Special Use Permit for Public Display

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IN REPLY REFER TO:

UNITED STATES OMB Control # 1076-0047

DEPARTMENT OF THE INTERIOR Expires: 3/30/20XX

BUREAU OF INDIAN AFFAIRS

Alaska Region

P.O. Box 25520

Juneau, Alaska 99802-5520

SPECIAL USE PERMIT FOR PUBLIC DISPLAY OF ALASKA REINDEER

By authority of 25 U.S.C. 500, the Reindeer Act of 1937, the Alaska Regional Director of the Bureau of Indian Affairs grants permission to the permittee, __________________________ ________________, to keep up to _____ reindeer for public display. Permittee’s mailing address is __________________________________________________ _________Alaska ___________. The reindeer will be kept at __________________________ ______________ _______________________________in/near the town of ______________________________, Alaska. This permit shall be in effect as signed and will continue for five (5) years, until surrendered by Permittee, or revoked by the Bureau, whichever occurs soonest.

The Permittee agrees to the following terms:

1. Use of the reindeer will be for public display only.

2. Permit is restricted to male or neutered reindeer only. The permit does not allow maintenance of a breeding herd.

3. The reindeer will be kept in healthy condition, treated in a humane manner, and provided with adequate food, clean shelter, veterinary care as needed, and protection from predatory actions, at no expense to the Bureau.

4. The Bureau shall have the right to access to inspect the reindeer and premises.

5. Permittee shall file a report with the Bureau not later than 30 September of each year, stating the number of reindeer in the permittee’s possession and any change in status or condition of the reindeer from the previous year.

6. Permittee shall not assign or transfer permit of reindeer.

7. The reindeer shall not be used for any unlawful purpose.

8. At termination of this permit, the reindeer may be donated to the University of Alaska Reindeer Research Project, slaughtered, shipped out of Alaska, or otherwise disposed of by a means approved by the Bureau to be done within thirty days of notice to termination.

It is understood and agreed that this permit is not permanent, and may be revoked for any breach of these terms, or at the discretion of the Bureau.

Permittee: ____________________________ date ________________

Approved: ____________________________ date _________________

Alaska Regional Director

Special Use Permit Number 20__________

OMB control # 1076-0047

Expires: 3/30/20XX

SPECIAL USE PERMIT FOR PUBLIC DISPLAY OF ALASKA REINDEER

Paperwork Reduction Act Statement: This information is collected to manage the reindeer program in Alaska and to monitor their use by non-Natives. The information is supplied by a respondent to obtain or retain reindeer in Alaska. Public reporting burden for this collection is estimated to average 10 minutes to complete the form, including the time for reviewing instructions, gathering information, and completing and submitting the form. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB Control Number. Comments concerning clarity, utility or information or burden reduction may be sent to Attn: Information Collection Clearance Officer – Indian Affairs, 1849 C Street, NW, MS-4141, Washington, DC 20240. Please note: comments, names, and addresses of commentators are available for public review during regular business hours. If you wish to withhold this information you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law.