Information Collection

Application for lease under ROW 43 CFR 3109.1-2)

IC 189485 under ICR 202302-1004-002 · OMB 1004-0185.

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Information Collection (IC) Details

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IC Title:	Application for lease under ROW 43 CFR 3109.1-2)	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 3109.1-2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Energy

Subfunction: Energy Production

Privacy Act System of Records
Title: BLM-32 Lands & Minerals Authorization Tracking System	FR Citation: 73 FR 17326

Number of Respondents: 2	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2	0	2
Annual IC Time Burden (Hours)	16	0	16
Annual IC Cost Burden (Dollars)	1,320	430	890

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.