Backcountry/Wilderness Use Permit (36 CFR 1.5, 1.6, and 2.10)

Forms and Documents

Document	Type	Status	Availability
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	Form and Instruction	New	Repair queued
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	Form and Instruction	New	Repair queued
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	Form and Instruction	New	Repair queued
Form 10-404A 10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	Form and Instruction	Modified	Repair queued
Form 10-404A 10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	Form and Instruction	Modified	Repair queued
Form 10-404A 10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	Form and Instruction	Modified	Available
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Gov.)	Form and Instruction	Modified	Repair queued
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	Form and Instruction	Modified	Repair queued
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Individuals)	Form and Instruction	Modified	Available
43 USC 1701 (FLREA).pdf	Supplementary Document	Uploaded 2020-07-01	Repair queued
16 USC 1131 Wilderness Act.pdf	Supplementary Document	Uploaded 2020-07-01	Available
36 CFR 1 and 2.pdf	Supplementary Document	Uploaded 2020-06-26	Available
1024-0022 30 day FRN (published).pdf	Supplementary Document	Uploaded 2020-07-31	Repair queued
54 U.S.C 100101.pdf	Supplementary Document	Uploaded 2020-06-26	Available
ANICLA STATUTE-94-Pg2371.pdf	Supplementary Document	Uploaded 2020-06-26	Available
1024-0022 Published 60-day FRN.pdf	Supplementary Document	Uploaded 2020-06-26	Repair queued
1024-0022 SSA 7-1-2020 (rev).docx	Supporting Statement A	Uploaded 2020-07-01	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
242486	10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	Form and Instruction	New
242485	10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	Form and Instruction	New
242484	10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	Form and Instruction	New
226461	10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	Form and Instruction	Modified
226459	10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	Form and Instruction	Modified
226457	10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	Form and Instruction	Modified
226395	10-404 Backcountry/Wilderness Use Permit Application (Gov.)	Form and Instruction	Modified
226394	10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	Form and Instruction	Modified
11064	10-404 Backcountry/Wilderness Use Permit Application (Individuals)	Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0022	ICR Reference No: 202006-1024-004
Status: Active	Previous ICR Reference No: 201704-1024-002
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: Backcountry/Wilderness Use Permit (36 CFR 1.5, 1.6, and 2.10)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/07/2021
	Date Received in OIRA: 08/03/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2024	36 Months From Approved	01/31/2021
Responses	351,121	0	319,200
Time Burden (Hours)	39,116	0	35,559
Cost Burden (Dollars)	0	0	0

---

Abstract: The Backcountry/Wilderness Use Permit Application, Form 10-404, and the Backcountry/Wilderness Use Permit Hangtag, Form 10-404A, are used to implement the NPS Backcountry/Wilderness Permit reservation and issuance process to provide access into backcountry and wilderness areas where registration is required or limits are imposed in accordance with regulations. The backcountry/wilderness permit permitting process enhances the ability of the National Park Service (NPS) to issue hazard warnings, closure notification, conduct search and rescue efforts, promote Leave No Trace outdoor ethics, and provide mission-based visitor and resource protection.

---

Authorizing Statute(s): US Code: 16 USC 3101 Name of Law: Alaska National Interest Lands Conservation Act
   US Code: 43 USC 1701 Name of Law: Federal Lands Recreation Enhancement Act
   US Code: 16 USC 1131-1136 Name of Law: Wilderness Act
   US Code: 54 USC 100101 Name of Law: The NPS Organic Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 15494	03/18/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 46172	07/31/2020
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 9

IC Title	Form No.	Form Name
10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	10-404A	NPS Backcountry/Wilderness Use Permit Hangtag
10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	10-404A	NPS Backcountry/Wilderness Use Permit Hangtag
10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	10-404A	NPS Backcountry/Wilderness Use Permit Hangtag
10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	10-404AK	Alaska Backcountry/Wilderness Use Permit
10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	10-404AK	Alaska Backcountry/Wilderness Use Permit
10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	10-404AK	Alaska Backcountry/Wilderness Use Permit
10-404 Backcountry/Wilderness Use Permit Application (Individuals)	10-404	Backcountry/Wilderness Use Permit Application
10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	10-404	Backcountry/Wilderness Use Permit Application
10-404 Backcountry/Wilderness Use Permit Application (Gov.)	10-404	Backcountry/Wilderness Use Permit Application

---

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	351,121	319,200	0	2,151	29,770	0
Annual Time Burden (Hours)	39,116	35,559	0	287	3,270	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: We are reporting a net increase of 31,741 responses and 3,533 burden hours. This increase is attributed to an estimated 10% increase in the number of annual applications for backcountry/wilderness. This increase also includes the anticipated number of respondents using the new form. We’ve assumed of the total number of applicants (n=197,121) using Form 10-404, that 10% (n=1,971) will use the new Form 10-404AK. This assumption is based on our current calculation of the number of backcountry use permits granted in Alaska in the past three years.

---

Annual Cost to Federal Government: $1,162,211

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

---

Common Form ICR:  No

---

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: 08/03/2020

---