Land and Water Conservation Fund State Assistance Program, 36 CFR 59

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
LWCF Record of Electronic Payment	Form	New	Available
LWCF Proposal Description and Environmental Screening Form	Form and Instruction	New	Available
LWCF Proposal Description and Environmental Screening Form	Form and Instruction	New	Available
LWCF Proposal Description and Environmental Screening Form	Form and Instruction	New	Available
Form 10-902A Amendment to Project Agreement	Form	New	Available
LWCF Proposal Description and Environmental Screening Form	Form and Instruction	New	Available
Form 10-902A Amendment to Project Agreement	Form	New	Available
LWCF Proposal Description and Environmental Screening Form	Form and Instruction	Modified	Available
Form 10-902 Land and Water Conservation Fund Project Agreement	Form	Modified	Available
Form 10-903 Land and Water Conservation Fund Description and Notification Form	Form and Instruction	Modified	Available
1024-0031 30-day published.pdf	Supplementary Document	Uploaded 2013-09-23	Available
1024-0031 Supporting Statement A rev.doc	Supporting Statement A	Uploaded 2013-10-30	Available
36 CFR 59.pdf	Supplementary Document	Uploaded 2013-09-16	Available
1024-0031 60-day notice published.pdf	Supplementary Document	Uploaded 2013-09-16	Available
lwcf_act.pdf	Supplementary Document	Uploaded 2010-08-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
208706	LWCF - Request to Shelter Facilities	Other-LWCF Manual	New
208705	LWCF - Requests for Reimbursement/Record of Electronic Payment	Form	New	LWCF Record of Electronic Payment
208704	LWCF Recordkeeping	Other-LWCF Manual	New
208703	LWCF Financial and Program Performance Reports	Other-LWCF Manual	New
208702	LWCF Onsite Inspection Reports	Other-LWCF Manual	New
208701	LWCF - Extension of 3-Year Limit for Delayed Outdoor Recreation Development	Other-LWCF Manual	New
208700	LWCF - Request for a Significant Change of Use	Form and Instruction	New	LWCF Proposal Description and Environmental Screening Form
208700	LWCF - Request for a Significant Change of Use	Other-LWCF Manual	New
208699	LWCF Request for Temporary Non-Conforming Uses	Form and Instruction	New	LWCF Proposal Description and Environmental Screening Form
208699	LWCF Request for Temporary Non-Conforming Uses	Other-LWCF Manual	New
208697	LWCF Public Facility Requests	Other-LWCF Manual	New
208696	Open Project Selection Process	Other-LWCF Manual	New
208695	Statewide Comprehensive Outdoor Recreation Plan	Other-LWCF Manual	New
208691	LWCF Conversion of Use	Other-LWCF Manual	New
208691	LWCF Conversion of Use	Form and Instruction	New	LWCF Proposal Description and Environmental Screening Form
208691	LWCF Conversion of Use	Form	New	Amendment to Project Agreement
208690	LWCF Grant Amendments	Form and Instruction	New	LWCF Proposal Description and Environmental Screening Form
208690	LWCF Grant Amendments	Form	New	Amendment to Project Agreement
11078	LWCF Applications	Other-LWCF Manual	Modified
11078	LWCF Applications	Form and Instruction	Modified	LWCF Proposal Description and Environmental Screening Form
11078	LWCF Applications	Form	Modified	Land and Water Conservation Fund Project Agreement
11078	LWCF Applications	Form and Instruction	Modified	Land and Water Conservation Fund Description and Notification Form

ICR Details

OMB Control No: 1024-0031	ICR Reference No: 201309-1024-001
Status: Historical Active	Previous ICR Reference No: 201001-1024-002
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: Land and Water Conservation Fund State Assistance Program, 36 CFR 59
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/30/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/23/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2016	36 Months From Approved	10/31/2013
Responses	5,944	0	448
Time Burden (Hours)	45,454	0	448
Cost Burden (Dollars)	0	0	0

