Justification for no material, non-substantive change to
OMB 0596-0082: Special Use Administration
We are requesting approval for a non-substantive change to OMB 0596-0082: Special Use Administration.
Track changes of the revised forms being submitted with this request are:
FS-2800-22A
FS-2800-22B
FS-2800-22C
FS-2800-22A Application for Permit and Authorization for Paleontological Resources Research or Collection
Please add statement that explains the changes being made to form and reason for the revisions requested.
In Authorities line at top page 1, strikeout the word “proposed” because rule has since become final;
In first paragraph of instructions on page 2, replace placeholder form numbers with actual final form numbers; in same paragraph, remove reference to “page 1 of“ to reflect formatting change in pagination of final form.
FS-2800-22B Authorization to Conduct Paleontological Resources Research or Collection
Please add statement that explains the changes being made to form and reason for the revisions requested.
In Authorities line at top page 1, strikeout the word “proposed” because rule has since become final; same correction in item number 5 of Terms and Conditions.
FS-2800-22C Paleontological Investigation Report Form
Please add statement that explains the changes being made to form and reason for the revisions requested.
In Instructions section on pp. 2 and 3, in items 1, 2, 3, 4, and 8: correct the Form name used to reflect a change made to the name of the form when the form set was finalized.
Office Use Only Application Number: Click here to enter text. |
UNITED STATES DEPARTMENT OF AGRICULTURE
FOREST SERVICE
Application for Permit and Authorization for Paleontological Resources Research or Collection
Authorities: 16 U.S.C. §470aaa through 16 U.S.C. §470aaa-11; Organic Administration Act June 4, 1897; proposed 36 CFR 291.13-291.23
1a. Name of Applicant Click here to enter text. |
1b. Applicant Affiliation Click here to enter text. |
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2. Professional contact information Click here to enter text. |
3. Contact information in the field Click here to enter text. |
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4. Nature of paleontological fieldwork proposed: Describe project, including methodology and scope of work: Click here to enter text.
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5. Location of proposed paleontological fieldwork (attach 1:24,000 scale topographic map with project boundaries and provide UTM coordinates for known areas of proposed collection or other land surface disturbance) Click here to enter text.
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6. Anticipated start date: Click here to enter text. |
7. Anticipated end date: Click here to enter text.
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8. Name(s) of individuals responsible for planning, supervising, and carrying out fieldwork Click here to enter text.
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9. Name and address of repository for paleontological resources collected under the proposal Click here to enter text.
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10. Additional materials required (should be attached to this application as separate pages): a. resume for each individual named in line 1a and line 8 b. summary of organizational capabilities c. summary of organizational history d. written certification, signed by a properly authorized official (who is NOT named in line 1a or line 8 of this form) of the approved repository named in line 9. This certification will attest that the repository will accept any collections, and as applicable, records, data, photographs, and other documents generated during the proposed work at no cost to the Forest Service, and that the repository will assume permanent curatorial responsibility for such materials on behalf of the United States Government. |
Signature of Applicant* Date
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*by signing this application, the applicant agrees to abide by all Forest Service policies and regulations that apply to Forest Service employees and partners which may allow the permittee access to some agency records, including paleontological locality information, but restrict the permittee from public disclosure of paleontological locality information discovered while conducting work under this permit. |
BURDEN & NON-DISCRIMINATION STATEMENT According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. The time required to complete this information collection is estimated to average 5.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 975-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer. The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service. |
INSTRUCTIONS:
Completing the Application for Permit and Authorization for Paleontological Resources Research or Collection
Applicants for a permit to conduct paleontological research and/or collection on Forest Service land should complete page 1 of Form FS-2800-22Axx-01, “Application for Permit…,” following the instructions below. The completed Form FS-2800-22Axx-01 should be signed and dated by the applicant where indicated, and returned for agency review to the Forest Service Administrative unit in which the proposed project area is located. Additional information may be requested by the Forest Service in order to complete evaluation of the proposal. The applicant should be aware that proposals entailing land surface disturbance may require an extensive NEPA analysis by agency specialists in order to evaluate potential environmental impacts related to the proposal; such NEPA review may take 6 months or more to complete. THE PROPOSAL IS NOT CONSIDERED AUTHORIZED UNTIL FORM FS 2800XX-2201B (the Permit) HAS BEEN RETURNED TO THE APPLICANT AND HAS BEEN SIGNED AND DATED BY THE APPLICANT AND THE FOREST SERVICE AUTHORIZED OFFICER.
