Application for Special Use Permit (short form) - Government

Special Park Use Applications, portions of 36 CFR 1-7, 13, 20, and 34

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0026 can be found here:

Documents and Forms

Document Name Document Type
Form 10-930s Application for Special Use Permit (short form) - Government Form and Instruction
10-930s Application for Special Use Permit (Short Form) 10-930s Application for SUP - Short Form 07262016.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Special Use Permit (short form) - Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 2.5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-930s	Application for Special Use Permit (Short Form)	10-930s Application for SUP - Short Form 07262016.docx		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Special Use Permits - NPS 1	FR Citation: 48 FR 51696

Number of Respondents: 310	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	310	110	200
Annual IC Time Burden (Hours)	78	28	50
Annual IC Cost Burden (Dollars)	23,250	8,250	15,000

Documents for IC

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.