FOR OFFICIAL USE ONLYDate Received ____________ Sent for Review____________ Control No. _______________ |
United States Department of the Interior
Application for Permit for Archeological Investigations
Under the Authority of The Archaeological Resources Protection Act of 1979 (16 U.S.C. 470aa-mm; 43 CFR 7);
and/or The Antiquities Act of 1906 (P.L. 59-209; 34 Stat. 225; 16 U.S.C. 431-433; 43 CFR 3)
and/or the appropriate Bureau-specific statute Such as The Reclamation Act; The National Park Service Organic Act; The National Wildlife Refuge System Administration Act; The Federal Land Policy and Management Act
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DI Form 1926 (Rev Sept 2004) OMB No. 1024-0037 Exp. Date (1/31/08) |
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Instructions: Complete and return two copies of this application form and required attachments to the appropriate State or Regional Office of the land managing bureau involved. All information requested must be completed before the application will be considered. Use separate pages if more space is needed to complete a section. |
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1. Name of applicant (institution, corporation, partnership, individual, or other entity)
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2. Mailing address
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3. Telephone number(s)
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4. Email address(es)
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5. Nature of archeological work proposed □ Survey and Recordation □ Limited Testing and/or Collection (project-specific) □ Excavation and/or Removal (project-specific)
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6. Location of proposed work (attach additional sheets) a. Description of Federal lands involved. Indicate State, county, and Federal administrative unit. Specify the best available location data, e.g., GPS coordinates, UTM coordinates, township, range and section (cadastral) subdivisions, or metes and bounds. Include a readable copy of a map or plan at an appropriate scale showing specific areas for which permit is desired.
b. Identification of archeological resource(s) or other cultural resource(s) involved (if applicable).
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7. Time of proposed work Overall duration of project: From To
Estimated duration of fieldwork: From To |
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8. Principal Investigator Name of individual(s) responsible for planning and generally overseeing field projects, including overall supervision of staff and overall responsibility for the professional quality of resource evaluations and recommendations.
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Principal Investigator contact information Telephone number(s):
Email address(es): |
DI Form 1926 (Rev Sept 2004) Page 2
Paperwork Reduction Act and Estimated Burden Statement: This information is being collected pursuant to 16 U.S.C. 470cc and 470mm, to provide the necessary facts to enable the Federal land manager (1) to evaluate the applicant’s professional qualifications and organizational capability to conduct the proposed archeological work; (2) to determine whether the proposed work would be in the public interest; (3) to verify the adequacy of arrangements for permanent curatorial preservation, as United States property, of specimens and records resulting from the proposed work; (4) to ensure that the proposed activities would not be inconsistent with any management plan applicable to the public lands involved; (5) to provide the necessary information needed to complete the Secretary's Report to Congress on Federal Archeology Programs; and (6) to allow the National Park Service to evaluate Federal archeological protection programs and assess compliance with the Archaeological Resources Protection Act of 1979 (16 U.S.C. 470). Submission of the information is required before the applicant may enjoy the benefit of using publicly owned archeological resources. To conduct such activities without a permit is punishable by felony-level criminal penalties, civil penalties, and forfeiture of property. 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 2.5 hours to complete the application and 30 minutes to complete the report required by the permit per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Departmental Consulting Archeologist; NPS; 1849 C Street, NW (2275); Washington, DC 20240-0001.
9. Field Director Name of individual(s) responsible for carrying out field projects, for technical quality of fieldwork through direct on-the-ground supervision of all aspects of fieldwork and data gathering, for proposing resource evaluations and recommendations for further treatment, and for preparing field records and descriptive reports. |
Field Director contact information Telephone number(s):
Email address(es): |
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10. Permit Administrator Name of individual responsible for fulfilling the terms and conditions of the permit (must be legally empowered to obligate applicant organization). |
Permit Administrator contact information Telephone number(s):
Email address(es): |
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11. Applicant must include the following attached to the application form.
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12. Proposed outlet(s) for public written dissemination of the results
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13. Signature of individual named in 10
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14. Date signed
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File Type | application/msword |
File Title | Information Requirement Approved |
Author | JDOUGLAS |
File Modified | 2008-01-30 |
File Created | 2008-01-30 |