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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 2740-1 Application for Land for Recreation or Public Purposes	Form and Instruction	Modified	Available
Form 2740-1 Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- nonprofit associations	Form and Instruction	Modified	Repair queued
Form 2740-1 Application for Land for recreation or Public Purposes	Form and Instruction	Modified	Available
Form 2740-1 Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912) -- nonprofit corporations	Form and Instruction	Modified	Repair queued
Form 2740-1 Application for Land for Recreation of Public Purposes	Form and Instruction	Modified	Available
Form 2740-1 Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments	Form and Instruction	Modified	Repair queued
1004-0012 30-day FRN PUBLISHED.pdf	Supplementary Document	Uploaded 2021-09-13	Repair queued
1004-0012 60-day FRN PUBLISHED.pdf	Supplementary Document	Uploaded 2021-08-10	Repair queued
1004-00012 Supporting Statement (2021 Renewal) OMB.docx	Supporting Statement A	Uploaded 2021-08-11	Repair queued
SORN.pdf	Supplementary Document	Uploaded 2016-03-09	Repair queued
43 CFR 2912.2 and 2912.3.doc	Supplementary Document	Uploaded 2009-09-16	Repair queued
43 CFR 2741.4 and 2741.6.doc	Supplementary Document	Uploaded 2009-09-16	Repair queued
R&PP Act.doc	Supplementary Document	Uploaded 2009-09-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45923	Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- nonprofit associations	Form and Instruction	Modified	Application for Land for Recreation or Public Purposes
45923	Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- nonprofit associations	Form and Instruction	Modified
190174	Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912) -- nonprofit corporations	Form and Instruction	Modified	Application for Land for recreation or Public Purposes
190174	Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912) -- nonprofit corporations	Form and Instruction	Modified
10474	Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments	Form and Instruction	Modified	Application for Land for Recreation of Public Purposes
10474	Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments	Form and Instruction	Modified

ICR Details

OMB Control No: 1004-0012	ICR Reference No: 202108-1004-004
Status: Historical Active	Previous ICR Reference No: 201802-1004-002
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/22/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/13/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2025	36 Months From Approved	04/30/2022
Responses	23	0	23
Time Burden (Hours)	920	0	920
Cost Burden (Dollars)	2,300	0	2,300

---

Abstract: 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.

---

Authorizing Statute(s): US Code: 43 USC 869 to 869-4 Name of Law: Recreation and Public Purposes Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 23737	05/04/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 50899	09/13/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- nonprofit associations	2740-1	Application for Land for Recreation or Public Purposes
Application for Land for Recreation and Public Purposes (43 CFR 2740 and 2912) -- State, Territory, county, and local governments	2740-1	Application for Land for Recreation of Public Purposes
Application for Land for Recreation or Public Purposes (43 CFR 2740 and 2912) -- nonprofit corporations	2740-1	Application for Land for recreation or Public Purposes

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	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

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $39,330

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/13/2021

---