Information Collection Request

The Interagency Access Pass and Senior Pass Application Processes

ICR 201702-1024-003 · OMB 1024-0252 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 10-597 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction Modified Available
Form 10-596 Form 10-596, "Access Pass" (Mail-in Applicants) Form and Instruction Modified Available
Form 10-595 Form 10-595, "Senior Pass" (Mail-in Applicants) Form and Instruction Modified Available
1024-0252 30-Day FRN Published 2017-10834.pdf Supplementary Document Uploaded 2017-05-26 Available
1024-0252 SSA Final 03012017.docx Supporting Statement A Uploaded 2017-03-01 Available
1024-0252 60-day FRN Interagency Pass Published 08292016 81167 59243 2016-20602.pdf Supplementary Document Uploaded 2017-02-27 Available
lii_usc_TI_16_CH_87.pdf Supplementary Document Uploaded 2017-02-27 Available
ATB SOP 2017 - FINAL - 10-26-2016.pdf Supplementary Document Uploaded 2017-02-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
46500 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction Modified
195251 Form 10-596, "Access Pass" (Mail-in Applicants) Form and Instruction Modified
195250 Form 10-595, "Senior Pass" (Mail-in Applicants) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved 08/31/2017
113,750 0 109,750
12,624 0 11,958
402,415 0 359,775





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 113,750 109,750 0 0 4,000 0
Annual Time Burden (Hours) 12,624 11,958 0 0 666 0
Annual Cost Burden (Dollars) 402,415 359,775 0 0 42,640 0


Reginfo record details
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