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Abstract: The Land and Water Conservation Fund Act of 1965 (LWCF Act) (16 U.S.C 460l-4 et seq.) was enacted to help preserve, develop, and ensure access to outdoor recreation facilities. The LWCF Act provides funds for and authorizes Federal assistance to the States for planning, acquisition, and development of needed land and water areas and facilities. In accordance with the LWCF Act, the National Park Service (we, NPS) administers the LWCF State Assistance Program, which provides matching grants to States and through the States to local units of government. As used in this information collection request, the term "States" includes the 50 States; the Commonwealths of Puerto Rico and the Northern Mariana Islands; the District of Columbia; and the Territories of Guam, the U.S. Virgin Islands, and American Samoa. LWCF grants are provided to States on a matching basis for up to 50 percent of the total project-related allowable costs. Grants to eligible insular areas may be for 100 percent assistance. The LWCF State Assistance Program gives maximum flexibility and responsibility to the States. States establish their own priorities and criteria and award their grant money through a competitive selection process based on a Statewide Comprehensive Outdoor Recreation Plan. Payments for all projects are made to the State organization that is authorized to accept and administer funds paid for approved projects. Local units of government participate in the program as subgrantees of the State with the State retaining primary grant compliance responsibility.

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Authorizing Statute(s): US Code: 16 USC 4601-4 et seq. Name of Law: Land and Water Conservation Fund Act of 1965
  

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:
	78 FR 12349	02/22/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 58344	09/23/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

table that charts list of burden

IC Title	Form No.	Form Name
LWCF - Extension of 3-Year Limit for Delayed Outdoor Recreation Development
LWCF - Request for a Significant Change of Use	None	LWCF Proposal Description and Environmental Screening Form
LWCF - Request to Shelter Facilities
LWCF - Requests for Reimbursement/Record of Electronic Payment	None	LWCF Record of Electronic Payment
LWCF Applications	10-903, 10-902, None	Land and Water Conservation Fund Description and Notification Form ,   Land and Water Conservation Fund Project Agreement ,   LWCF Proposal Description and Environmental Screening Form
LWCF Conversion of Use	10-902A, None	Amendment to Project Agreement ,   LWCF Proposal Description and Environmental Screening Form
LWCF Financial and Program Performance Reports
LWCF Grant Amendments	10-902A, None	Amendment to Project Agreement ,   LWCF Proposal Description and Environmental Screening Form
LWCF Onsite Inspection Reports
LWCF Public Facility Requests
LWCF Recordkeeping
LWCF Request for Temporary Non-Conforming Uses	None	LWCF Proposal Description and Environmental Screening Form
Open Project Selection Process
Statewide Comprehensive Outdoor Recreation Plan

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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	5,944	448	0	435	5,061	0
Annual Time Burden (Hours)	45,454	448	0	17,149	27,857	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: We are reporting 5,944 responses totaling 45,454 annual burden hours for this information collection, which is an increase of 5,496 responses and 45,006 burden hours from our last submission. We are reporting as program changes 435 responses and 17,149 burden hours associated with existing requirements that were not previously approved: • Applications – 2,000 hours associated with PD/ESF. • Amendments – 360 hours associated with PD/ESF • Conversion of Use – 5,600 hours associated with PD/ESF • SCORP – 11 responses, 5,500 hours • OPSP – 11 responses, 220 hours • Public Facility Requests – 8 responses, 128 hours • Request for Temporary Non-Conforming Use – 5 responses, 80 hours • Request for Significant Change of Use – 2 responses, 32 hours • Extension of 3-Year Limit for Delayed Outdoor Recreation Development – 5 responses, 805 hours • Recordkeeping - 56 responses, 2,240 hours • Requests for Reimbursement – 336 responses, 168 hours • Request to Shelter Facilities – 1 response, 16 hours We are reporting as adjustments a net increase of 5,061 responses and 27,857 hours as follows: • Applications - -198 responses, 552 hours for Form 10-902 (previously approved under 1024-0033). • Amendments – 180 responses, 720 hours for Forms 10-902A (previously approved under 1024-0033) and 10-903 (previously approved under 1024-0031). • Conversion of Use – 50 responses, 1,900 hours (50 responses, 1,750 hours previously approved under 1024-0047; 150 hours for Form 10-902A previously approved under 1024-0033). • Onsite Inspection Reports – 4,368 responses, 24,024 hours previously approved under 1024-0034. Response time increased based on outreach. • Performance Reports – 661 responses, 661 hours – previously approved under 1024-0032.

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Annual Cost to Federal Government: $656,125

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: 09/23/2013

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