Information Collection

AK Form 4201–1, Grazing Lease or Permit Application

IC 10589 under ICR 202411-1004-003 · OMB 1004-0182.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form AK-4201-1 Graze Lease or Permit Application AK Form 4201–1, Grazing Lease or Permit Application	Form
Form 4120-007 Application for Range Improvement Permit AK Form 4201–1, Grazing Lease or Permit Application	Form and Instruction
AK-4201-1 Graze Lease or Permit Application Form_AK4201-1 (1004-0182).docx	Form
4120-007 Application for Range Improvement Permit Form 4120-007 Application for Range Improvement Permit (1004-0019).pdf	Form and Instruction

IC Title:

AK Form 4201â1, Grazing Lease or Permit Application

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 4300.2

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	AK-4201-1				No		Fillable Fileable
Form and Instruction	4120-007				Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	6	0	6
Annual IC Time Burden (Hours)	6	-1	7
Annual IC Cost Burden (Dollars)	12	12	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.

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