Information Collection

10-404 Backcountry/Wilderness Use Permit Application (Private Sector)

IC 226394 under ICR 201704-1024-002 · OMB 1024-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	Form and Instruction
10-404 Backcountry/Wilderness Use Permit Application 10-404 Backcountry-Wilderness Use Permit Application 04062017.docx	Form and Instruction

IC Title:

10-404 Backcountry/Wilderness Use Permit Application (Private Sector)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 1,5, 1.6, and 2.10 (To search for a specific CFR, visit the Code of Federal Regulations.)

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	10-404	Backcountry/Wilderness Use Permit Application	10-404 Backcountry-Wilderness Use Permit Application 04062017.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,376

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5,376	5,376
Annual IC Time Burden (Hours)	717	717
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.