Information Collection

Application for a Fringe Acreage Lease or Lease Modification (43 CFR 3510.12)

IC 44842 under ICR 202206-1004-002 · OMB 1004-0121.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1004-0121 can be found here:

Documents and Forms

Document Name Document Type
Form 3520-7 Application for a Fringe Acreage Lease or Lease Modification (43 CFR 3510.12) Form and Instruction
3520-7 _____ Lease Form 3520-007.pdf Form and Instruction
3520-7 _____ Lease Form 3520-007.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for a Fringe Acreage Lease or Lease Modification (43 CFR 3510.12)	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 3510.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3520-7	_____ Lease	Form 3520-007.pdf		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Land & Minerals Authorization Tracking System -- Interior, LLM-32	FR Citation: 56 FR 5014

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	0	10
Annual IC Time Burden (Hours)	200	0	200
Annual IC Cost Burden (Dollars)	350	50	300

Documents for IC

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.