Form 7-2540 Bureau of Reclamation Use Authorization Application

7-2540 (5-06)
Bureau of Reclamation

OMB Control No.: 1006-0003
OMB Expiration Date: XX-XX-2009

BUREAU OF RECLAMATION USE AUTHORIZATION APPLICATION
Applicants: Use this form to apply for short-term uses of Bureau of Reclamation (Reclamation) lands, facilities, or waterbodies, such as recreation and
sporting events; commercial filming and photography; archaeological research projects; and any other similar uses deemed appropriate by
Reclamation. [For right-of-way requests, please refer to instructions on the next page.]
Fill out the following application completely. Use “N/A” if a question does not apply. If additional space is needed, attach separate sheet(s)
of paper, as necessary. Refer to the second page of this form for detailed instructions.

1. Information about the applicant requesting the use:
Applicant:
Company Name:
Address:
City, State, and Zip Code:
Telephone Numbers Day:
Evening:
(include area code):
Tax ID or Social Security Number (as applicable):

FAX:

Email address:

2. Location of the proposed use: [A map or drawing showing the location of the proposed use is required]
3. Purpose of proposed use: [provide a full description of activity or event]
4. Description of the requested use: [provide full description of activity or event]
Maximum Number of Anticipated
Participants/Spectators/Crew:
Number and Types of
Vehicles:
Description of Props, Tents, and other
Equipment:
Will Reclamation roads and/or trails be used? Yes
No
Describe Facilities You Intend to Provide: [such as sanitation facilities, emergency personnel, food services, or vendors and attach plans]

5. Dates of requested use [during the following times and dates (specify below)]:
START

END

DATE
(Month, Day, Year)

TIME
AM

PM

DATE
(Month, Day,
Year)

TIME
AM

6. Is this request for a new use authorization or a renewal of an existing use authorization? Renewal
Office issuing permit

PM

New

Date of latest permit

7. Name of Insurance Carrier:
8. Have you, or your organization, forfeited any portion of any previous permit, bond, or surety submitted for use of Federal lands,
No
or is any investigation or legal action pending against you or your organization for use of Federal lands? Yes
[If “Yes”, attach details on separate sheet.]
9. Applicant Certification: I certify that the information given in this application is true, complete, and correct to the best of my knowledge and
belief and is given in good faith. I acknowledge that I (we) am (are) required to comply with any conditions or stipulations that are
required by the Bureau of Reclamation when the use authorization is issued.
Date

Signature of Applicant

Title 18 U.S.C. Section 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States
any false, fictitious, or fraudulent statements or representations as to any matter within its jurisdiction.
Paperwork Reduction Act (Act): This information is needed to evaluate short-term use requests such as those listed on this application. Responses are necessary to
receive or maintain a benefit; without this information Reclamation may not grant your request. Under the Act, the reporting burden to the public for this form is estimated to
average 2 hours per response, including time for reviewing instructions, and completing and reviewing the form. In accordance with the Act, Reclamation may not conduct
or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget control number.
Privacy Act Statement
Information obtained by this form is protected by the Privacy Act of 1974 systems of records INTERIOR/WBR-17 and INTERIOR/WBR-32 and will be used to maintain land
status information and proof of use authorization for legal purposes. If you fail to complete the information requested, Reclamation may refuse to grant a use authorization.

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7-2540 (5-06)
Bureau of Reclamation

OMB Control No.: 1006-0003
OMB Expiration Date: XX-XX-2009

INSTRUCTIONS FOR COMPLETION OF THE RECLAMATION
USE AUTHORIZATION APPLICATION
Short -Term Uses Requested on Reclamation Lands, Facilities, and Waterbodies
The following short-term uses of Reclamation’s lands, facilities, and waterbodies are commonly requested by using this use
authorization application. This list is intended to provide examples of such uses and should not be considered as all inclusive:
•

Commercial filming and
photography;

•

Organized recreational activities, public gatherings, and other special
events;

•

Commercial guiding and outfitting;

•

Removal of, or exploration for, sand, gravel, and other mineral materials;

•

Commercial or organized sporting
events;

•

Timber harvesting, or removal of commercial forest products or other
vegetative resources; and

•

Any other uses deemed appropriate by Reclamation, subject to the
exclusions listed in the Code of Federal Regulations (43 CFR 429.4).

Applicants requesting rights-of-way for such activities as placement and construction of transmission lines, pipe lines, and
telecommunications sites or cables, should refer to www.ntia.doc.gov/FROWsite/rowapplprocess.htm to access the Standard Form
(SF) 299, Application for Transportation and Utility Systems and Facilities on Federal Lands.
Application Process
1. Complete the Use Application. Complete all parts of the use authorization application. If a particular question or response does
not apply to the proposed use, please indicate “not applicable” or “N/A”. Attach additional sheets if more space is needed. If you have
additional questions, please contact your local Reclamation office. A complete list of all offices can be found at the following web site
address: http://www.usbr.gov.
2. The following must be submitted with the application or attested to before the application may be approved by
Reclamation: Two copies of all maps and other information pertinent to the location for the requested use must be submitted with the
application before processing can proceed. Under 43 CFR 429.13(a), Reclamation may require the applicant to furnish additional
material before granting a use authorization.
3. Enclose an application fee of $100, payable to the Bureau of Reclamation when submitting your application. You must
submit an application fee of $100 (payable to the Bureau of Reclamation) with your use authorization application to cover the estimated
minimum administrative costs to Reclamation to review your application. Failure to submit the required application fee and adequate
information will cause delays in evaluation of the application.
The granting of any use authorization on Reclamation lands, facilities, or waterbodies is discretionary with Reclamation, and there is no
guarantee that Reclamation will approve any application to use Reclamation lands, facilities, or waterbodies. If, after a preliminary
review of the application, Reclamation determines that the granting of a use authorization is not compatible with the present or future
uses of the lands, facilities, or waterbodies, the use authorization will not be granted.
If Reclamation finds your proposed use compatible with Reclamation project purposes or operations, we will advise you of any
additional estimated administrative costs in excess of the initial $100 application fee, which you will be required to pay before
processing of your application continues. Administrative costs include, but are not limited to: appraisal and appraisal review;
compliance with National Environmental Policy Act and the National Historic Preservation Act; and Reclamation’s review, preparation
and issuance of the use authorization.
4. Value of the use authorization (Use Fee). In addition to the administrative costs, applicants will also be required to pay for the
value of the use of the lands, facilities, or waterbodies based on the value of the use prior to issuance of the use authorization. 43 CFR
429, Subpart E describes the procedures that will be used to process and recover the value of use authorizations.
5. Submit the application, application fee of $100, and any attachments to your local Reclamation office. No activity may begin
until a fully executed use authorization document is issued by Reclamation.

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