Information Collection

Application for Scientific Research and Collecting Permit (indiv)

IC 11172 under ICR 201703-1024-002 · OMB 1024-0236.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0236 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-741a Application for Scientific Research and Collecting Permit (indiv)	Form and Instruction
RPRS_application_03082017.pptx irma.nps.gov/rprs	Other-Screen Shots - applications
10-741a Application for a Scientific Research and Collecting Per Form 10-741A Application for Scientific Research and Collecting Permit Final 03032017.docx irma.nps.gov/rprs	Form and Instruction
36cfr2.5.pdf 36CFR2.5	IC Document
36cfr2.1.pdf 36CFR2.1	IC Document

IC Title:

Application for Scientific Research and Collecting Permit (indiv)

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 2.1 and 2.5

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	10-741a	Application for a Scientific Research and Collecting Permit	Form 10-741A Application for Scientific Research and Collecting Permit Final 03032017.docx	https://irma.nps.gov/rprs	Yes	Yes	Fillable Fileable
Other-Screen Shots - applications			RPRS_application_03082017.pptx	https://irma.nps.gov/rprs	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 272

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	272	-118	390
Annual IC Time Burden (Hours)	375	-163	538
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
36CFR2.5	36cfr2.5.pdf	11/30/2010
36CFR2.1	36cfr2.1.pdf	11/30/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.