Form 10-226 INVESTIGATOR'S ANNUAL REPORT

INVESTIGATOR'S ANNUAL REPORT

OMB # (1024-0236)
Exp. Date (6/30/2007)
Form No. (10-226)

United States Department of the Interior
National Park Service
If you are not using the automated system supporting this report process,
please fill out this form and return it to the appropriate park.
All or some of the information you provide may become available to the public.

Reporting Year:

Park:

Select the type of permit this report addresses:
Scientific Study
Science Education Activity

Name of principal investigator or responsible official:
[Dr. Ms. Mr. Mrs.] First name:

Office Phone:
Last name:
Office FAX:

Mailing address:

Office Email:
Additional scientific study investigators (first name, last name):

Project Title (maximum 300 characters):

Park-assigned Study or Activity #:

Park-assigned Permit #:

Permit Start Date:

Permit Expiration Date:

Scientific Study Starting Date:

Estimated Scientific Study Ending Date:

For either a Scientific Study or a Science Education Activity, the status is (select
one):
____ Completed
____ Continuing
____ Suspended
____ Terminated before completion

For a Scientific Study that is completed, please check each of the following that
applies:
___ A final report has been provided to the park or will be provided to the park
within the next two years
___ Copies of field notes, data files, photos, or other study records, as agreed, have
been provided to the park
___ All collected and retained specimens have been cataloged into the NPS catalog
system and NPS has processed loan agreements as needed

Activity Type (select one):

Research ___

Inventory ___

Monitoring ___

Education ___

Other ___

Subject/Discipline (maximum 60 characters):

Purpose of Scientific Study or Science Education Activity during the reporting year (maximum 4000 characters):

The National Park Service may not conduct or sponsor, and a person is not required to respond to, this collection of information unless it displays a currently valid
OMB control number.
(iarnewformf.doc; revised 4/13/2004) Page 1 of 2

INVESTIGATOR'S ANNUAL REPORT
United States Department of the Interior
National Park Service

OMB # (1024-0236)
Exp. Date (6/30/2007)
Form No. (10-226)

If you are not using the automated system supporting this report process,
please fill out this form and return it to the appropriate park.
All or some of the information you provide may become available to the public.

Findings and status of Scientific Study or accomplishments of Science Education Activity during the reporting year (maximum 4000 characters):

For Scientific Studies (not Science Education Activities), were any specimens collected and removed from the park but not destroyed during analysis? Y__ N__
If “Yes”, identify where the specimens currently are stored:
Funding specifically used in this park this reporting year that was provided by
NPS (enter dollar amount): $

Funding specifically used in this park this reporting year that was provided by all
other sources (enter dollar amount): $

List any other U.S. Government Agencies supporting this study or activity and the funding each provided this reporting year:

Paperwork Reduction Act Statement: A federal agency may not conduct or sponsor, and a person is not required to respond
to a collection of information unless it displays a valid OMB control number. Public reporting for this collection of information
is estimated to average 1.625 hours per response, including the time for reviewing instructions, gathering and maintaining data,
and completing and reviewing the forms. Direct comments regarding this burden estimate or any aspect of this form to Dr. John
G. Dennis, Natural Resources (3127 MIB), National Park Service, 1849 C Street, N.W., Washington, DC 20240.

The National Park Service may not conduct or sponsor, and a person is not required to respond to, this collection of information unless it displays a currently valid
OMB control number.
(iarnewformf.doc; revised 4/13/2004) Page 2 of 2