Information Collection

Land Use Application and Permit (43 CFR 2920) (State and Local Governments)

IC 183063 under ICR 202212-1004-001 · OMB 1004-0009.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (State and Local Governments)	Form and Instruction
2920-1 Land Use Application and Permit 2920-001 (5).pdf www.blm.gov/noc/st/en/business/eForms.html	Form and Instruction

IC Title:

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 2920

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	2920-1	Land Use Application and Permit	2920-001 (5).pdf	http://www.blm.gov/noc/st/en/business/eForms.html	Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 45

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 1 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	45	45
Annual IC Time Burden (Hours)	45	45
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.