Information Required to Cross Private Land for Access to BLM Lands

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form TBD Vehicle Pass	Form and Instruction	New	Available
Form TBD Information required to cross Private Land for access to Carrizozo BLM Lands	Form and Instruction	New	Available
Executive Order 13443.pdf	Supplementary Document	Uploaded 2026-07-01	Available
GAOA.pdf	Supplementary Document	Uploaded 2026-07-01	Available
1004-0NEW Access Form Supporting Statement OMB.docx	Supporting Statement A	Uploaded 2026-07-14	Available
30-day FRN 1004-0NEW Access Form PUBLISHED.pdf	Supplementary Document	Uploaded 2026-08-13	Available
60-day FRN 1004-0NEW Access Form PUBLISHED.pdf	Supplementary Document	Uploaded 2026-07-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
281308	Information Required to Cross Private Land for Access to BLM Lands	Form and Instruction	New	Vehicle Pass
281308	Information Required to Cross Private Land for Access to BLM Lands	Form and Instruction	New	Information required to cross Private Land for access to Carrizozo BLM Lands

ICR Details

OMB Control No:	ICR Reference No: 202607-1004-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Information Required to Cross Private Land for Access to BLM Lands
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/13/2026

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	100	0
Time Burden (Hours)	17	0
Cost Burden (Dollars)	0	0

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Abstract: This form will collect information from members of the public who request permission to cross private lands in order to access Bureau of Land Management (BLM) lands within the Carrizozo Land Partnership. The information that will be collected will be used by the BLM and participating private landowners to verify requests, maintain a record, and ensure responsible use of designated access routes. These measures will support the BLM’s mission to sustain the health, diversity, and productivity of public lands for the use and enjoyment of present and future generations and will help protect the interests of private landowners who provide access across their property.

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Authorizing Statute(s): PL: Pub.L. 116 - 152 2 Name of Law: Great American Outdoors Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 17813	04/08/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 52329	08/13/2026
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Information Required to Cross Private Land for Access to BLM Lands	TBD, TBD	Information required to cross Private Land for access to Carrizozo BLM Lands ,   Vehicle Pass

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ICR Summary of Burden

table that charts list of burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	100	0	0	100	0	0
Annual Time Burden (Hours)	17	0	0	17	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New form for members of the public who request permission to cross private lands in order to access Bureau of Land Management (BLM) lands within the Carrizozo Land Partnership.

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Annual Cost to Federal Government: $593

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/13/2026

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