Application for Special Use Permit - Government

Special Park Use Applications, portions of 36 CFR 1-7, 13, 20, and 34

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0026 can be found here:

Documents and Forms

Document Name Document Type
Form 10-930 Application for Special Use Permit - Government Form and Instruction
10-930 Application of Special Use Permit 10-930-Application-for-SUP-Long-Form-2020_NPS revision.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Special Use Permit - Government	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 2.50

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	10-930	Application of Special Use Permit	10-930-Application-for-SUP-Long-Form-2020_NPS revision.pdf		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Special Use Permits –Interior, NPS—1	FR Citation: 79 FR 9272

Number of Respondents: 382	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	382	-134	516
Annual IC Time Burden (Hours)	191	-67	258
Annual IC Cost Burden (Dollars)	28,650	-10,050	38,700

Documents for IC

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.