Form 10-902A Amendment to Project Agreement

OMB Control No. 1024-0031
Expires: XX/XX/2016

UNITED STATES
DEPARTMENT OF THE INTERIOR
NATIONAL PARK SERVICE

STATE
Project Amendment No.

AMENDMENT TO PROJECT AGREEMENT
THIS AMENDMENT To Project Agreement No.
is hereby made and agreed
upon by the United States of America, acting through the Director of the National Park
Service and by the State of
pursuant to the Land and Water
Conservation Fund Act of 1965, 78 Stat. 897 (1964).
The State and the United States, in mutual consideration of the promises made herein and
in the agreement of which this is an amendment, do promise as follows:
That the above mentioned agreement is amended by adding the following:

In all other respects the agreement of which this is an amendment, and the plans and
specifications relevant thereto, shall remain in full force and effect. In witness thereof the
parties hereto have executed this amendment as of the date entered below.
THE UNITED STATES OF AMERICA

STATE

By
(Signature)

(State)
By

(Title)
National Park Service
United States Department of the Interior

(Signature)
(Name)

Date
(Title
Paperwork Reduction Act Statement: This information collection is authorized by the Land and Water Conservation Fund Act of 1965 (16 U.S.C. 4601-4 et seq.). Your response is required to obtain
or retain a benefit. We use this information to document changes made to original grant agreement. We estimate that it will take 3 hours to complete this form, including the time necessary to review
instructions gather data and review the form.
You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240.
We may not collect or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control number.

NPS 10-902A