Land and Water Conservation Fund Description and Notification Form

Forms and Documents

Document Name	Status
Form 10-903 Land and Water Conservation Fund Description and Notification Form Form and Instruction	Modified
LWCF combined published 30 day notice.pdf Supplementary Document	2010-08-24
1024-0031__supporting_statement_August_16_10.docx Supporting Statement A	2010-08-16
lwcf_act.pdf Supplementary Document	2010-08-06
Electronic Code of Federal Regulations.mht Supplementary Document	2010-07-30
60 day published.pdf Supplementary Document	2010-07-22

IC Document Collections

IC ID	Document Title	Status
11078	Land and Water Conservation Fund Description and Notification Form Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0031	ICR Reference No: 201001-1024-002
Status: Historical Active	Previous ICR Reference No: 200704-1024-004
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: Land and Water Conservation Fund Description and Notification Form
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/25/2010
	Date Received in OIRA: 08/24/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	10/31/2010
Responses	448	0	450
Time Burden (Hours)	448	0	450
Cost Burden (Dollars)	0	0	0

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Abstract: The Description and Notification Form captures information about Land and Water Conservation Fund grants and the parks and recreation areas assisted through approval of a new grant, an amendment to an existing grant, or a Conversion of Use Provisions request.

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Authorizing Statute(s): US Code: 16 USC 4601-4 et seq. Name of Law: Land and Water Conservation Fund Act of 1965
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 14181	03/24/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 52010	08/24/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Land and Water Conservation Fund Description and Notification Form	10-903	Land and Water Conservation Fund Description and Notification Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	448	450	0	0	-2	0
Annual Time Burden (Hours)	448	450	0	0	-2	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We are reporting a decrease of 2 annual responses and 2 burden hours. This is an adjustment based on our experience in administering this collection over the last several years.

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Annual Cost to Federal Government: $25,115

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/24/2010

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