Information Collection

Request for Temporary Non-Conforming Use

IC 208699 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⚠️ Notice: This information collection may be referencing outdated material.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 10-904A Request for Temporary Non-Conforming Use	Form and Instruction
LWCF Manual 2019.pdf www.nps.gov/ncrc/programs/lwcf/manual/lwcf.pdf	Other-LWCF Manual 2019
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:

Request for Temporary Non-Conforming 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:

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	10-904A	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	No	Fillable Fileable
Other-LWCF Manual 2019			LWCF Manual 2019.pdf	http://www.nps.gov/ncrc/programs/lwcf/manual/lwcf.pdf	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5

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	5	5
Annual IC Time Burden (Hours)	80	80
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.