Information Collection Request

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

ICR 201912-1024-007 · OMB 1024-0031 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 10-905 Record of Electronic Payment Form Modified Available
Form 10-904 LWCF Proposal Description and Environmental Screening Form Form and Instruction Modified Available
Form 10-904A LWCF COMPLIANCE AND STEWARDSHIP (C&S) Form and Instruction Modified Available
Form 10-904A LWCF COMPLIANCE AND STEWARDSHIP (C&S) Form and Instruction Modified Available
Form 10-904 LWCF APPLICATION AND REVISION (A&R) Form and Instruction Modified Available
Form 10-903 LWCF Description and Notification Form Form and Instruction Modified Available
Form 10-902 LWCF Amendment to Project Agreement Form Modified Available
Form 10-903 LWCF Description and Notification Form Form and Instruction Modified Available
Form 10-902A LWCF Amendment to Project Agreement Form Modified Available
Form 10-904A 10-904A LWCF COMPLIANCE AND STEWARDSHIP (C&S) Form Modified Available
Form 10-904 LWCF APPLICATION AND REVISION (A&R) Form and Instruction Modified Available
Form 10-902 LWCF Project Agreement Form Form Modified Available
Form 10-903 LWCF Description and Notification Form Form and Instruction Modified Available
1024-0031 LWCF SSA 1-2-2020.docx Supporting Statement A Uploaded 2020-01-02 Available
1024-0031 30 day FRN (published).pdf Supplementary Document Uploaded 2020-01-31 Available
1024-0031 60 day FRN (published).pdf Supplementary Document Uploaded 2020-01-31 Available
36 CFR 59.pdf Supplementary Document Uploaded 2020-01-31 Available
54 USC §200305 LWCF.pdf Supplementary Document Uploaded 2020-01-31 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
208706 Proposal to Shelter Facilities Other-LWCF Manual 2019 Modified
208705 Request for Reimbursement/Record of Electronic Payment Form ModifiedRecord of Electronic Payment
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 ModifiedLWCF Proposal Description and Environmental Screening Form
208700 Request for Significant Change of Use Other-LWCF Manual 2019 Modified
208699 Request for Temporary Non-Conforming Use Form and Instruction ModifiedLWCF COMPLIANCE AND STEWARDSHIP (C&S)
208699 Request for Temporary Non-Conforming Use Other-LWCF Manual 2019 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 ModifiedLWCF COMPLIANCE AND STEWARDSHIP (C&S)
208691 Conversion of Use Form and Instruction ModifiedLWCF APPLICATION AND REVISION (A&R)
208691 Conversion of Use Form and Instruction ModifiedLWCF Description and Notification Form
208691 Conversion of Use Form ModifiedLWCF Amendment to Project Agreement
208691 Conversion of Use Other-LWCF Manual 2019 Modified
208690 Grant Amendment Form and Instruction ModifiedLWCF Description and Notification Form
208690 Grant Amendment Form ModifiedLWCF Amendment to Project Agreement
208690 Grant Amendment Other-LWCF Manual 2019 Modified
11078 Grant Application Form Modified10-904A LWCF COMPLIANCE AND STEWARDSHIP (C&S)
11078 Grant Application Form and Instruction ModifiedLWCF APPLICATION AND REVISION (A&R)
11078 Grant Application Form ModifiedLWCF Project Agreement Form
11078 Grant Application Form and Instruction ModifiedLWCF Description and Notification Form
11078 Grant Application Other-LWCF Manual 2019 Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
10/31/2023 36 Months From Approved 10/31/2020
7,105 0 5,994
52,467 0 44,744
0 0 0





Reginfo record details
14
table that charts list of burden
IC Title Form No. Form Name
Conversion of Use 10-904, 10-902, 10-903, 10-904A ,   ,   ,  
Extension of 3-Year Limit for Delayed Outdoor Recreation Development
Financial and Program Performance Reports
Grant Amendment 10-902A, 10-903 ,  
Grant Application 10-903, 10-902, 10-904, 10-904A ,   ,   ,  
Onsite Inspection Reports
Open Project Selection Process
Proposal for Public Facilty
Proposal to Shelter Facilities
Recordkeeping
Request for Reimbursement/Record of Electronic Payment 10-905
Request for Significant Change of Use 10-904
Request for Temporary Non-Conforming Use 10-904A
Statewide Comprehensive Outdoor Recreation Plan

table that charts list 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


Reginfo record details
  No