Forest Service LEI Ride-Along Program Application and Indemnity Agreement

Forest Service Law Enforcement and Investigations Ride-Along Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0170 can be found here:

Documents and Forms

Document Name Document Type
Form FS-5300-33 Forest Service LEI Ride-Along Program Application and Indemnity Agreement Form and Instruction
FS-5300-33 Information Statement and Application FS-5300-33_v04-2016.docx Form and Instruction
FS-5300-33 Information Statement and Application FS-5300-33_v04-2016.docx Form and Instruction
FS-5300-34 Assumption of Risk, Waiver of Liability, and Indemnity A FS-5300-34_v04-2016.docx Form and Instruction
FS-5300-34 Assumption of Risk, Waiver of Liability, and Indemnity A FS-5300-34_v04-2016.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Forest Service LEI Ride-Along Program Application and Indemnity Agreement	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS-5300-33	Information Statement and Application	FS-5300-33_v04-2016.docx		Yes	No	Fillable Printable
Form and Instruction	FS-5300-34	Assumption of Risk, Waiver of Liability, and Indemnity Agreement	FS-5300-34_v04-2016.docx		Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title: Law Enforcement and Investigation Records	FR Citation: 69 FR 56031

Number of Respondents: 182	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	364	0	0	364
Annual IC Time Burden (Hours)	91	61	0	30
Annual IC Cost Burden (Dollars)	0	-4,346	4,346	0

Documents for IC

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.