Information Collection

Form 10-595, "Senior Pass" (Mail-in Applicants)

IC 195250 under ICR 201702-1024-003 · OMB 1024-0252.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0252 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-595 Form 10-595, "Senior Pass" (Mail-in Applicants)	Form and Instruction
10-595 The America the Beautiful – the National Parks and Feder Form 10-595 Senior Pass Application_Scannable - FINAL.pdf store.usgs.gov/pass/senior_pass_application.pdf	Form and Instruction

IC Title:

Form 10-595, "Senior Pass" (Mail-in Applicants)

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
Form and Instruction	10-595	The America the Beautiful â the National Parks and Federal Recreational Lands Senior Pass	Form 10-595 Senior Pass Application_Scannable - FINAL.pdf	https://store.usgs.gov/pass/senior_pass_application.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title: The âAmerica the BeautifulâThe National Parks and Federal Recreational Lands Passâ System, DOIâ06

FR Citation: 80 FR 63246

Number of Respondents: 29,750

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	29,750	29,750
Annual IC Time Burden (Hours)	4,958	4,958
Annual IC Cost Burden (Dollars)	317,135	317,135

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.