Information Collection

Conversion of Use

IC 208691 under ICR 201912-1024-007 · OMB 1024-0031.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0031 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-904 Conversion of Use	Form and Instruction
LWCF Manual 2019.pdf www.nps.gov/ncrc/programs/lwcf/pub.htm	Other-LWCF Manual 2019
10-902 LWCF Amendment to Project Agreement 10-902A LWCF Amendment to Project Agreement Form 12_30_2019.pdf www.nps.gov/ncrc/programs/lwcf/pub.htm	Form
10-903 LWCF Description and Notification Form 10-903 LWCF Description and Notification Form 12_30_2019.pdf www.nps.gov/ncrc/programs/lwcf/pub.htm	Form and Instruction
10-904 LWCF APPLICATION AND REVISION (A&R) 10-904 A&R Form (vice PD-ESF).pdf www.nps.gov/ncrc/programs/lwcf/pub.htm	Form and Instruction
10-904A LWCF COMPLIANCE AND STEWARDSHIP (C&S) 10-904A C&S Form (vice PD-ESF) 12_30_2019.pdf www.nps.gov/ncrc/programs/lwcf/pub.htm	Form and Instruction

IC Title:

Conversion of Use

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 59

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	10-904	LWCF APPLICATION AND REVISION (A&R)	10-904 A&R Form (vice PD-ESF).pdf	http://www.nps.gov/ncrc/programs/lwcf/pub.htm	Yes	Yes	Fillable Fileable
Form and Instruction	10-904A	LWCF COMPLIANCE AND STEWARDSHIP (C&S)	10-904A C&S Form (vice PD-ESF) 12_30_2019.pdf	http://www.nps.gov/ncrc/programs/lwcf/pub.htm	Yes	Yes	Fillable Fileable
Other-LWCF Manual 2019			LWCF Manual 2019.pdf	http://www.nps.gov/ncrc/programs/lwcf/pub.htm	Yes	No	Printable Only
Form	10-902	LWCF Amendment to Project Agreement	10-902A LWCF Amendment to Project Agreement Form 12_30_2019.pdf	http://www.nps.gov/ncrc/programs/lwcf/pub.htm	Yes	Yes	Fillable Fileable
Form and Instruction	10-903	LWCF Description and Notification Form	10-903 LWCF Description and Notification Form 12_30_2019.pdf	http://www.nps.gov/ncrc/programs/lwcf/pub.htm	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

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	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	4,625	4,625
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.