Special Use Administration

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form FS-6500-24 Special Use Administration - Individuals - Forest Service	Form	Modified	Available
Form SF - 299 DOI USACE - Private Sector - Application for Transportation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/BLM - State, Local, Tribal Govt - Application for Transportation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/BLM - Individ. - Application for Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/BLM - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/BuRec - State, Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/BuRec - Individ. - Application for Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/BuRec - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Modified	Available
Form SF - 299 DOI DOI/NPS - State, Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Unchanged	Available
Form SF - 299 DOI DOI/NPS - Individ. - Application for Transporation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Unchanged	Available
Form SF-299 DOI DOI/NPS - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Unchanged	Available
Form SF-299 - DOI DOI/FWS - State,Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified	Available
Form SF-299 - DOI DOI/FWS - Individ. - Application f/Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Unchanged	Available
Form SF-299 - DOI DOI/FWS - Private Sector - Application f/Transportation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Modified	Available
0596-0082 Form_Inventory_list_10-29-12.docx	Supplementary Document	Uploaded 2012-10-29	Available
0596-0082_2012_SuptStmt_v12-17-2013.docx	Supporting Statement A	Uploaded 2013-12-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
37098	Special Use Administration - Individuals - Forest Service	Form	Modified
200789	USACE - Private Sector - Application for Transportation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified
200788	DOI/BLM - State, Local, Tribal Govt - Application for Transportation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified
200787	DOI/BLM - Individ. - Application for Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Modified
200786	DOI/BLM - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Modified
200785	DOI/BuRec - State, Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified
200784	DOI/BuRec - Individ. - Application for Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Modified
200783	DOI/BuRec - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Modified
200782	DOI/NPS - State, Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Unchanged
200781	DOI/NPS - Individ. - Application for Transporation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Unchanged
200780	DOI/NPS - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Unchanged
200779	DOI/FWS - State,Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	Form and Instruction	Modified
200778	DOI/FWS - Individ. - Application f/Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	Form and Instruction	Unchanged
200777	DOI/FWS - Private Sector - Application f/Transportation & Utility Systems & Facilities on Federal Lands - Utilities	Form and Instruction	Modified
189289	Special Use Administration - State, Local, Tribal Governments - FS		Modified
189288	Special Use Administration - Private Sector - Forest Service		Modified

ICR Details

OMB Control No: 0596-0082	ICR Reference No: 201208-0596-005
Status: Historical Active	Previous ICR Reference No: 201204-0596-002
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: Special Use Administration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/09/2014
	Date Received in OIRA: 10/29/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2017	36 Months From Approved	01/31/2014
Responses	155,431	0	91,128
Time Burden (Hours)	331,761	0	293,216
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is used by the Forest Service to evaluate and ensure that authorized uses of National Forest System (NFS) lands are in the public interest and are compatible with the agencys mission. The information helps the agency identify environmental and social impacts of special uses for purposes of compliance with the National Environmental Policy Act (NEPA) and program administration.

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Authorizing Statute(s): US Code: 16 USC 6801-6814 Name of Law: Federal Lands Recreation Enhancement Act
   US Code: 43 USC 1761-1771 Name of Law: Title IV Federal Land Policy & Management Act of 1976
   US Code: 16 USC 497 Name of Law: The Act of March 4 1915
   US Code: 16 USC 551 Name of Law: Organic Administration Act of 1897
   US Code: 16 USC 497b Name of Law: National Forest Ski Area Permit Act
   US Code: 30 USC 185 Name of Law: Sec 28, Minerals Leasing Act
   US Code: 16 USC 532-538 Name of Law: National Forest Roads & Trails Act
   US Code: 16 USC 480d Name of Law: Sec 7, Granger-Thye Act
   US Code: 16 USC 460l-6d Name of Law: Act of May 26, 2000
   US Code: 16 USC 1b Name of Law: Archaeological Resources Protection Act of 1979
   US Code: 43 USC 931c, 931d Name of Law: Act of September 3, 1954
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 31298	05/25/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 65531	10/29/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 16

