LAND AND WATER CONSERVATION FUND STATE ASSISTANCE PROGRAM 54 U.S.C. §200301 et seq

Forms and Documents

Document Name	Status
Form 10-905 Request for Reimbursement/Record of Electronic Payment Form	Modified
Form 10-904 Request for Significant Change of Use Form and Instruction	Modified
Form 10-904A Request for Temporary Non-Conforming Use Form and Instruction	Modified
Form 10-904 Conversion of Use Form and Instruction	Modified
Form 10-904A Grant Application Form	Modified
1024-0031 LWCF SSA 1-2-2020.docx Supporting Statement A	2020-01-02
1024-0031 30 day FRN (published).pdf Supplementary Document	2020-01-31
1024-0031 60 day FRN (published).pdf Supplementary Document	2020-01-31
36 CFR 59.pdf Supplementary Document	2020-01-31
54 USC §200305 LWCF.pdf Supplementary Document	2020-01-31

IC Document Collections

IC ID	Document Title	Status
208706	Proposal to Shelter Facilities Other-LWCF Manual 2019	Modified
208705	Request for Reimbursement/Record of Electronic Payment Form	Modified
208704	Recordkeeping Other-LWCF Manual 2019	Modified
208703	Financial and Program Performance Reports Other-LWCF Manual 2019	Modified
208702	Onsite Inspection Reports Other-LWCF Manual 2019	Modified
208701	Extension of 3-Year Limit for Delayed Outdoor Recreation Development Other-LWCF Manual (Ver. 10/2008)	Modified
208700	Request for Significant Change of Use Form and Instruction	Modified
208699	Request for Temporary Non-Conforming Use Form and Instruction	Modified
208697	Proposal for Public Facilty Other-LWCF Manual 2019	Modified
208696	Open Project Selection Process Other-LWCF Manual 2019	Modified
208695	Statewide Comprehensive Outdoor Recreation Plan Other-LWCF Manual 2019	Modified
208691	Conversion of Use Form and Instruction	Modified
208690	Grant Amendment Other-LWCF Manual 2019	Modified
11078	Grant Application Form	Modified

ICR Details

OMB Control No: 1024-0031	ICR Reference No: 201912-1024-007
Status: Active	Previous ICR Reference No: 201609-1024-004
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: LAND AND WATER CONSERVATION FUND STATE ASSISTANCE PROGRAM 54 U.S.C. §200301 et seq
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2020
	Date Received in OIRA: 01/31/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved	10/31/2020
Responses	7,105	0	5,994
Time Burden (Hours)	52,467	0	44,744
Cost Burden (Dollars)	0	0	0

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Abstract: The Land and Water Conservation Fund Act of 1965 (LWCF Act) (54 USC §200305) was enacted to help preserve, develop, and ensure access for the public to outdoor recreation opportunities. The LWCF Act provides funds for and authorizes Federal assistance to the States for planning, acquisition, and development of needed land and water areas and facilities. In accordance with the LWCF Act, the National Park Service (we, NPS) administers the LWCF State Assistance Program, which provides matching grants to States and through the States to local units of government. As used in this information collection request, the term “States” includes the 50 States; the Commonwealths of Puerto Rico and the Northern Mariana Islands; the District of Columbia; and the Territories of Guam, the U.S. Virgin Islands, and American Samoa. LWCF grants are provided to States on a matching basis for up to 50 percent of the total project-related allowable costs. Grants to eligible insular areas may be for 100 percent assistance. The LWCF State Assistance Program gives maximum flexibility and responsibility to the States. States establish their own priorities and criteria and allocate their grant money through a competitive selection process based on a Statewide Comprehensive Outdoor Recreation Plan. Payments for all projects are made to the State organization that is authorized to accept and administer funds paid for approved projects. Local units of government participate in the program as subgrantees of the State with the State retaining primary grant compliance responsibility.

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Authorizing Statute(s): US Code: 54 USC §200305 Name of Law: Land and Water Conservation Fund Act of 1965
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 21357	05/14/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 5699	01/31/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Conversion of Use	10-904, 10-902, 10-903, 10-904A	LWCF APPLICATION AND REVISION (A&R) ,   LWCF COMPLIANCE AND STEWARDSHIP (C&S) ,   LWCF Amendment to Project Agreement ,   LWCF Description and Notification Form
Statewide Comprehensive Outdoor Recreation Plan
Grant Application	10-903, 10-902, 10-904, 10-904A	10-904A LWCF COMPLIANCE AND STEWARDSHIP (C&S) ,   LWCF Description and Notification Form ,   LWCF Project Agreement Form ,   LWCF APPLICATION AND REVISION (A&R)
Extension of 3-Year Limit for Delayed Outdoor Recreation Development
Proposal to Shelter Facilities
Request for Reimbursement/Record of Electronic Payment	10-905	Record of Electronic Payment
Open Project Selection Process
Proposal for Public Facilty
Request for Temporary Non-Conforming Use	10-904A	LWCF COMPLIANCE AND STEWARDSHIP (C&S)
Grant Amendment	10-902A, 10-903	LWCF Amendment to Project Agreement ,   LWCF Description and Notification Form
Request for Significant Change of Use	10-904	LWCF Proposal Description and Environmental Screening Form
Onsite Inspection Reports
Financial and Program Performance Reports
Recordkeeping

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	7,105	5,994	0	0	1,111	0
Annual Time Burden (Hours)	52,467	44,744	0	0	7,723	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We are requesting a net increase of 1,111 annual responses and a net increase of 7,723 total burden hours from our 2016 submission. Since the last renewal, annual appropriations for the program have more than tripled, leading to increases in several activities including the number of grant applications, financial and performance reports, and reimbursement requests. Separately, the number of applications also increased due to Congress’ creation in 2014 of a nationally competitive grant program for the LWCF, which has similar information collection requirements for applications but is in addition to the formula grant program. Annual funding for this effort has increased since 2016. We also increased the estimated hours to prepare a grant application, following consultation with our partners, as well as considering the effort for the competitive program applications. Finally, with the additional grant projects, the number of assisted sites to be monitored, inspected, and reported on post-award has also increased.

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Annual Cost to Federal Government: $996,803

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/31/2020

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