7-2535 Recreation Use Data Report Part II - Concessionaires

7-2535 OMB Control No. 1006-0002

Bureau of Reclamation Expiration Date:

Bureau of Reclamation

Recreation Use Data Report, Part II - Concessionaires

To Be Completed By Concessionaires and Reclamation and/or Managing Partner, If Applicable

Shaded areas to be completed by Reclamation and/or managing partner

Other areas to be completed by Concessionaire

Paperwork Reduction Act: The purpose of this form is to provide information to the Bureau of Reclamation for evaluating and improving the recreation services and programs that it provides to the public. Response is mandatory. The reporting burden for this form is estimated to average 30 minutes, which includes the time for reviewing instructions and completing and reviewing the form. An agency 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 (OMB) control number. Please direct comments regarding the burden estimate or any other aspect of these forms to the Bureau of Reclamation, Attention: 84-53000, P.O. Box 25007, Denver, CO 80225.

Privacy Act Statement: No Privacy Act Information is being collected; therefore, no direct link to the individual(s) filling out this form will be available.

1. Background Information
Reclamation Project:
Recreation/Wildlife Area:
Recreation/Wildlife Management Entity:
Address:
City:		State:		Zip Code:
E-Mail Address:
Contact Name:		Contact Phone:
Management Contract Agreement Number:
Approval Date:		Expiration Date:
Last Reclamation Review/Inspection Date:

2. Concessions Use Authorization
Use Authorization Title:
Use Authorization Number:
Name of Concession Operation:
Legal Name of Owner(s):
Address:
City:			State:		Zip Code:
E-Mail Address:
Issued By:
Approval Date:		Expiration Date:
Renewal Option:	Yes  No 
Renewal Term Length:
Concession Agreement Authority:
Annual Financial Report Prepared:	Yes  No 

3. Sub-Concessions: Identify the sub-concessions that have been issued by the concessionaire. Leave table blank if there are no sub-concessions.
Business Name	Address	Contact Name	Authority	Service Provided

4. Non-profit Organization/Facilities: Identify the organization, authority used to enter into the use authorization, and the type of use provided within the concession area. Also identify the facilities owned or operated by the non-profit.
Organization	Authority and Type of Use Authorization	Type of Use Provided	Facilities Owned/Operated

5. Twelve Month Reporting Period:

From: (Month/Day/Year)

To: (Month/Day/Year)

Note: Report only requires an annual update, at the end of reporting period use, by the concessionaire

6. Concession Area of Operation
	Acres		Miles (decimal)
Total Area Occupied by Concession:		Concession Area Surfaced Roads:
Total Concession Land Surface Area:		Concession Non-Surfaced Roads:
Total Concession Water Surface Area:		Shoreline Occupied by Concession:
		Total of all designated trails and paths:

7. Length of Season for Concession Operation	From: Month and Day	To: Month and Day
Peak Season Months
Off Season Months

8. Number of Visitors
Number for Peak Season Reporting Period
Number for Off Season Reporting Period
Total

9. Concession Review and Evaluation
Date of Last Review and Evaluation:
Type of Review:		External: Yes  No 
		Local: Yes  No 
Significant Findings:

10. Fees
Fee Type (list all types of fees)	Fee Amount Daily	Fee Amount Annual (if applicable)

11. Revenues/Expenses For Peak and Off Season Reporting Period
Gross Receipts:		Fees Paid To:
Concession		Reclamation
Sub-concession(s)		Managing Entity
Other (identify)		Other (Identify)
Total Gross Receipts of Concessionaire		Total Fees Paid by Concessionaire

12. Exclusive Uses: If exclusive uses occur on the area, provide a description of the use and quantities:

13. Inventory of Recreation Facilities, Designated Areas, and Opportunities:
No. = Total Number DW = Drinking E= Electricity S = Sewer
Facility/Designated Area	No.	DW	E	S	Facility/Designated Area	No.	DW	E	S
A. Camping					H. Boating
Campgrounds					Boat Launch Ramps
Total number of campsites					Vehicle/Trailer Parking Lots
Tent only campsites					Boat ramp courtesy docks
RV Campsites					Vault Restroom Buildings
RV Campsites w/Hookups					Flush Restroom Buildings
Group campsites					Marine fueling station
Boat in campsites					Sanitary Pump Out Stations
Shade shelters					Dry Boat Storage Locations
Vault Restroom Buildings					Rental slips in marina
Flush Restroom Buildings					Rental moorings
Shower Facility Locations					Watercraft Rental Locations
Laundry Facility Locations					Floating restroom
Campground Playgrounds					Boat cleaning station
RV Dump Locations					I. Lodging, Food, Supplies, Fuel, Other Services (On-Site)
Equestrian Campsites					Motels
B. Day Use Areas					Educational Dorms/Lodges
Designated day use areas					Full-Service restaurant or snack bar
Picnic sites					Cabin Rental Sites
Group picnic sites					Trailer Rental Sites
Picnic Vehicle Parking Lots					Swimming pools
Shade shelters					Water parks
Vault Restroom Buildings					Vending Service Locations
Flush Restroom Buildings					Groceries/supplies/gift store locations
C. Horseback Facilities					Vehicle fueling station
Horse Stable Locations					Yurts
D. Winter Sports					J. Fishing
Ski and snowshoe Rental Locations					Designated Fisherman Access Sites
Snowmobile Rental Locations					Bait/Tackle Store Locations
Snow park facilities					Fishing Guide Operations
E. Wildlife Viewing					Fish cleaning stations
Designated wildlife/fish viewing locations					Fishing pier
F. Other					K. Water Sports
Golf Courses					Designated Swim Beaches
Rifle/Pistol Shooting Range Locations					Designated non-motorized Boating areas
Trap/Skeet/Sport Clay Range Locations					Designated Water Skiing Areas
Domestic Pet Exercise Areas					Designated wakeless areas
Archery Range Locations					Wind surfing areas
Sea Plane Landing Areas					Swimming dock/platform locations
Sports fields
Remote control model areas					L. Use Authorization
G. Trail Systems					Guided Equestrian trips
Trailheads (number)					Guided fishing trips
Hiking/walking trails miles					Guided rafting trips
Bicycle trails miles					Guided hunting trips
Equestrian trails miles					Guided off-highway vehicle (OHV) trips
OHV trails miles					Fishing tournaments
Multi-use trails miles					Athletic events
Hard surface trails miles					Competitive events
Groomed Cross Country Ski Trails					M. Other: Description	No.	DW	E	S

14. Activity Ranking: For the facility/designated area activities listed above in Section 13, identify and rank the order of the four most popular activities by entering the letter associated with the activity categorized in section 13 above. For example, if camping was the most popular activity, enter an A in the first column. If the fourth most popular activity was fishing, enter the letter J in the fourth column.
Highest Top Four>	First	Second	Third	Fourth	Lowest <Top Four

15. Comments/Notes/Additional Data: Please specify item number. Attach additional pages, if necessary.

16. Contact Information
Bureau of Reclamation or Non-Federal Partner: The person who supplied the information for the shaded areas of this form should fill out the contact information.
Prepared By:		Date:
Telephone No.:		E-mail:
Concessionaire: The person who supplied the information specific to the concession operation should fill out the contact information.
Prepared By:		Date:
Telephone No.:		E-mail

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