SF-299 APPLICATION FOR TRANSPORTATION,UTILITY SYSTEMS, TELECOMMUNICATIONS AND FACILITIES ON FEDERAL LANDS AND PROPERTY

Forms and Documents

Document Name	Status
Form SF-299 Forest Service SF-299 State, Local, and Tribal Governments Form and Instruction	New
Form SF-299 Forest Service SF-299 Private Sector Form and Instruction	New
Form SF-299 Forest Service SF-299 Individuals or Households Form and Instruction	New
20200211 SF-299_SuptStmt FINAL.docx Supporting Statement A	2020-02-11

IC Document Collections

IC ID	Document Title	Status
239726	Forest Service SF-299 State, Local, and Tribal Governments Form and Instruction	New
239725	Forest Service SF-299 Private Sector Form and Instruction	New
239724	Forest Service SF-299 Individuals or Households Form and Instruction	New

ICR Details

OMB Control No: 0596-0249	ICR Reference No: 202001-0596-002
Status: Active	Previous ICR Reference No:
Agency/Subagency: USDA/FS	Agency Tracking No:
Title: SF-299 APPLICATION FOR TRANSPORTATION,UTILITY SYSTEMS, TELECOMMUNICATIONS AND FACILITIES ON FEDERAL LANDS AND PROPERTY
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/14/2020
	Date Received in OIRA: 02/04/2020
Terms of Clearance: In accordance with 5 CFR 1320, this collection is approved for use as a common form for three years. As the host agency, Forest Service is responsible for notifying sister agencies, whose use of and burden for the SF-299 form was previously included in the Forest Service collection under OMB Control Number 0596-0082, that the SF-299 form under that collection has expired. Forest Service shall also notify these agencies that they must now apply to use the SF-299 form approved with this collection, by reporting the burden associated with their use of the form through a Request for Common Form, in order for their use of this newly approved form to be valid under the PRA, and to update all existing web pages with links to the SF-299 form. Finally, Forest Service has agreed to withdraw the incorrect submission with ICR Reference No. 201907-0596-001.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved
Responses	6,873	0	0
Time Burden (Hours)	54,984	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The information collection requirements described in this request are necessary for the Forest Service to issue and administer special use authorizations to use and occupy NFS lands. This is a request for a common form which other federal agencies may use for similar activities.

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Authorizing Statute(s): US Code: 16 USC 551 Name of Law: The Organic Administration Act
   US Code: 43 USC 1761-1771 Name of Law: Title 5 of the Federal Land Management and Policy Act of 1976
  

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 17376	04/25/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 37986	08/05/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Forest Service SF-299 Individuals or Households	SF-299	Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property
Forest Service SF-299 Private Sector	SF-299	Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property
Forest Service SF-299 State, Local, and Tribal Governments	SF-299	Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property

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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	6,873	0	0	6,873	0	0
Annual Time Burden (Hours)	54,984	0	0	54,984	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: New Collection

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Annual Cost to Federal Government: $1,934,887

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.     No

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.     No

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? Uncollected

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Common Form ICR:  Yes

Description/Changes for Common Form Usage:  Executive Order 13821 Streamlining and Expediting Requests to Locate Broadband Facilities in Rural America directed GSA to coordinate with the heads of Federal property managing agencies to evaluate the effectiveness of GSA’s existing Common Form Application and determine whether any revisions to the GSA Common Form Application were appropriate. This effort identified that most agencies were using the SF-299 as the application for locating or modifying communications facilities or uses on federal property, not GSA’s Common Form Application. The agencies collectively decided that the SF-299, with minor modifications, would be adopted as the common form. Additionally, Section 606(b)(2), division P, Consolidated Appropriations Act, 2018, also known as the Making Opportunities for Broadband Investment and Limiting Excessive and Needless Obstacles to Wireless Act (MOBILE NOW Act), requires GSA to develop a common form for applications for easements, rights-of-way, and leases. The common form is to be used by all executive agencies and applicants with respect to the buildings or other property of each agency.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title
DOI/NPS	202003-1024-001CF	National Park Service Use of Standard Form 299 (SF-299)APPLICATION FOR TRANSPORTATION, UTILITY SYSTEMS, TELECOMMUNICATIONS AND FACILITIESON FEDERAL LANDS AND PROPERTY	Active	Forest Service SF-299 Private Sector, Forest Service SF-299 State, Local, and Tribal Governments, Forest Service SF-299 Individuals or Households
DOI/RB	202003-1006-001CF	Bureau of Reclamation Use of Standard Form 299 (SF-299)APPLICATION FOR TRANSPORTATION, UTILITY SYSTEMS, TELECOMMUNICATIONS AND FACILITIESON FEDERAL LANDS AND PROPERTY	Active	Forest Service SF-299 Individuals or Households, Forest Service SF-299 Private Sector, Forest Service SF-299 State, Local, and Tribal Governments
DOI/BLM	202003-1004-001CF	Bureau of Land Management Use of Standard Form 299 (SF-299)APPLICATION FOR TRANSPORTATION, UTILITY SYSTEMS, TELECOMMUNICATIONS AND FACILITIESON FEDERAL LANDS AND PROPERTY	Active	Forest Service SF-299 Individuals or Households, Forest Service SF-299 Private Sector, Forest Service SF-299 State, Local, and Tribal Governments
DOI/FWS	202003-1018-001CF	Bureau of Land Management Use of Standard Form 299 (SF-299)APPLICATION FOR TRANSPORTATION, UTILITY SYSTEMS, TELECOMMUNICATIONS AND FACILITIESON FEDERAL LANDS AND PROPERTY	Active	Forest Service SF-299 Individuals or Households, Forest Service SF-299 State, Local, and Tribal Governments, Forest Service SF-299 Private Sector
DOE/DOEOA	202004-1910-002CF	Application for Transportation, Utility Systems, Telecommunications and Facilities on Federal Lands and Property	Active	Forest Service SF-299 Private Sector
GSA	202002-3090-004CF	SF-299 Application For Transportation, Utility Systems, Telecommunications And Facilities On Federal Lands And Property	Active	Forest Service SF-299 Private Sector

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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: 02/04/2020

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