Information Collection

Application for Special Use Permit (short form) - private sector

IC 207332 under ICR 201207-1024-004 · OMB 1024-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0026 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-930s Application for Special Use Permit (short form) - private sector	Form and Instruction
10-930s Application for Special Use Permit 10-930s final 5-21-2013.doc	Form and Instruction

IC Title:

Application for Special Use Permit (short form) - private sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 2.5

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	10-930s	Application for Special Use Permit	10-930s final 5-21-2013.doc		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Special Use Permits - NPS-1

FR Citation: 48 FR 51696

Number of Respondents: 1,000

Number of Respondents for Small Entity: 600

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	250	250
Annual IC Cost Burden (Dollars)	75,000	75,000

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.