Burden Spreadsheet

---

Overview

Table 2 Cost to Government
Table 3 Burden Hour Respondents
Table 4 Est Cost to Respondents
Table 5 Est Annual Cost to Gov

---

Sheet 1: Table 2 Cost to Government

	Special Uses Administration ICR 0596-0082
(a)	(b)	(c)			(d)	(e)	(f)	(g)
Description of the Collection Activity	Form Number	Number of Respondents Previous 3 years			Number of responses annually per Respondent	Average annual responses	Estimate of Burden Hours per response	Estimated Total Annual Burden Hours
						(c x d)/3		(e x f)
Information to evaluate prospectus applications	No Form	60	60	60	1	60	20	1,200
Category 1 Total Hours						60		1,200
CATEGORY 2: SPECIAL USE AUTHORIZATIONS
Category 2 Total Hours
CATEGORY 3: ANNUAL FINANCIAL INFORMATION
Providing financial or use information	No Form	7,840	7,806	6,386	1	7344	1	7344
Category 3 Total Hours						7,344		7,344
CATEGORY 4: PREPARING AND UPDATING OPERATING PLANS
Annual or multi-year operating plans	No Form	29,925	29,925	29,925	1	29,925	1	29,925
Category 4 Total Hours						29,925		29,925
CATEGORY 5: PREPARING AND UPDATING MAINTENANCE PLANS
Annual or multi-year maintenance plans	No Form	835	835	835	1	835	2	1,670
Category 5 Total Hours						835		1,670
CATEGORY 6: COMPLIANCE REPORTING AND INFORMATION UPDATES
Providing and compiling information for compliance	No Form	10,400	10,400	10,400	1	10,400	2	20,800
Category 6 Total Hours						10,400		20,800
Grand Total						Estimated Annual Responses		Estimated Annual Burden Hours
						48,564		60,939