table that charts list of burden

IC Title	Form No.	Form Name
DOI/BuRec - Individ. - Application for Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	SF - 299 DOI	Application for Transporation and Utility Systems and Facilities on Federal Lands
DOI/BuRec - State, Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	SF - 299 DOI	Application for Transporation and Utility Systems and Facilities on Federal Lands
DOI/BLM - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	SF - 299 DOI	Application for Transportation and Utility Systems and Facilities on Federal Lands
DOI/BLM - Individ. - Application for Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	SF - 299 DOI	Application for Transportation and Utility Systems and Facilities on Federal Lands
Special Use Administration - Individuals - Forest Service	IRS W-9, FS-2700-5, FS-2700-9g, FS-2700-5b, FS-2700-5c, FS-2700-9a, FS-2700-4-Shawnee, FS-2700-9d, FS-2700-9e, FS-2700-9f, FS-2700-4h, Appendix F, FS-2700-4j, FS-2700-11, FS-2700-12, FS-2700-33, FS-6500-24, FS-6500-25, FS-2700-4, FS-2700-4b, FS-2700-4d, FS-2700-4c, FS-2700-4h, FS-4700-4h, Appendix B, FS-2700-4h, Appendix G, FS-2700-26b, FS-2700-27, FS-2700-6b, FS-2700-7, FS-2700-8, FS-2700-10a, FS-2700-19, FS-1900-19a, FS-2700-4i, SF-299, FS-2700-3a, FS-2700-3b, FS-2700-3c, FS-2700-9h, FS-2700-10b, FS-2700-31, FS-2700-30, FS-2700-23, FS-2700-25, FS-2700-26, FS-2700-3e, FS-2700-10, FS 2700-3f, FS-2700-34, FS-2700-5d, REV FS 2700-5a, FS-2700-32, FS-2700-1, FS-2800-22A, FS-2800-22B, FS-2800-22C, Fs-2800-22D, SF-299, FS-2700-39, FS-2700-38, FS-2700-5a- Grand Island, FS-2700-9i, FS-2700-9j	Financial Statement ,   Request for Verification ,   Special Use Permit ,   Forest Road Special Use Permit ,   Authorization to Conduct Paleontological Resources Research or Collection ,   Paleontological Investigation Report Form ,   Paleontological Specimen Data Form ,   FOREST ROAD EASEMENT ISSUED UNDER THE FEDERAL LAND POLICY AND MANAGEMENT ACT ,   PRIVATE ROAD EASEMENT ISSUED UNDER THE FEDERAL LAND POLICY AND MANAGEMENT ACT ,   Application for Transportation and Utility Systems and Facilities on Federal Lands ,   Holder-Initiated Revocation of Existing Authorization and Request for Special Use Permit ,   Special Use Application and Permit for Noncommercial Group Use ,   Special Use Application and Permit for Recreation Events ,   Special Use Application and Permit for Government Owned Buildings ,   Technical Data for Communications Uses ,   Permit for Archaeological Investigations ,   Agreement Concerning a Small Business Administration Loan for a Holder of a Special Use Permit ,   Agreement Concerning a Loan for a Holder of a Special Use Permit ,   Insurance Endorsement Special Use Authorization ,   RUS Certification Form – Telephone Facility ,   MONITORING OR INSPECTION REPORT FOR SPECIAL USE AUTHORIZATIONS ,   TERM SPECIAL USE PERMIT FOR RECREATION RESIDENCES-Grand Island ,   COMMUNICATIONS USE PERMIT FOR FEDERAL AGENCIES ,   Application for Permit and Authorization for Paleontological Resources Research or Collection ,   Special Use Permit for a Temporary Road Covered by a Cost Share Agreement ,   Private Road Special Use Permit ,   Special Use Permit for Campground and Related Granger-Thye Concessions ,   Appendix B: Annual Granger-Thye Fee Offset Agreement ,   Appendix G: Granger-Thye Fee Offset Claim Certification ,   Appendix F: Special Use Permit for Campground and Related Granger-Thye Concessions ,   Term Special Use Permit ,   Ski Area Term Special Use Permit ,   Resort/Marina Term Special Use Permit ,   Agricultural Irrigation and Livestock Watering System Easement ,   Cost Share Easement ,   Non Cost Share Easement ,   Public Road Easement ,   Forest Road Easement Issued Under the National Forest Roads and Trails Act ,   Private Road Easement Issued Under the National Forest Roads and Trails Act ,   Communications Use Lease ,   Electric Transmission Line Easement ,   Application for Permit for Archaeological Investigations ,   Amendment for Special Use Authorization ,   