Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912)

ICR 202108-1004-004

OMB: 1004-0012

Federal Form Document

ICR Details
1004-0012 202108-1004-004
Received in OIRA 201802-1004-002
Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912)
Extension without change of a currently approved collection   No
Regular 09/13/2021
  Requested Previously Approved
36 Months From Approved 10/31/2021
23 23
920 920
2,300 2,300

The Bureau of Land Management (BLM) uses the information collection to decide whether or not to lease or sell certain public lands to applicants under the Recreation and Public Purposes Act, 43 U.S.C. 869 to 869–4. This request is for OMB to renew OMB control number 1004-0012 for an additional three (3) years.

US Code: 43 USC 869 to 869-4 Name of Law: Recreation and Public Purposes Act

Not associated with rulemaking

  86 FR 23737 05/04/2021
86 FR 50899 09/13/2021

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 23 23 0 0 0 0
Annual Time Burden (Hours) 920 920 0 0 0 0
Annual Cost Burden (Dollars) 2,300 2,300 0 0 0 0

Darrin King 202-693-4129 [email protected]


On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

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