Information Collection

Request for Significant Change of Use

IC 208700 under ICR 201609-1024-004 · OMB 1024-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
LWCF Manual.pdf www.nps.gov/ncrc/programs/lwcf/manual/lwcf.pdf	Other-LWCF Manual (Ver. 10/2008)
10-904 LWCF Proposal Description and Environmental Screening Fo 10-904 LWCF Proposal Description and Environmental Screening Form 09192016.docx www.nps.gov/ncrc/programs/lwcf/pub.htm	Form and Instruction

IC Title:

Request for Significant Change of Use

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
Other-LWCF Manual (Ver. 10/2008)			LWCF Manual.pdf	http://www.nps.gov/ncrc/programs/lwcf/manual/lwcf.pdf	Yes	No	Printable Only
Form and Instruction	10-904	LWCF Proposal Description and Environmental Screening Form	10-904 LWCF Proposal Description and Environmental Screening Form 09192016.docx	http://www.nps.gov/ncrc/programs/lwcf/pub.htm	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	32	32
Annual IC Cost Burden (Dollars)	0	0

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.