Information Collection

Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)

IC 46500 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 10-597 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)	Form and Instruction
Form NPS Form 10-597 America the Beautiful – The National Parks and Federal Recreational Lands Pass - Statement of Permanent Disability Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)	Form and Instruction
NPS Form 10-597 America the Beautiful – The National Parks and Federal R Form 10-597 Statement of Disability Form rev 02-2017 FINAL.pdf store.usgs.gov/pass/access_pass_application.pdf	Form and Instruction
NPS Form 10-597 America the Beautiful – The National Parks and Federal R Form 10-597 Statement of Disability Form rev 02-2017 FINAL.pdf store.usgs.gov/pass/access_pass_application.pdf	Form and Instruction

IC Title:

Form 10-597, "Access Pass â Statement of Disability" (In-person Applicants)

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 10-597			https://store.usgs.gov/pass/access_pass_application.pdf	No		Printable Only

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: 152,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	152,000	152,000
Annual IC Time Burden (Hours)	12,667	12,667
Annual IC Cost Burden (Dollars)	0	0

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.

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