1a. Name of Applicant: Enter the name of the individual who will have primary management responsibility for implementing the proposal and adhering to all terms and conditions.
1b. Applicant Affiliation: Enter the institution or organization with which the individual identified in line 1a is professionally affiliated.
2. Professional contact information: Enter the complete mailing address, telephone number, fax, and email address by which the individual named in line 1a may be contacted at the institution identified in line 1b.
3. Contact information in the field: Describe means by which individuals identified in line 1a and/or line 8 may be contacted while in the field conducting authorized field work
4. Nature of paleontological fieldwork proposed: Describe the proposed activity in detail, including objective(s), scope of work and methodology. The description should contain sufficient detail for an agency reviewer to evaluate the extent of potential land surface impacts related to the proposed work.
5. Location of proposed paleontological fieldwork: Provide an accurate description of the area where field activities are proposed. Location should be depicted on an attached 1:24,000 scale topographic map showing complete project boundaries. UTM coordinates of known areas proposed for collection or other surface disturbance should be provided separately from the map. Alternatively, the project location description may be transmitted in a digital format which is compatible with existing Forest Service software and which must be approved in advance by the FS project reviewer.
6. Anticipated start date: Enter anticipated start date of proposed field activities. If proposed activities will encompass more than one field season, enter anticipated start dates of each field season.
7. Anticipated end date: Enter anticipated end date of field activities. If proposed activities will encompass more than one field season, enter anticipated end dates of each field season.
8. Name(s) of individuals responsible for planning, supervising, and carrying out fieldwork: Enter the names of all individuals anticipated to participate in the proposed field activities, including the individual identified in item 1 if s/he plans to participate in the proposed field activities.
9. Name and address of approved repository: Enter the name and address, including phone number and e-mail contact information, for the institution which has agreed to accept and provide appropriate long term curation of all paleontological resources collected under the authorized proposal (such collections remain Federal property). Enter N/A if no collecting is proposed. Applicant’s selection of a repository institution is subject to Forest Service approval.
10. Additional materials required (should be attached to the application as separate pages):
a. resume for each individual named in line 1a and line 8: Provide a resume or curriculum vitae for all individuals identified in lines 1a and 8. These will be used to determine the qualifications and eligibility of the identified individuals to carry out the proposed activity.
b. summary of organizational capabilities: Describe the capabilities of the individuals identified in lines 1a and 8 and the organization identified in line 1b to provide required logistical/infrastructure support for the proposed activity.
c. summary of organizational history: Describe the experience of the individuals identified in lines 1a and 8 and the organization identified in line 1b pertaining to management of prior activities similar to the proposal. If collection is proposed, also describe the experience of the institution identified in line 9 in curating paleontological collections similar to the proposed collection.
d. written certification, signed by a properly authorized official (who is NOT named in line 1a or line 8 of this form) of the repository named in line 9, attesting to the repository’s willingness to accept any collections, and as applicable, records, data, photographs, and other documents generated during the proposed work, and to assume permanent curatorial responsibility for such materials on behalf of the United States Government: The repository institution identified in line 9 must provide a written document, signed by an authorized representative of that institution not otherwise named in the permit application, certifying that the institution agrees to accept and curate all of the paleontological resources and associated data collected under the authorized proposal, and acknowledges that such collections remain Federal property. The Forest Service may request documentation from the institution that bears on its capability to provide appropriate curatorial services for the proposed collection. Such documentation could include, but not be limited to, a description of the institution’s scope of collections, collections management plan, staff résumés, and institutional accreditation documents.
