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Land Use Application and Permit (43 CFR 2920) (private sector / typical)
Land Use Application and Permit (43 CFR part 2920)
OMB: 1004-0009
IC ID: 183064
OMB.report
DOI/BLM
OMB 1004-0009
ICR 201905-1004-001
IC 183064
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0009 can be found here:
2022-12-22 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form 2920-1
Land Use Application and Permit (43 CFR 2920) (private sector / typical)
Form and Instruction
2920-1 Land Use Application and Permit
2920-001 (5).pdf
www.blm.gov/noc/st/en/business/eForms.html
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Land Use Application and Permit (43 CFR 2920) (private sector / typical)
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 2920
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
2920-1
Land Use Application and Permit
2920-001 (5).pdf
http://www.blm.gov/noc/st/en/business/eForms.html
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Conservation, Marine and Land Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
286
Number of Respondents for Small Entity:
286
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Farms, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
1 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
286
0
0
0
0
286
Annual IC Time Burden (Hours)
1,144
0
0
858
0
286
Annual IC Cost Burden (Dollars)
37,180
0
0
14,300
0
22,880
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.