Information Collection

Backcountry Use Permit (36 CFR 1.5, 1.6, and 2.10)

IC 11064 under ICR 201008-1024-002 · OMB 1024-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-404A Backcountry Use Permit (36 CFR 1.5, 1.6, and 2.10)	Form and Instruction
10-404A Backcountry Use Permit Backcountry_Permit_Form_10-404a.docx	Form and Instruction
Title 36 1-5.doc 36 CFR 1.5	IC Document
Title 36 1-6.doc 36 CFR 1.6	IC Document
Title 36 2-10.doc 36 CFR 2.10	IC Document

IC Title:

Backcountry Use Permit (36 CFR 1.5, 1.6, and 2.10)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 1.5, 1.6, and 2.10

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-404A	Backcountry Use Permit	Backcountry_Permit_Form_10-404a.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 285,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	285,000	285,000
Annual IC Time Burden (Hours)	23,750	23,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.