost Burden (Dollars)	0	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.