Land Use Application and Permit (43 CFR part 2920)

Forms and Documents

Document Name	Status
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (private sector / complex) Form and Instruction	Modified
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (private sector / typical) Form and Instruction	Modified
Form 2920-1 Land Use Application and Permit (43 CFR 2920) (State and Local Governments) Form and Instruction	Modified
Form 2910-1 Land Use Application and Permit (43 CFR 2920) (individuals) Form and Instruction	Modified
30-day notice 2013.pdf Supplementary Document	2013-12-18
Supporting_Statement amended 2 3 2014.doc Supporting Statement A	2014-02-03
2013-23483.pdf Supplementary Document	2013-09-27
43 U.S.C. 1732.txt Supplementary Document	2008-03-25
cfr2920sec_.pdf Supplementary Document	2007-12-14

IC Document Collections

IC ID	Document Title	Status
195770	Land Use Application and Permit (43 CFR 2920) (private sector / complex) Form and Instruction	Modified
183064	Land Use Application and Permit (43 CFR 2920) (private sector / typical) Form and Instruction	Modified
183063	Land Use Application and Permit (43 CFR 2920) (State and Local Governments) Form and Instruction	Modified
10465	Land Use Application and Permit (43 CFR 2920) (individuals) Form and Instruction	Modified

ICR Details

OMB Control No: 1004-0009	ICR Reference No: 201308-1004-003
Status: Historical Active	Previous ICR Reference No: 201009-1004-005
Agency/Subagency: DOI/BLM	Agency Tracking No:
Title: Land Use Application and Permit (43 CFR part 2920)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/03/2014
	Date Received in OIRA: 12/18/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2017	36 Months From Approved	03/31/2014
Responses	407	0	407
Time Burden (Hours)	1,597	0	1,597
Cost Burden (Dollars)	131,760	0	131,760

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Abstract: The BLM uses the information to determine whether private citizens, State and local governments,and businesses are qualified to use, occupy, or develop the public lands under certain conditions. The land uses that may be authorized are: agricultural development, residential, recreation concessions, business, industrial, and commercial.

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Authorizing Statute(s): US Code: 43 USC 1732 Name of Law: Federal Land Policy and Management 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:
	78 FR 59711	09/27/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 76641	12/18/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Land Use Application and Permit (43 CFR 2920) (private sector / typical)	2920-1	Land Use Application and Permit
Land Use Application and Permit (43 CFR 2920) (private sector / complex)	2920-1	Land Use Application and Permit
Land Use Application and Permit (43 CFR 2920) (individuals)	2910-1	Land Use Application and Permit
Land Use Application and Permit (43 CFR 2920) (State and Local Governments)	2920-1	Land Use Application and Permit

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ICR Summary of Burden

	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	407	407	0	0	0	0
Annual Time Burden (Hours)	1,597	1,597	0	0	0	0
Annual Cost Burden (Dollars)	131,760	131,760	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $134,148

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 12/18/2013

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