Availability of Revised Bureau of Land Management Forms for Authorized Grazing Use, Qualifications and Preference and Unauthorized Grazing Use
UNITED STATES DEPARTMENT OF THE INTERIOR
BUREAU OF LAND MANAGEMENT
WASHINGTON, D.C. 20240–0036
http://www.blm.gov
September 14, 2018
In Reply Refer To:
4110, 4130, 4150 (220) P
EMS TRANSMISSION 10/09/2018
Instruction Memorandum No. 2018-106
Expires: 09/30/2021
To: All Field Office Officials
From: Assistant Director, Resources and Planning
Subject: Availability of Revised Bureau of Land Management Forms for Authorized Grazing Use, Qualifications and Preference and Unauthorized Grazing Use
Program Area: Grazing Administration.
Purpose: This Instruction Memorandum (IM) announces the availability of renewed BLM Authorized Grazing Use forms 4130-1, 1a, 1b, 3a, 4, and 5 under OMB Control No. 1004-004. This IM also announces the availability of internal BLM forms 4110-2, and 4150-2, commonly referred to as the “Transfer Checklist” and “Livestock Count” forms, respectively.
Form 4130–1 Grazing Schedule-Grazing Application
Form 4130–1a Grazing Preference Transfer Application and Preference Application Form 4130–1b Grazing Application Supplemental Information
Form 4130-3a Automated Grazing Application (within RAS)
Form 4130–4 Application for Exchange-of-Use Grazing Agreement
Form 4130–5 Actual Grazing Use Report
Form 4110–2 Preference Transfer and Grazing Permit/Lease Application Processing Checklist
Form 4150–2 Certificate of Livestock Count
Administrative or Mission Related: This IM should be categorized as administrative.
Policy/Action: All field offices should now use updated Forms 4130-1, 4130-1a, 4130-1b, 4130-3a (within the Rangeland Administration System), 4130-4, and 4130-5 with the January 2018 edition date and the January 31, 2020 expiration date. These four forms (excluding 4130-3a) are available externally at www.blm.gov/forms and internally at https://blmspace.blm.doi.net/oc/intra/dbs/Pages/eForms.aspx
All field offices should also use updated Form 4110–2, Preference Transfer and Grazing Permit/Lease Application Processing Checklist and Form 4150–2, Certificate of Livestock Count with the May 2018 edition date. These two forms are available at https://blmspace.blm.doi.net/oc/intra/dbs/Pages/eForms.aspx
All field offices should dispose of both paper and electronic copies of the previous version of these forms. The updated forms are available in a fillable Adobe Acrobat “portable document file” (.pdf) on the BLM External Forms website at http://www.blm.gov/noc/st/en/business/eForms/rangeland.html. https://blmspace.blm.doi.net/oc/intra/dbs/Pages/eForms.aspx
Timeframe: This IM is effective immediately.
Budget Impact: None
Background: Forms in the 4130 series are used to apply for grazing preference, and/or transfer grazing preference, document exchange-of-use grazing agreements, and to document actual grazing use. Form 4130-3a, Automated Grazing Application is generated within the BLM Rangeland Administration System (RAS) electronic system. Form 4110-2 is used as an important checklist during the transfer of grazing preference prior to permit issuance and form 4150-2 is used to document livestock counts.
Manual/Handbook Sections Affected: Grazing Management (H-4130 Authorizing Grazing Use, H-4110 Qualifications and Preference and H-4150 Unauthorized Grazing Use).
Coordination: This IM was coordinated by the Division of Forest, Rangeland, Riparian, and Plant Conservation (WO-220) and the Division of Regulatory Affairs (WO-630).
Contact: Please direct any questions regarding this to Maggie Marston, Rangeland Management Specialist (WO-220) at 202-912-7444 or Bill Lutjens, RAS/RIPS User Representative (OC-580) at 720-514-1413.
Signed by: Authenticated by:
Kristin Bail Robert M. Williams
Assistant Director Division of Business Resources,WO-850
Resources and Planning