Information Collection

Form 10-595, "Senior Pass" (electronic)

IC 195250 under ICR 202306-1024-001 · OMB 1024-0252.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form NPS Form 10-595 Form 10-595, "Senior Pass" (electronic)	Form and Instruction
NPS Form 10-595 America The Beautiful – The National Parks And Federal R 10-595 Senior Pass rev (1).pdf store.usgs.gov/pass/senior_pass_application.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NPS Form 10-595	America The Beautiful â The National Parks And Federal Recreational Lands Senior Access Pass	10-595 Senior Pass rev (1).pdf	https://store.usgs.gov/pass/senior_pass_application.pdf	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records

Title: The âAmerica the BeautifulâThe National Parks and Federal Recreational Lands Passâ System, DOIâ06

FR Citation: 80 FR 63246

Number of Respondents: 32,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	32,000	-8,000	40,000
Annual IC Time Burden (Hours)	5,333	-1,334	6,667
Annual IC Cost Burden (Dollars)	368,000	-76,000	444,000

Documents for IC

table that charts IC Documents
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.