Bureau of Land Management Resource Advisory Council Application (43 CFR Subpart 1784)

Forms and Documents

Document Name	Status
Form 1120-19 Bureau of Land Management Resource Advisory Council Application Form and Instruction	Modified
1004-0204 30-day FRN PUBLISHED.pdf Supplementary Document	2024-12-19
1004-0204 60-day FRN PUBLISHED.pdf Supplementary Document	2024-11-26
Federal Advisory Committee Act.docx Supplementary Document	2024-11-26
Federal Land Policy and Management Act.pdf Supplementary Document	2024-11-26
SORN Interior Volunteer Service File System (Interior-DOI-05).pdf Supplementary Document	2021-08-06
1004-0204 RAC Supporting Statement (2024 Renewal) OMB.docx Supporting Statement A	2024-11-27
43 CFR Subpart 1784.pdf Supplementary Document	2012-09-12

IC Document Collections

IC ID	Document Title	Status
204015	Bureau of Land Management Resource Advisory Council Application Form and Instruction	Modified

ICR Details

OMB Control No: 1004-0204	ICR Reference No: 202411-1004-004
Status: Received in OIRA	Previous ICR Reference No: 202107-1004-002
Agency/Subagency: DOI/BLM	Agency Tracking No: 2025 Renewal
Title: Bureau of Land Management Resource Advisory Council Application (43 CFR Subpart 1784)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/19/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	04/30/2025
Responses	200	200
Time Burden (Hours)	800	800
Cost Burden (Dollars)	0	0

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Abstract: The BLM collects the information on the Resource Advisory Council Application (RAC), Form No. 1120-19, to determine education, training, and experience related to possible service on advisory committees established under the authority of Section 309 of the Federal Land Policy and Management Act (43 U.S.C. 1739) and the Federal Advisory Committee Act, 5 U.S.C. App. 2. This information is necessary to ensure that each advisory council is structured to provide fair membership balance, both geographic and interest-specific, in terms of the functions to be performed and points of view to be represented, as prescribed by its charter. The BLM is requesting minor changes to the RAC application form. The changes include removing some of the previously collected information that is not needed and, in response to user feedback, clarifying certain portions of the applications. A complete description of the changes is provided in the ICR that has been submitted to OMB. OMB’s approval for the collection of information under this OMB control number is scheduled to expire on April 30, 2025. This request is for OMB to renew with revisions this OMB control number for an additional three (3) years.

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Authorizing Statute(s): US Code: 43 USC 1739 Name of Law: Federal Land Policy and Management Act
   US Code: 5 USC App. 2 Name of Law: Federal Advisory Committee 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:
	89 FR 49183	06/11/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 102937	12/18/2024
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Bureau of Land Management Resource Advisory Council Application	1120-19	Bureau of Land Management Resource Advisory Council Application

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ICR Summary 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	200	200	0	0	0	0
Annual Time Burden (Hours)	800	800	0	0	0	0
Annual Cost Burden (Dollars)	0	0	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: $76,221

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: 12/19/2024

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