---

Sheet 2: Table 3 Burden Hour Respondents

	Special Uses Administration ICR 0596-0082
(a)	(b)	(c)			(d)	(e)	(f)	(g)
Description of the Collection Activity	Form Number	Number of Respondents Previous 3 years			Number of responses annually per Respondent	Average annual responses	Estimate of Burden Hours per response	Estimated Total Annual Burden Hours
						(c x d)/3		(e x f)
Request for Taxpayer Identification Number and Certification	W-9 (IRS)	0	0	0	1	50000	0.25	12,500
Holder Initiated Revocation of Existing Authorization, Request for a Special Use Permit	FS-2700-3a	3420	3412	3610	1	3481	0.5	1,741
Special Use Application & Permit for Noncommercial Group Use	FS-2700-3b	505	441	395	1	447	0.25	111.75
Special Use Application & Permit for Recreation Events	FS-2700-3c	3317	3362	3343	1	3341	1	3,341
Special Use Application & Permit for Government Owned Buildings	FS-2700-3e	78	65	54	1	66	0.25	17
Special Use Application & Temporary Permit for Outfitting and Guiding	FS-2700-3f	1090	1216	1324	1	1210	4	4,840
Technical Data – Communications Type Land Use	FS-2700-10	3720	2734	2986	1	3147	0.25	787
Agreement Concerning Small Business Administration Loan for Holder of Special Use Permit	FS-2700-11	30	30	30	1	30	0.25	8
Agreement Concerning Loan for Holder of Special Use Permit	FS-2700-12	64	64	64	1	64	1	64
Application for Permit for Archaeological Investigations	FS-2700-30	145	140	175	1	153	4	612
Insurance Endorsement Special Use Authorization	FS-2700-33	2750	2750	2750	1	2750	0.3	825
Prospectus for Campground and Related Granger-Thye Concessions	FS-2700-34	196	114	83	1	131	10	1,310
Financial Statement	FS-6500-24	130	130	130	1	130	8	1,040
Request for Verification	FS-6500-25	130	130	130	1	130	0.5	65
Category 1 Total Hours						65,080	0.4188	27,260
CATEGORY 2: SPECIAL USE AUTHORIZATIONS
Special Use Permit	FS-2700-4	3227	2396	1270	1	2298	1	2,298
Forest Road Special Use Permit	FS-2700-4b	303	237	142	1	227	1	227
Private Road Special Use Permit	FS-2700-4c	826	426	253	1	502	1	502
Temporary Cost Share Agreement Road Special Use Permit	FS-2700-4d	2	2	2	1	2	1	2
Special Use Permit for Campground and Related Granger-Thye Concessions	FS-2700-4h	80	74	32	1	62	1	62
Appendix B – Annual Granger-Thye Fee Offset Agreement	FS-2700-4h, Appendix B	279	274	220	1	258	2	516
Appendix F - Special Use Permit for Campground and Related Granger-Thye Concessions	FS-2700-4h, Appendix F	196	114	83	1	131	0.5	66
Appendix G – Granger-Thye Fee Offset Claim Certification	FS-2700-4h, Appendix G	738	607	578	1	641	1	641
Special Use Permit for Outfitting & Guiding	FS-2700-4i	1059	985	802	1	949	1	949
Special Use Permit for a Federal Agencies Electric Transmission Line Permit	FS-2700-4j	70	4	11	1	28	1	28
Special Use Permit for Equestrian Outfitting on the Shawnee National Forest	FS-2700-4-Shawnee	16	12	12	1	13	1	13
Term Special Use Permit	FS-2700-5	36	30	35	1	34	1	34
Term Special Use Permit for Recreation Residences	FS-2700-5a	1693	1170	539	1	1134	1	1,134
Term Special Use Permit for Recreation Residences on Grand Island	FS-2700-5a-GI-Grand Island	0	0	0	1	0	1	0
Ski Area Term Special Use Permit	FS-2700-5b	12	10	5	1	9	3	27
Resort/Marina Term Special Use Permit	FS-2700-5c	67	54	35	1	52	1	52
Resort Supplement for Outfitting& Guiding	FS-2700-5d	28	20	24	1	24	1	24
Agricultural Irrigation and Livestock Watering System Easement	FS-2700-9a	81	21	13	1	38	1	38
Cost Share Easement	FS-2700-9d	0	0	1	1	0	1	0
Non-Cost Share Easement	FS-2700-9e	10	7	6	1	8	1	8
Public Road Easement	FS-2700-9f	129	41	23	1	64	1	64
Forest Road Easement Issued Under the National Forest Roads & Trails act	FS-2700-9g	6	3	6	1	5	1	5
Private Road Easement Issued Under the National Forest Roads and Trails Act	FS-2700-9h	100	100	100	1	100	1	100
Forest Road Easement issued under the Federal Land Policy and Management Act	FS- 2700-9i	10	16	17	1	14	1	14
Private Road Easement Issued Under The Federal Land Policy and Management Act	FS-2700-9j	82	56	17	1	52	1	52
Communications Use Lease	FS-2700-10b	167	203	152	1	174	1	174
Communications use Permit for Federal Agencies	FS-2700-10c	14	15	24	1	18	1	18
Amendment for Special Use Authorization Cost Recovery Agrmt	FS-2700-23	786	746	709	1	747	1	747
Temporary Special Use Permit	FS-2700-25	1187	1105	1056	1	1116	1	1,116
Category 6 Major Cost Recovery Agreement	FS-2700-26	800	800	700	1	767	8	6,136
Category 5 Major Cost Recovery Agreement	FS-2700-26b	250	250	100	1	200	8	1,600
Electric Transmission Line Easement	FS-2700-31	2	2	18	1	7	1	7
Permit for Archeological Investigations	FS-2700-32	204	170	170	1	181	4	724
Tuolumne Wild and Scenic River Permit	Stanislaus FS-2300-1A	132	112	83	1	109	0.5	55
Cherry Creek Self-Registration Permit	Stanislaus FS-2300-1B	31	55	10	1	32	0.5	16
Notice to Alaska Native Corporations Regarding Prospectus for Visitor Services	FS-2700-27	5	5	5	1	5	20	100
Category 2 Total Hours						10,001	1.7546	17,548
CATEGORY 3: ANNUAL FINANCIAL INFORMATION
Reconciliation of Sales for Fee Calculation	FS-2700-7	400	384	386	1	390	1	390
Reconciliation of Gross Fixed Assets (GFA) to Booked Amounts	FS-2700-8	200	120	87	1	136	1	136
Communications Site Tenant/Customer Inventory	FS-2700-10a	3300	3300	3300	1	3300	1	3300
Fee Calculation for Concession Permits	FS-2700-19	392	384	386	1	387	1	387
Fee Calculation for Ski Area Permits	FS-2700-19a	114	116	135	1	122	1	122
Financing or Eligible for Financing of Telephone Facilities (Rural Utility Service required form)	FS-2700-38	149	142	136	1	142	1	142
Category 3 Total Hours						4,477	1.0000	4,477
CATEGORY 4: PREPARING AND UPDATING OPERATING PLANS
Category 4 Total Hours						0		0
CATEGORY 5: PREPARING AND UPDATING MAINTENANCE PLANS
Category 5 Total Hours						0	0.0000	0
CATEGORY 6: COMPLIANCE REPORTING AND INFORMATION UPDATES
Recreation Residence Self-Inspection Report	FS-2700-6b	14,500	14,500	14,500	1	14,500	2.5	36,250
Inspection form for Special Uses	FS-2700-1	11550	10418	10745	1	10,904	0.25	2,726
Category 6 Total Hours						25,404	1.5320	38,976
Grand Total						Estimated Annual Responses		Estimated Annual Burden Hours
						104,962	0.9411	88,261

---

Sheet 3: Table 4 Est Cost to Respondents

(a)	(b)	(c)*	(d)
Description of the Collection Activity	Estimated Total Annual Burden on Respondents (Hours)	Estimated Average Income per Hour	Estimated Cost to Respondents
1. The Application Process	65,080	$27	$1,757,160.00
2. Special Use Authorizations	10,001	$27	$270,027.00
3. Annual Financial Information	4,477	$27	$120,879.00
4. Preparing and Updating Operating Plans	0	$27	$0.00
5. Preparing and Updating Maintenance Plans	0	$27	$0.00
6. Compliance Reports and Information Updates	25,404	$27	$685,908.00
Totals	104,962	---	$2,833,974.00

---

Sheet 4: Table 5 Est Annual Cost to Gov

ACTION ITEM	PERSONNEL	GS LEVEL	HOURLY RATE*	HOURS	SALARY
1. The Application Process	Resource Specialists	9-step-5	$25.00	1,200	$30,000.00
2. Special Use Authorizations	Resource Specialists	9-step-5	$25.00	0	$0.00
3. Annual Financial Information	Resource Specialists	9-step-5	$25.00	7,344	$183,600.00
4. Preparing and Updating Operating Plans	Resource Specialists	9-step-5	$25.00	29,925	$748,125.00
5. Preparing and Updating Maintenance Plans	Resource Specialists	9-step-5	$25.00	1,670	$41,750.00
6. Compliance Reports and Information Updates	Resource Specialists	9-step-5	$25.00	20,800	$520,000.00
Special Use Database System (Annual Program cost)					$450,000
TOTALS				60,939	$1,973,475.00