OMB control number

Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3600, 3620, and 5510)

OMB 1004-0001 · DOI/BLM.

OMB 1004-0001

The Free use vegetative permits are available for Mining Claimants, Federal, State, Territorial agencies, municipalities and associations or corporations not organized for profit and that the materials are not used for commercial or industrial purposes. Free Use Permits for Mineral Materials are available to any Federal, State, or territorial agency, unit, or subdivision including municipalities or any non-profit organization. OMB Control Number 1004–0001 authorizes the BLM to collect information to continue the use of separate permit forms for the free use of vegetative materials and mineral materials. The BLM request that OMB renew this OMB Control Number of an additional three years.

The latest form for Free Use Application and Permit for Vegetative or Mineral Materials (43 CFR Parts 3600, 3620, and 5510) expires 2028-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 3604-1b Mineral Material Free Use Permit Form
Form 3604-1a Free Use Permit Application Mineral Material Form
Form 3604-1a Free Use Application and Permit for Mineral Material - Nonprofit Organizations Form
Form 5510-1 Free Use Application and Permit for Vegetative Material Form
Form 5510-1 Free Use Application and Permit for Vegetative Material - Mining Claimant and Nonprofit Organizations Form
Form 3604-1a Free Use Permit Application Mineral Material Form
Form 3604-1b Mineral Material Free Use Permit Form
Form 3604-1b Free Use Application and Permit for Mineral Material - Federal, State, or Local Governments Form
Form 5510-1 Free Use Application and Permit for Vegetative Material Form
30-day FRN 1004-0001PUBLISHED.pdf Supplementary Document
1004-0001 60-day FRN PUBLISHED.pdf Supplementary Document
1004-0001 60-day FRN PUBLISHED.pdf Supplementary Document
SORN LLM-32 September 7 2021.pdf Supplementary Document
1004-0001 Supporting Statement (2025 Renewal) OMB.docx Supporting Statement A
30 U.S.C. 602.docx Supplementary Document
30 U.S.C. 601.docx Supplementary Document
30 U.S.C. 601.docx Supplementary Document
16 U.S.C. 607a.htm Supplementary Document
16 U.S.C. 607.docx Supplementary Document
16 U.S.C. 607.docx Supplementary Document
16 U.S.C. 606.docx Supplementary Document
16 U.S.C. 605.docx Supplementary Document
16 U.S.C. 605.docx Supplementary Document
16 U.S.C. 604.docx Supplementary Document
43 CFR Part 5510.docx Supplementary Document
43 CFR Parts 3600 and 3620.docx Supplementary Document
Section 302 of the Federal Land Policy and Management Act.docx Supplementary Document
Free Use Application and Permit for Mineral Material - Nonprofit Organizations Form
Free Use Application and Permit for Mineral Material - Nonprofit Organizations Form
Free Use Application and Permit for Mineral Material - Nonprofit Organizations Form
Free Use Application and Permit for Vegetative Material - Mining Claimant and Nonprofit Organizations Form
Free Use Application and Permit for Vegetative Material - Mining Claimant and Nonprofit Organizations Form
Free Use Application and Permit for Mineral Material - Federal, State, or Local Governments Form
Free Use Application and Permit for Mineral Material - Federal, State, or Local Governments Form
Free Use Application and Permit for Mineral Material - Federal, State, or Local Governments Form
Application and Permit for Vegetative Material - Federal, State, or Local Governments Form
Application and Permit for Vegetative Material - Federal, State, or Local Governments Form

All Historical Document Collections

202506-1004-001	Extension without change of a currently approved collection	2025-08-07
202208-1004-002 Approved without change	Extension without change of a currently approved collection	2022-09-20
201903-1004-001 Approved without change	Extension without change of a currently approved collection	2019-12-03
201604-1004-004 Approved without change	Revision of a currently approved collection	2016-08-31
201210-1004-001 Approved without change	Revision of a currently approved collection	2013-06-25
200907-1004-004 Approved without change	Extension without change of a currently approved collection	2010-03-30
200610-1004-002 Approved with change	Revision of a currently approved collection	2007-01-19
200312-1004-003 Approved without change	Extension without change of a currently approved collection	2003-12-15
200011-1004-008 Approved without change	Extension without change of a currently approved collection	2000-11-30
199709-1004-002 Approved without change	Reinstatement with change of a previously approved collection	1997-09-26
199303-1004-001 Approved without change	Revision of a currently approved collection	1993-03-29
199005-1004-004 Approved without change	Extension without change of a currently approved collection	1990-05-31
198908-1004-003 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-08-03
198711-1004-001 Approved without change	Extension without change of a currently approved collection	1987-11-04
198409-1004-001 Approved without change	Reinstatement with change of a previously approved collection	1984-09-07
198310-1004-001 Approved with change	No material or nonsubstantive change to a currently approved collection	1983-10-17
198201-1004-035 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-01-25
198107-1004-011 Approved with change	No material or nonsubstantive change to a currently approved collection	1981-07-17
197910-1004-001 Approved without change	Extension without change of a currently approved collection	1979-10-24
197409-1004-001 Approved without change	New collection (Request for a new OMB Control Number)	1974-09-18

OMB Details

Application and Permit for Vegetative Material - Federal, State, or Local Governments

Federal Enterprise Architecture: Natural Resources - Conservation, Marine and Land Management

Form 5510-1

Free Use Application and Permit for Vegetative Material

Fillable Printable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.