Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)

The Interagency Access Pass and Senior Pass Application Processes

OMB: 1024-0252

IC ID: 46500

Information Collection (IC) Details

View Information Collection (IC)

Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 10-597 Access Pass - Statement of Disability Form 10-597 Statement of Disability Form rev 02-2017 FINAL.pdf No   Printable Only

Natural Resources Recreational Resource Management and Tourism

 

152,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 152,000 0 0 76,000 0 76,000
Annual IC Time Burden (Hours) 12,667 0 0 6,334 0 6,333
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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