Form 10-226 Investigator's Annual Report

INVESTIGATOR'S ANNUAL REPORT

OMB Control No. 1024-0236
Exp.Date 02/28/2014
Form No. 10-226

United States Department of the Interior
National Park Service

If you are not using the automated system supporting this report process,
please fill out this form and return it to the appropriate park.
All or some of the information you provide may become available to the public.

Reporting Year:

Park:

Select the type of permit this report addresses:
Scientific Study
Science Education Activity

Name of principal investigator or responsible official:
[Dr. Ms. Mr. Mrs.]

First name:

Office Phone:
Last name:

Mailing address:

Office FAX:
Office Email:

Additional scientific study investigators (first name, last name):

Project Title (maximum 300 characters):

Park-assigned Study or Activity #:

Park-assigned Permit #:

Permit Start Date:

Permit Expiration Date:

Scientific Study Starting Date:

Estimated Scientific Study Ending Date:

For either a Scientific Study or a Science Education Activity, the status is (select
one):
____ Completed (for a study, check only if all specimens are cataloged)
____ Continuing
____ Suspended
____ Terminated before completion

For a Scientific Study that is completed, please check each of the following that
applies:
___ A final report has been provided to the park or will be provided to the park
within the next two years
___ Copies of field notes, data files, photos, or other study records, as agreed,
have been provided to the park
___ All collected and retained specimens and retained material originating from
such specimens have been cataloged into the NPS catalog system and NPS
has processed loan agreements as needed

Activity Type (select one):

Research ___

Inventory ___

Monitoring ___

Education ___

Other ___

Subject/Discipline (maximum 60 characters):

Purpose of Scientific Study or Science Education Activity during the reporting year (maximum 4000 characters):

The National Park Service may not conduct or sponsor, and a person is not required to respond to, this collection of information unless it displays a currently
valid OMB control number.
(InvestigatorsAnnualReport.doc; revised 11/2/10) Page 1 of 2

INVESTIGATOR'S ANNUAL REPORT
United States Department of the Interior
National Park Service

OMB Control No. 1024-0236
Exp.Date 02/28/2014
Form No. 10-226

If you are not using the automated system supporting this report process,
please fill out this form and return it to the appropriate park.
All or some of the information you provide may become available to the public.

Findings and status of Scientific Study (including collections made and catalog status of retained specimens and retained material originating from such specimens)
or accomplishments of Science Education Activity during the reporting year (maximum 4000 characters):

For Scientific Studies (not Science Education Activities), do you still retain any specimens collected from the park or material originating from such specimens that
have not been destroyed during analysis? Y__ N__
If “Yes”, identify each institution and type of material where the specimens or material originating from such specimens currently are housed:
Funding specifically used in this park this reporting year that was provided by
NPS (enter dollar amount): $

Funding specifically used in this park this reporting year that was provided by all
other sources (enter dollar amount): $

List any other U.S. Government Agencies supporting this study or activity and the funding each provided this reporting year:

Paperwork Reduction Act Statement: A Federal agency may not conduct or sponsor and you are not required to respond to a
collection of information unless it displays a currently valid OMB control number. Public reporting for this collection of
information form is estimated to average 15 minutes per response, including the time for reviewing instructions, gathering and
maintaining data, and completing and reviewing the forms. Your response is required in order to obtain or maintain a benefit.
Direct comments regarding this burden estimate or any aspect of this form to Service Information Collection Clearance Officer,
National Park Service, 1849 C Street, NW. (2601), Washington, DC 20240.
Privacy Act Notice. Scientific research, education and collecting activities within units of the National Park System that may
impact parks invoke a permitting and reporting requirement per regulations at 36 CFR 1.6 (Permits), 36 CFR 2.1 (Preservation of
Natural, Cultural and Archeological Resources), and 36 CFR 2.5 (Research Specimens). The National Park Service collects
information about permit applicants and permittees to administer and document research, collecting, and reporting activities
within parks. The information disclosed on this form is required and may result in denial of permit applications if not provided.

The National Park Service may not conduct or sponsor, and a person is not required to respond to, this collection of information unless it displays a currently
valid OMB control number.
(InvestigatorsAnnualReport.doc; revised 11/2/10) Page 2 of 2