Information Collection

Pilot Test of Web-based Application for the National Park Service U.S. Civil Rights Network USCRN)

IC 233826 under ICR 201805-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NPS FT-54 USCRN e-Form 10272018 (1).docx	Other-Pilot Test of Web Based Form
NPS FT-54 DI-4011 US Civil Rights Network Application_jdb electronic signature.pdf Request for Approval	IC Document

IC Title:

Pilot Test of Web-based Application for the National Park Service U.S. Civil Rights Network USCRN)

Agency IC Tracking Number:

2018-NPS-FT55

IC Status: New

Obligation to Respond: Voluntary

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-Pilot Test of Web Based Form			NPS FT-54 USCRN e-Form 10272018 (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 350

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	175	175
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	NPS FT-54 DI-4011 US Civil Rights Network Application_jdb electronic signature.pdf	11/01/2018

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