Information Collection

The Interagency Senior Pass Mail-in Application

IC 195250 under ICR 201310-1024-001 · OMB 1024-0252.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0252 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
The Interagency Senior Pass Mail-in Application	Form and Instruction
Application for Mail-Order Sales of the America the Beau senior_pass_application - 2014 final.pdf store.usgs.gov/pass/senior_pass_application.pdf	Form and Instruction

IC Title:

The Interagency Senior Pass Mail-in Application

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	None	Application for Mail-Order Sales of the America the Beautiful -- The National Parks and Federal Recreational Lands Senior Pass	senior_pass_application - 2014 final.pdf	https://store.usgs.gov/pass/senior_pass_application.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 29,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	29,750	0	2,250	27,500
Annual IC Time Burden (Hours)	4,958	0	375	4,583
Annual IC Cost Burden (Dollars)	317,135	297,500	2,035	17,600

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.