Availability of Revised Bureau of Land Management Forms 4130-001, 4130-001a, 4130-001b, 4130-003a, 4130-004, and 4130-005

United States Department of the Interior

BUREAU OF LAND MANAGEMENT

Grand Junction, Colorado 81506

 https://www.blm.gov

June 25, 2021

In Reply Refer To:

4130(220) P

EMS TRANSMISSION: 06/29/2021

Instruction Memorandum No. 2021-036

Expires: 09/30/2024

To:                  All Field Officials

From:              Assistant Director, Resources and Planning

Subject:           Availability of Revised Bureau of Land Management Forms 4130-001, 4130- 001a, 4130-001b, 4130-003a, 4130-004, and 4130-005

Program Area: Grazing Administration

Purpose: This Instruction Memorandum (IM) announces the availability of the revised Bureau of Land Management (BLM) Forms 4130-001, 4130-001a, 4130-001b, 4130-003a, 4130-004, and 4130-005, which were reauthorized under OMB Control No. 1004-0041 through April 30, 2024.

Form 4130-001       Grazing Schedule-Grazing Application

Form 4130-001a     Grazing Preference Application and Preference Transfer Application

Form 4130-001b     Grazing Application Supplemental Information

Form 4130-003a     Automated Grazing Application (within RAS)

Form 4130-004       Application for Exchange-of-Use Grazing Agreement

Form 4130-005       Actual Grazing Use Report

Administrative or Mission Related: Mission Related

Policy/Action: All field offices must begin using the revised Forms 4130-001, 4130-001a, 4130- 001b, 4130-003a, 4130-004, and 4130-005 (May 2021 edition) immediately and dispose of both paper and electronic copies of the previous version of these forms. The updated fillable forms are available in Adobe Acrobat “portable document file” (.pdf) format on the BLM’s External Forms website.

Timeframe: This IM is effective immediately.

Budget Impact: None

Background: The BLM uses these forms to collect information required to authorize livestock grazing on public lands (see 43 CFR Part 4130).  Forms in the 4130 series are used by the public to apply for grazing use; apply for and/or transfer grazing preference; request exchange-of-use grazing agreements, and to report actual grazing use. Form 4130-003a, Automated Grazing Application is generated by the BLM Rangeland Administration System (RAS). The BLM has used these or similar forms to collect this type of information for the last several decades.

Manual/ Handbook Sections Affected: None

Coordination: Division of Forest, Rangeland, and Vegetation Resources (HQ-220).

Contact: If you have any questions, please contact Brian Thrift, Rangeland Management Specialist, HQ-220, at 208-373-3869 or bthrift@blm.gov, or Kimberly Hackett, Senior Natural Resource Specialist, HQ-220, at 208-373-4089 or khackett@blm.gov.

Signed By:                                                                     Authenticated by:

David Jenkins                                                                Brianna Huerta

Assistant Director                                                          Division of Regulatory Affairs

Resources and Planning                                                and Directives, (HQ-630)