Application for Transportation and Utility Systems and Facilities on Federal Lands, Standard Form 299.

ICR 200208-1004-003

OMB: 1004-0189

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1004-0189 200208-1004-003
Historical Active 199905-1004-002
DOI/BLM
Application for Transportation and Utility Systems and Facilities on Federal Lands, Standard Form 299.
Extension without change of a currently approved collection   No
Regular
Approved without change 10/25/2002
Retrieve Notice of Action (NOA) 08/29/2002
  Inventory as of this Action Requested Previously Approved
11/30/2005 11/30/2005 10/31/2002
5,066 0 4,900
126,650 0 9,800
1,862,000 0 4,780,000

The BLM uses the information to determine if an applicant is eligible to receive a rights-of-way grant pursuant to Title V of the Federal Land Policy and Management Act of 1976 (43 USC 1761-1771), and Section 28 of the Mineral Leasing Act of 1920, as amended (30 USC 1850).

None
None


No

1
IC Title Form No. Form Name
Application for Transportation and Utility Systems and Facilities on Federal Lands, Standard Form 299.

  Total Approved 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 5,066 4,900 0 0 166 0
Annual Time Burden (Hours) 126,650 9,800 0 0 116,850 0
Annual Cost Burden (Dollars) 1,862,000 4,780,000 0 0 -2,918,000 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/29/2002


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