Information Collection

The Interagency Senior Pass Mail-in Application Process

IC 195250 under ICR 201010-1024-002 · OMB 1024-0252.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0252 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
The Interagency Senior Pass Mail-in Application Process	Form and Instruction
Interagency Senior Pass Application Final Senior Pass App.pdf	Form and Instruction

IC Title:

The Interagency Senior Pass Mail-in Application Process

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	None	Interagency Senior Pass Application	Final Senior Pass App.pdf		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 27,500

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	27,500	27,500
Annual IC Time Burden (Hours)	4,583	4,583
Annual IC Cost Burden (Dollars)	17,600	17,600

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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