Office Use Only Application Number: Click here to enter text. |
UNITED STATES DEPARTMENT OF AGRICULTURE
FOREST SERVICE
Authorization to Conduct Paleontological Resources Research or Collection
Authorities: 16 U.S.C. §470aaa through 16 U.S.C. §470aaa-11; Organic Administration Act June 4, 1897; proposed 36 CFR 291.13-291.23
Permit Terms and Conditions |
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1. This permit expires on Click here to enter text. , unless the Agency extends it in writing before that date. 2. The permittee must notify the Agency not less than 30 days, but not more than 60 days, prior to starting the project and entering on Forest Service lands. 3. All paleontological resources that are collected from National Forest System lands under permit will remain the property of the United States. 4. The collection will be preserved in an approved repository, to be made available for scientific research and public education. 5. Specific locality data will not be released by the permittee or repository unless authorized in accordance with proposed 36 CFR 291.6, or as otherwise agreed to in another agreement. 6. The permittee recognizes that the area within the scope of the permit may be subject to other authorized uses. 7. The permittee must conform to all applicable Federal, State, and local laws. 8. The permittee must assume responsibility for all work conducted under the permit and the actions of all persons conducting this work. 9. The permit cannot be transferred. 10. The permittee cannot modify the permit without the approval of the authorized officer. 11. The permittee must comply with all timelines established in the permit, and must request modification of the permit if those timelines cannot be met.
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12. The permittee or other persons named on the permit must be on site at all times when field work is in progress and will have a copy of the signed permit on hand.13. The permittee will comply with any vehicle or access restrictions, safety or environmental restrictions, or local safety conditions or restrictions. 14. The permittee will report suspected resource damage or theft of paleontological or other resources to the authorized officer in a timely manner after learning of such damage or theft. 15. The permittee will acknowledge the Forest Service in any report, publication, paper, news article, film, television program or other media resulting from work performed under the permit. 16. The permittee will comply with the timeline established in the permit for providing a complete list to the authorized officer of specimens collected and the current location of the specimens*1. 17. The permittee will provide scheduled reports to the authorized officer within the timeline established in the permit*2. 18. The permittee will be responsible for all costs for the proposed activity, including fieldwork, preparation, identification, cataloging, and storage of collections, unless otherwise arranged through a specific agreement. 19. The permittee will comply with the tasks required by the authorized officer, even in the event of permit expiration, suspension, or revocation. 20. Additional stipulations, terms, and conditions as required by the authorized officer and/or the agency may be appended. |
A copy of this permit must be carried in the field whenever field work is in progress and an individual named in line 8 of the Application for Permit is responsible in the field for compliance with all permit terms and conditions.
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Click here to enter text. (printed name of permittee identified in line 1a of Application for Permit)
(Signature of Permittee) (Date) |
Click here to enter text. (Printed Name of Agency Signing Officer) Click here to enter text. (Title of Agency Signing Officer)
(Signature of Agency Signing Officer) (Date) |
BURDEN & NON-DISCRIMINATION STATEMENT According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. The time required to complete this information collection is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 975-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer. The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service. |
Office Use Only Application Number: Click here to enter text. |
United States Department of Agriculture
Forest Service
Paleontological Investigation Report Form
1. Permit number: Click here to enter text. |
2. Dates of field work: Click here to enter text. |
3. Permittee(s)’ name, title, affiliation, and professional contact information: Click here to enter text. |
4. Name(s) of people who performed field work: Click here to enter text. |
5. Project name, number, or reference: Click here to enter text. |
6. Administrative area (state, county, ranger district, forest, etc.): Click here to enter text. |
7. Date of report: Click here to enter text. |
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8. Describe project, methodology, or summary of research scope of work: Click here to enter text. |
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9. Describe work performed or accomplished and a summary of results and discoveries: Click here to enter text. |
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10. Summarize regional or local geology and/or paleontology, including context, geography, stratigraphy, and geological unit: Click here to enter text. |
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11. Identify potential impacts to paleontological resources by proposed land use action: Click here to enter text. |
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12. Mitigation recommendations to address potential paleontological resource impacts: Click here to enter text. |
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13. Relevant literature citations: Click here to enter text. |
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14. Attach Relevant associated records, including anything that aids in explaining, clarifying, or understanding the findings. |
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15. Were paleontological resources collected from Forest Service land during this project? ☐a. Yes ☐b. No c. If Box “a” above was checked , provide complete provenance and repository information for each specimen collected: Click here to enter text.
