The Interagency Access Pass and Senior Pass Application Processes

Forms and Documents

Document Name	Status
Form NPS Form 10-597 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction	Modified
Form NPS Form 10-595 NPS Form 10-595, "Senior Pass" (in-person) Form and Instruction	New
Form NPS Form 10-596 Form 10-596, "Access Pass" (Mail-in) Form and Instruction	New
Form NPS Form 10-595 NPS Form 10-595, "Senior Pass" (mail-in) Form and Instruction	New
Form NPS Form 10-596 Form 10-596, "Access Pass" (electronic) Form and Instruction	Modified
Form NPS Form 10-595 Form 10-595, "Senior Pass" (electronic) Form and Instruction	Modified
29 U.S.C. 705.pdf Supplementary Document	2020-06-30
1024-0252 30-day FRN (88 FR 54659) 8-11-2023.pdf Supplementary Document	2023-08-11
1024-0252 SSA NPS Interagency Access Pass and Senior Pass Application Processes_6.6.2023.docx Supporting Statement A	2023-06-06
1024-0252 60-day FRN 87 FR 65244 10-28-2022 (1).pdf Supplementary Document	2023-06-06
16 U.S.C. 6801-6814.pdf Supplementary Document	2020-06-30
ATB SOP 2020.pdf Supplementary Document	2020-06-30

IC Document Collections

IC ID	Document Title	Status
46500	Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction	Modified
260552	NPS Form 10-595, "Senior Pass" (in-person) Form and Instruction	New
260551	Form 10-596, "Access Pass" (Mail-in) Form and Instruction	New
260550	NPS Form 10-595, "Senior Pass" (mail-in) Form and Instruction	New
195251	Form 10-596, "Access Pass" (electronic) Form and Instruction	Modified
195250	Form 10-595, "Senior Pass" (electronic) Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0252	ICR Reference No: 202306-1024-001
Status: Received in OIRA	Previous ICR Reference No: 202006-1024-007
Agency/Subagency: DOI/NPS	Agency Tracking No: NPS Interagency Pass
Title: The Interagency Access Pass and Senior Pass Application Processes
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/11/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	09/30/2023
Responses	212,000	212,000
Time Burden (Hours)	22,667	22,667
Cost Burden (Dollars)	686,000	666,000

---

Abstract: The America the Beautiful National Parks and Federal Recreational Lands Access Pass (Interagency Access Pass) and Interagency Senior Pass are free, lifetime Passes issued by the Bureau of Land Management, the Bureau of Reclamation, the U.S. Fish and Wildlife Service, the U.S. Forest Service, and the National Park Service to citizens or persons who are domiciled in the United States, regardless of age, and who have a medical determination and documentation of permanent disability (for the Access Pass) or who are 62 years of age or older (for the Senior Pass).

---

Authorizing Statute(s): US Code: 29 USC 705 (20)(B)(i) Name of Law: The Rehabilitation Act of 1973
   US Code: 16 USC 6801-6814 Name of Law: The Federal Lands Recreation Enhancement Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 65244	10/28/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 54659	08/11/2023
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Form 10-595, "Senior Pass" (electronic)	NPS Form 10-595	America The Beautiful – The National Parks And Federal Recreational Lands Senior Access Pass
Form 10-596, "Access Pass" (Mail-in)	NPS Form 10-596	America The Beautiful – The National Parks And Federal Recreational Lands Access Pass
Form 10-596, "Access Pass" (electronic)	NPS Form 10-596	America The Beautiful – The National Parks And Federal Recreational Lands Access Pass
Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)	NPS Form 10-597	America the Beautiful – The National Parks and Federal Recreational Lands Pass - Statement of Permanent Disability
NPS Form 10-595, "Senior Pass" (in-person)	NPS Form 10-595	America The Beautiful – The National Parks And Federal Recreational Lands Senior Access Pass
NPS Form 10-595, "Senior Pass" (mail-in)	NPS Form 10-595	America The Beautiful – The National Parks And Federal Recreational Lands Senior Access Pass

---

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	212,000	212,000	0	0	0	0
Annual Time Burden (Hours)	22,667	22,667	0	0	0	0
Annual Cost Burden (Dollars)	686,000	666,000	0	0	20,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The change reported is a net increase of $20,000 Annual Cost Burden. This increase is due to an adjustment in estimates based on the anticipated increase in processing and shipping costs.

---

Annual Cost to Federal Government: $593,611

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/11/2023

---