Information Collection

Substitution Determination

IC 10500 under ICR 202004-1004-001 · OMB 1004-0058.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0058 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 5460-17 Substitution Determination	Form and Instruction
5460-17 Substitution Determination Form 5460-17 DRAFT 042020.pdf www.blm.gov/services/electronic-forms	Form and Instruction

IC Title:

Substitution Determination

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 5424.1

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 and Instruction	5460-17	Substitution Determination	Form 5460-17 DRAFT 042020.pdf	https://www.blm.gov/services/electronic-forms	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Mineral and Vegetal Material Sales -- Interior, BLM-16

FR Citation: 75 FR 3919

Number of Respondents: 100

Number of Respondents for Small Entity: 100

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	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.