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BURDEN & NON-DISCRIMINATION STATEMENT According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082. The time required to complete this information collection is estimated to average 6.5 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at 202-720-2600 (voice and TDD). To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 975-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer. The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service. |
INSTRUCTIONS:
Completing the Paleontological Investigation Report Form
1. Permit number: Enter the agency-assigned authorization or permit number. Alternatively, enter “see permit” if a copy of the signed Application for Permit and Authorization for to Conduct Paleontological Resources Research or Collection containing this information is appended to this report.
2. Dates of field work: Enter the range of dates during which field work occurred. Alternatively, enter “see permit” if a copy of the signed Application for Permit and Authorization forto Conduct Paleontological Resources Research or Collection containing this information is appended to this report.
3. Permittee(s)’ name, title, affiliation, and professional contact information: Enter the permit holder’s name, title, affiliation, and professional contact information. Alternatively, enter “see permit” if a copy of the signed Application for Permit and Authorization for to Conduct Paleontological Resources Research or Collection containing this information is appended to this report.
4. Name(s) of people who performed field work: Enter the names of all individuals who performed field work for this project. Alternatively, enter “see permit” if a copy of the signed Application for Permit and Authorization for to Conduct Paleontological Resources Research or Collection containing this information is appended to this report.
5. Project name, number, or reference: Enter the permit holder’s self-assigned project name, if applicable.
6. Administrative area (state, county, ranger district, forest, etc.): Identify the major political and agency administrative areas in which the field work occurred. Include State, County, National Forest or National Grassland name(s), and Ranger District name(s).
7. Date of report: Enter the date this report was finalized.
8. Describe project, methodology, or summary of research scope of work: Alternatively, enter “see permit” if a copy of the signed Application for Permit and Authorization for to Conduct Paleontological Resources Research or Collection containing this information is appended to this report.
9. Describe work performed or accomplished and a summary of results and discoveries: Briefly describe the actual work performed and provide a summary of findings and any discoveries.
10. Summarize regional or local geology and/or paleontology, including context, geography, stratigraphy, and geological unit: Briefly discuss the geologic/stratigraphic setting of the project area; place particular emphasis on context of any paleontological specimens that were collected.
11. Identify potential impacts to paleontological resources by proposed land use action: If the permitted activity was a paleontological survey performed in advance of a proposal for ground disturbing activity, potential impacts to paleontological resources must be described. Otherwise enter N/A.
12. Mitigation recommendations to address potential paleontological resource impacts: If the permitted activity was a paleontological survey performed in advance of a proposal for ground disturbing activity, recommendations to mitigate potential impacts to paleontological resources must be described, based on the survey results. Otherwise enter N/A.
13. Relevant literature citations: Provide pertinent literature citations that document prior paleontological studies in the project area, and/or that would place the project in scientific context. If no pertinent technical literature exists, enter N/A.
14. Attach relevant associated records, including anything that aids in explaining, clarifying, or understanding the findings: Attach to this report any records developed as part of this project that bear on the scientific context of the project findings. Such records would include, but not be limited to, field notes, photographic materials, and correspondence, that could bear on agency administration of the paleontological resources using scientific principles and expertise.
15. Were paleontological resources collected from Forest Service land during this project? Box a should be checked if paleontological resources were collected from Forest Service land. Box b should be checked if no paleontological resources were collected from Forest Service land. If paleontological resources were collected (box a was checked), provide the following for each specimen: complete geographic locality information including specimen field number and UTM coordinates, and complete repository information including repository identification, accession numbers and catalog numbers. Alternatively, the optional Paleontological Specimen Data Form may be used to provide information about collected paleontological resources.
1 The attached Paleontological Specimen Data Form may facilitate transmittal of required specimen and repository information. Use of this form by the applicant/permit holder is optional.
2 The attached Paleontological Investigation Report Form may facilitate the applicant/permit holder’s transmittal of required documentation pertaining to the authorized paleontological study. Use of this form by the applicant/permit holder is optional.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Wolf Cota |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |