Information Collection

10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)

IC 242485 under ICR 202006-1024-004 · OMB 1024-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0022 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	Form and Instruction
10-404AK Alaska Backcountry/Wilderness Use Permit 10-404AK Alaska Backcountry-Wilderness Use Permit Application 6.25.2020.docx	Form and Instruction

IC Title:

10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 36 CFR 1.5, 1.6, and 2.10

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	10-404AK	Alaska Backcountry/Wilderness Use Permit	10-404AK Alaska Backcountry-Wilderness Use Permit Application 6.25.2020.docx		No		Paper Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 59

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	59	59
Annual IC Time Burden (Hours)	8	8
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.