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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
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0596-0085 |
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DATE PREPARED |
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November 10, 2021 |
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IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
RECORDS |
RESPONDENT COST |
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TOTAL |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
RECORD- |
COST |
TOTAL |
SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
HOURS |
RECORD- |
HOURS PER |
KEEPING HOURS |
PER |
COST |
REGS. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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KEEPER |
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(A) |
(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
(L) |
(M) |
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Forest Products Removal Permit and Cash Receipt |
FS-2400-1/BLM 5450-24 |
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Private Sector |
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13,962 |
1.50 |
20,943.00 |
0.0833 |
1,744.55 |
10,472 |
0.0667 |
698.48 |
29.81 |
$52,005.09 |
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Individuals and Hosueholds |
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141,173 |
1.50 |
211,759.50 |
0.0833 |
17,639.57 |
105,880 |
0.0667 |
7,062.20 |
27.07 |
$477,503.06 |
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State, Tribal, & Local Governments |
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0 |
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0.00 |
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0.00 |
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0.00 |
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Subtotal |
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155,135 |
1.5000 |
232,703 |
0.0833 |
19,384 |
116,352 |
0.067 |
7,761 |
28.44 |
$529,508.15 |
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Forest Products Contract and Cash Receipt |
FS-2400-4/4ANF |
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Private Sector |
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110 |
1.50 |
165.00 |
0.0833 |
13.74 |
55 |
0.0667 |
3.67 |
29.81 |
$409.72 |
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Individuals and Households |
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27 |
1.50 |
40.50 |
0.0833 |
3.37 |
14 |
0.0667 |
0.93 |
27.07 |
$91.32 |
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State, Tribal, & Local Governments |
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0 |
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0.00 |
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Subtotal |
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137 |
1.5000 |
206 |
0.0833 |
17 |
69 |
0.067 |
4.60 |
28.44 |
$501.05 |
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Forest Products Free Use Permit |
FS-2400-8 |
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. |
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Private sector |
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0 |
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0.00 |
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0.00 |
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0.00 |
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$0.00 |
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Individuals and Households |
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17,792 |
1.50 |
26,688.00 |
0.0833 |
2223.11 |
8,887 |
0.0667 |
592.77 |
27.07 |
$60,179.60 |
36 CFR 223.15 |
Tribal Governments |
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567 |
1.50 |
850.50 |
0.0833 |
70.85 |
425 |
0.0667 |
28.35 |
29.81 |
$2,111.94 |
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Subtotal |
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18,359 |
1.5000 |
27,539 |
0.0833 |
2,296 |
9,312 |
0.067 |
621.12 |
28.44 |
$62,291.54 |
36 CFR 223.15 |
Written Request for Tribal Free Use |
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567 |
1.50 |
850.50 |
0.1667 |
141.78 |
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29.81 |
$4,226.41 |
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SUBTOTAL |
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567 |
1.500 |
851 |
0.1667 |
142 |
0.00 |
0.0000 |
0.00 |
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$128,809.49 |
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TOTAL OF ALL PAGES |
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174,198 |
1.50 |
233,795.50 |
0.1042 |
21,839.01 |
125,733.10 |
0.0445 |
8,386.40 |
28.44 |
$721,110.23 |
TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c |
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359,528.60 |
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30,225.41 |
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