National Wildlife Refuge Visitor Check-In Permit and Use Report

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3-2405 Visitor Check-In Permit and Use Report	Form and Instruction	New	Available
1018-Check-in Permit and Use Report SSA final.rtf	Supporting Statement A	Uploaded 2012-08-21	Available
1018-Check In Permit 30-day published.pdf	Supplementary Document	Uploaded 2012-08-29	Available
Refuge Recreation Act of 19621].pdf	Supplementary Document	Uploaded 2012-08-15	Available
NWRS Administration Act of 1966[1].pdf	Supplementary Document	Uploaded 2012-08-15	Available
1018-visitor use card published 60 day.pdf	Supplementary Document	Uploaded 2012-08-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203711	Visitor Check-In Permit and Use Report	Form and Instruction	New

ICR Details

OMB Control No: 1018-0153	ICR Reference No: 201208-1018-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOI/FWS	Agency Tracking No:
Title: National Wildlife Refuge Visitor Check-In Permit and Use Report
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/07/2012
	Date Received in OIRA: 08/29/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved
Responses	650,000	0	0
Time Burden (Hours)	54,167	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The National Wildlife Refuge System Administration Act of 1966 (16 U.S.C. 668dd-668ee), as amended (Administration Act), and the Refuge Recreation Act of 1962 (16 U.S.C. 460k-460k-4) (Recreation Act) govern the administration and uses of national wildlife refuges and wetland management districts. The Administration Act consolidated all the different refuges into a single "Refuge System." It also authorizes us to permit public uses on lands of the Refuge System when we find that the activity is compatible and appropriate with the purpose for which the refuge was established. The Recreation Act allows the use of refuges for public recreation when the use is not inconsistent or does not interfere with the primary purpose(s) of the refuge. Wildlife-dependent recreation programs on refuges must be monitored on a regular basis to ensure the refuge is meeting its objectives while at the same time providing safe, quality experiences for visitors. We are proposing a new form to collect information on hunters and anglers and other visitors in order to protect refuge resources and administer and evaluate the success of visitor programs.

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Authorizing Statute(s): US Code: 16 USC 668dd-668ee Name of Law: National Wildlife Refuge System Administration Act of 1966
   US Code: 16 USC 460k-460k-4 Name of Law: Refuge Recreation Act of 1962
  

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:
	75 FR 24964	05/06/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 52343	08/29/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Visitor Check-In Permit and Use Report	3-2405	Visitor Check-In Permit and Use Report

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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	650,000	0	0	650,000	0	0
Annual Time Burden (Hours)	54,167	0	0	54,167	0	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: This is a new collection.

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Annual Cost to Federal Government: $3,715,738

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: 08/29/2012

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