Temporary Special Use Permit ,   Category 6 Major Cost Recovery Agreement ,   Category 5 Master Cost Recovery Agreement ,   Notice to Alaska Native Corporations Regarding Prospectus for Visitor Services ,   Recreation Residence Self-Inspection Report ,   Reconciliation of Sales for Fee Calculation ,   Reconciliation of Gross Fixed Assets to Booked Amounts ,   Telecommunications Facility Inventory ,   Fee Calculation for Concession Permits ,   Fee Calculation for Ski Area Permits ,   Special Use Permit for Equestrian Outfitting on the Shawnee National Forest ,   Special Use Permit for Outfitting and Guiding ,   Prospectus for Campground and Related Granger-Thye Concessions _______ National Forest ,   Special Use Application & Temporary Permit for Outfitting and Guiding ,   Electric Transmission Line Permit ,   Resort Supplement for Outfitting & Guiding ,   Term Special Use permit for Recreation Residences ,   Application for Transportation and Utility Systems and Facilities on Federal Lands ,   Request for Taxpayer ID
Special Use Administration - State, Local, Tribal Governments - FS
Special Use Administration - Private Sector - Forest Service
DOI/NPS - State, Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	SF - 299 DOI	Application for Transportation & Utility Systems & Facilities on Federal Lands
DOI/BLM - State, Local, Tribal Govt - Application for Transportation & Utility Systems & Facilities on Federal Lands	SF - 299 DOI	Application for Transportation and Utility Systems and Facilities on Federal Lands
DOI/FWS - Private Sector - Application f/Transportation & Utility Systems & Facilities on Federal Lands - Utilities	SF-299 - DOI	Application for Transporation and Utility Systems and Facilities on Federal Lands
DOI/FWS - Individ. - Application f/Transportation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	SF-299 - DOI	Application for Transportation & Utility Systems & Facilities on Federal Lands
USACE - Private Sector - Application for Transportation & Utility Systems & Facilities on Federal Lands	SF - 299 DOI	Application for Transporation and Utility Systems and Facilities on Federal Lands
DOI/NPS - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	SF-299 DOI	Application for Transporation & Utility Systems and Facilities on Federal Lands
DOI/NPS - Individ. - Application for Transporation & Utility Systems & Facilities on Federal Lands - Service Providing Industry	SF - 299 DOI	Application for Transporation and Utility Systems & Facilities on Federal Lands
DOI/BuRec - Private Sector - Application for Transporation & Utility Systems & Facilities on Federal Lands - Utilities	SF - 299 DOI	Application for Transportation and Utility Systems and Facilities on Federal Lands
DOI/FWS - State,Local, Tribal Govt - Application for Transporation & Utility Systems & Facilities on Federal Lands	SF-299 - DOI	Application for Transportation & Utility Systems & Facilities on Federal Lands

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	155,431	91,128	0	48,265	16,038	0
Annual Time Burden (Hours)	331,761	293,216	0	12,941	25,604	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: FS Program changes in this submission resulted in forms FS-2700–4a; FS-2700–35a; FS-2700–35b and FS-2700–35c being discontinued for a reduction of 550 burden hours and 2,050 responses. New forms 2800 A, B, C, & D; 2700-5a-Grand Island; 2700- 38; 2700-39, and the use of the IRS form W-9 created a program change increase of 13,491 burden hours, and 50,315 responses. The request for permits increased resulting in an adjustment increase of 25,604 burden hours and 16,038 responses. These program changes together resulted in a net increase of 48,265 responses, and a net increase of 12,941 burden hours.This submission reflects an overall increase of 38,545 burden hours and 64,303 responses.

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Annual Cost to Federal Government: $2,267,264

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/29/2012

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