Information Collection

Statement of Disability for Interagency Access Pass In-person Applicants

IC 46500 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⚠️ Notice: This information collection may be referencing outdated material.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
Statement of Disability for Interagency Access Pass In-person Applicants	Form and Instruction
Statement of Disability FINAL Interagency Statement of Disability.doc	Form and Instruction

IC Title:

Statement of Disability for Interagency Access Pass In-person Applicants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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	Statement of Disability	FINAL Interagency Statement of Disability.doc		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: 69,730

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	69,730	-3,670	73,400
Annual IC Time Burden (Hours)	5,811	-306	6,117
Annual IC Cost Burden (Dollars)	0	0	0

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.