Information Collection

Land Exchanges

IC 3213 under ICR 202201-0596-004 · OMB 0596-0105.

Documents and Forms

Document Name Document Type
0596-0105 Agreement_to_Initiate template v10-17-2019.docx Example - Agreement to Initiate IC Document
0596-0105 Exchange Agreement template v10-17-2019.docx Example - Exchange Agreement IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Land Exchanges	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 254, Subpart A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3	0	0	3
Annual IC Time Burden (Hours)	20	0	0	20
Annual IC Cost Burden (Dollars)	0	-1,087	1,087	0

Documents for IC

Title	Document	Date Uploaded
Example - Agreement to Initiate	0596-0105 Agreement_to_Initiate template v10-17-2019.docx	10/17/2019
Example - Exchange Agreement	0596-0105 Exchange Agreement template v10-17-2019.docx	10/17/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.