Information Collection Request

The Interagency Access Pass and Senior Pass Application Processes

ICR 202006-1024-007 · OMB 1024-0252 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 10-597 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction Modified Available
Form 10-596 Form 10-596, "Access Pass" (Mail-in Applicants) Form and Instruction Modified Available
Form 10-595 Form 10-595, "Senior Pass" (Mail-in Applicants) Form and Instruction Modified Available
29 U.S.C. 705.pdf Supplementary Document Uploaded 2020-06-30 Available
1024-0252 Interagency Pass 30-day FRN (published).pdf Supplementary Document Uploaded 2020-07-29 Available
1024-0252 SSA 7-2-2020.docx Supporting Statement A Uploaded 2020-07-02 Available
1024-0252 60 day FRN.pdf Supplementary Document Uploaded 2020-06-30 Available
16 U.S.C. 6801-6814.pdf Supplementary Document Uploaded 2020-06-30 Available
ATB SOP 2020.pdf Supplementary Document Uploaded 2020-06-30 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
46500 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction Modified
195251 Form 10-596, "Access Pass" (Mail-in Applicants) Form and Instruction Modified
195250 Form 10-595, "Senior Pass" (Mail-in Applicants) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
09/30/2023 36 Months From Approved 09/30/2020
212,000 0 113,750
22,667 0 12,624
666,000 0 402,415





table that charts list 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 212,000 113,750 0 0 98,250 0
Annual Time Burden (Hours) 22,667 12,624 0 0 10,043 0
Annual Cost Burden (Dollars) 666,000 402,415 0 0 263,585 0


Reginfo record details
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