Form 10-226 Investigator's Annual Report

OMB Control No. 1024-0236
Expiration Date ##/##/20##

NPS Form 10-226 (Rev. 06/2020)
National Park Service

INVESTIGATOR'S ANNUAL REPORT
If you are not using the automated system supporting this report process,
please fill out this form and return it to the appropriate park.
All or some of the information you provide may become available to the public.

Reporting Year

Park

Select the type of permit this report addresses:
Scientific Study

Name of Principal Investigator or Responsible Official
Dr.
Ms.
Mr.
Mrs.
Mailing Address

First
Name

Science Education Activity
Office Phone
Cell Phone

Last
Name
Office Fax

Email Address

Additional scientific study investigators: (first name, last name)

Project Title (maximum 300 characters)

Park-assigned Study or Activity #

Park-assigned Permit #

Scientific Study Starting Date
For either a Scientific Study or a Science Education Activity, the
status is: (select one)
Completed (for a study, check only if all specimens are cataloged)
Continuing
Suspended
Terminated before completion

Activity Type: (select one)

Research

Inventory

Monitoring

Permit Start Date

Permit Expiration Date

Estimated Scientific Study Ending Date
For a Scientific Study that is completed, please check each of the
following that applies:
Final report has been provided to the park or will be provided to the
park within the next two years
Copies of field notes, data files, photos, or other study records, as
agreed, have been provided to the park
All collected and retained specimens and retained material originating
from such specimens have been cataloged into the NPS catalog
system and NPS has processed loan agreements as needed
Education

Other:

Subject/Discipline: (maximum 60 characters)
Purpose of Scientific Study or Science Education Activity during the reporting year: (maximum 4000 characters)

RECORDS RETENTION: TEMPORARY. Destroy/delete 3 years after closure. (NPS Records Schedule, Resource Management and
Lands (Item 1D) (N1-79-08-1))

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NPS Form 10-226 (Rev. 06/2020)
National Park Service

OMB Control No. 1024-0236
Expiration Date ##/##/2020

Findings and status of Scientific Study (including collections made and catalog status of retained specimens and retained
material originating from such specimens) or accomplishments of Science Education Activity during the reporting year:
(maximum 4000 characters)

For Scientific Studies (not Science Education Activities), do you still retain any specimens collected from the park or
material originating from such specimens that have not been destroyed during analysis?
Yes
No
If “Yes”, identify each institution and type of material where the specimens or material originating from such specimens currently are
housed:

Funding specifically used in this park this reporting year
that was provided by NPS: (enter dollar amount)

Funding specifically used in this park this reporting year that
was provided by all other sources: (enter dollar amount)

List any other U.S. Government Agencies supporting this study or activity and the funding each provided this reporting:
year

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NPS Form 10-226 (Rev. 06/2020)
National Park Service

OMB Control No. 1024-0236
Expiration Date ##/##/20##

NOTICES
Privacy Act Statement
Privacy Act Statement
Authority: 54 U.S.C. 100101, National Park Service Organic Act; 54 U.S.C. 100751(a), Regulations; 54 U.S.C. 100705, National Parks
Omnibus Management Act, Availability of System units for scientific study.
Purpose: The two primary uses of the records maintained in the system are to administer scientific research and collecting within units
of the National Park System, and to make Investigator’s Annual Reports available to the public.
Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C.552a(b) of the Privacy Act, records or information
contained in this system may be disclosed outside DOI as a routine use pursuant to 5 U.S.C. 552a(b)(3) to other federal, state, local,
tribal or foreign governments and organizations, and members of the general public based on an authorized routine use when the
disclosure is compatible with the purpose for which the records were compiled as described under the system of records notice for this
system.
Disclosure: Voluntary, however, the Investigator’s Annual Report is required as a general condition of each permit issued; failure to
provide the requested information may impede the processing and publication of the Investigator’s Annual Report and the processing of
associated permit renewal requests.

Paperwork Reduction Act Statement
We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) and National Parks Omnibus Management
Act of 1998 (NPOMA, P.L. 105-391, Sections, Sections 201 (4), 201 (5), and 205 which govern the use of parks for study to benefit
park management and broader science, and also publication of information derived from studies conducted in the National Park
System. Scientific research, education and collecting activities within units of the National Park System that may impact parks invoke a
permitting and reporting requirement per regulations at 36 CFR 1.6 (Permits), 36 CFR 2.1 (Preservation of Natural, Cultural and
Archeological Resources), and 36 CFR 2.5 (Research Specimens). The National Park Service collects information about permit
applicants and permittees to administer and document research, collecting, and reporting activities within parks. All applicable parts of
the form must be completed in order for your request to be considered. Failure to provide the information may result in denial of your
permit application. A Federal agency may not conduct or sponsor and you are not required to respond to a collection of information
unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned OMB Control
No. 1024-0236.

Estimated Burden Statement
Public reporting burden for this form is estimated to average 15 minutes per response, including the time it takes for reviewing
instructions, gathering and maintaining data, and completing and reviewing the form. Comments regarding this burden estimate or any
aspect of this form should be sent to the Information Collection Clearance Officer, National Park Service, 12201 Sunrise Valley Dr. (MS242), Reston, VA 20192. Please do not send your completed form to this address.

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