Information Collection

Bureau of Land Management Resource Advisory Council Application

IC 204015 under ICR 202107-1004-002 · OMB 1004-0204.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0204 can be found here:

2024-12-19 - Revision of a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1120-19 Bureau of Land Management Resource Advisory Council Application	Form and Instruction
1120-19 Bureau of Land Management Resource Advisory Council Appl Form 1120-19 RAC Application.pdf www.blm.gov/sites/blm.gov/files/GetInvolved_RACApplication.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Bureau of Land Management Resource Advisory Council Application

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 1784.2-2 43 CFR 1784.2-1 43 CFR 1784.0-4 43 CFR 1784.0-1 43 CFR 1784.0-5 43 CFR 1784.0-6 43 CFR 1784.1 43 CFR 1784.1-1 43 CFR 1784.1-2 43 CFR 1784.2 43 CFR 1784.3 43 CFR 1784.4 43 CFR 1784.4-1 43 CFR 1784.4-2 43 CFR 1784.4-3 43 CFR 1784.5 43 CFR 1784.0-3 43 CFR 1784.5-1 43 CFR 1784.5-2 43 CFR 1784.5-3 43 CFR 1784.6 43 CFR 1784.6-1 43 CFR 1784.6-2 43 CFR 1784.0-2

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	1120-19	Bureau of Land Management Resource Advisory Council Application	Form 1120-19 RAC Application.pdf	https://www.blm.gov/sites/blm.gov/files/GetInvolved_RACApplication.pdf	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: Interior Volunteer Service File System (Interior/DOI-05)

FR Citation: 66 FR 28536

Number of Respondents: 200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	800	800
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.