Backcountry/Wilderness Use Permit (36 CFR 1.5, 1.6, and 2.10)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 10-404AK Alaska Backcountry/Wilderness Use Permit	Form and Instruction	Removed	Repair queued
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	Form and Instruction	Removed	Available
Form 10-404AK Alaska Backcountry/Wilderness Use Permit	Form and Instruction	Modified	Repair queued
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	Form and Instruction	Modified	Repair queued
Form 10-404AK Alaska Backcountry/Wilderness Use Permit	Form and Instruction	Modified	Repair queued
Form 10-404AK 10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	Form and Instruction	Modified	Repair queued
Form 10-404A NPS Backcountry/Wilderness Use Permit Hangtag	Form and Instruction	Removed	Repair queued
Form 10-404A 10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	Form and Instruction	Removed	Repair queued
Form 10-404A NPS Backcountry/Wilderness Use Permit Hangtag	Form and Instruction	Modified	Repair queued
Form 10-404A 10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	Form and Instruction	Modified	Repair queued
Form 10-404A NPS Backcountry/Wilderness Use Permit Hangtag	Form and Instruction	Modified	Repair queued
Form 10-404A 10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	Form and Instruction	Modified	Repair queued
Form 10-404 Backcountry/Wilderness Use Permit Application	Form and Instruction	Removed	Repair queued
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Gov.)	Form and Instruction	Removed	Repair queued
Form 10-404 Backcountry/Wilderness Use Permit Application	Form and Instruction	Modified	Repair queued
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	Form and Instruction	Modified	Repair queued
Form 10-404 Backcountry/Wilderness Use Permit Application	Form and Instruction	Modified	Repair queued
Form 10-404 10-404 Backcountry/Wilderness Use Permit Application (Individuals)	Form and Instruction	Modified	Repair queued
1024-0022 30-day FRN 9-15-23 88 FR 63603.pdf	Supplementary Document	Uploaded 2023-09-19	Repair queued
43 USC 1701 (FLREA).pdf	Supplementary Document	Uploaded 2020-07-01	Repair queued
16 U.S.C 1131-1136 National Wilderness Preservation System.pdf	Supplementary Document	Uploaded 2023-08-04	Repair queued
36 CFR 1 and 2.pdf	Supplementary Document	Uploaded 2020-06-26	Repair queued
54 U.S.C 100101.pdf	Supplementary Document	Uploaded 2020-06-26	Repair queued
ANICLA STATUTE-94-Pg2371.pdf	Supplementary Document	Uploaded 2020-06-26	Repair queued
1024-0022 60-day FRN 11-30-22 87 FR 73776.pdf	Supplementary Document	Uploaded 2023-08-04	Repair queued
1024-0022 NPSBWUP SSA 8-10-2023.docx	Supporting Statement A	Uploaded 2023-08-10	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242486	10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	Form and Instruction	Removed	Alaska Backcountry/Wilderness Use Permit
242486	10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	Form and Instruction	Removed
242485	10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	Form and Instruction	Modified	Alaska Backcountry/Wilderness Use Permit
242485	10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	Form and Instruction	Modified
242484	10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	Form and Instruction	Modified	Alaska Backcountry/Wilderness Use Permit
242484	10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	Form and Instruction	Modified
226461	10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	Form and Instruction	Removed	NPS Backcountry/Wilderness Use Permit Hangtag
226461	10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	Form and Instruction	Removed
226459	10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	Form and Instruction	Modified	NPS Backcountry/Wilderness Use Permit Hangtag
226459	10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	Form and Instruction	Modified
226457	10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	Form and Instruction	Modified	NPS Backcountry/Wilderness Use Permit Hangtag
226457	10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	Form and Instruction	Modified
226395	10-404 Backcountry/Wilderness Use Permit Application (Gov.)	Form and Instruction	Removed	Backcountry/Wilderness Use Permit Application
226395	10-404 Backcountry/Wilderness Use Permit Application (Gov.)	Form and Instruction	Removed
226394	10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	Form and Instruction	Modified	Backcountry/Wilderness Use Permit Application
226394	10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	Form and Instruction	Modified
11064	10-404 Backcountry/Wilderness Use Permit Application (Individuals)	Form and Instruction	Modified	Backcountry/Wilderness Use Permit Application
11064	10-404 Backcountry/Wilderness Use Permit Application (Individuals)	Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0022	ICR Reference No: 202306-1024-003
Status: Active	Previous ICR Reference No: 202006-1024-004
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: Backcountry/Wilderness Use Permit (36 CFR 1.5, 1.6, and 2.10)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/18/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/19/2023
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2027	36 Months From Approved	10/31/2024
Responses	473,872	0	351,121
Time Burden (Hours)	51,337	0	39,116
Cost Burden (Dollars)	0	0	0

---

Abstract: The Backcountry/Wilderness Use Permit Application, Form 10-404, and the Backcountry/Wilderness Use Permit Hangtag, Form 10-404A, are used to implement the NPS Backcountry/Wilderness Permit reservation and issuance process to provide access into backcountry and wilderness areas where registration is required or limits are imposed in accordance with regulations. The backcountry/wilderness permit permitting process enhances the ability of the National Park Service (NPS) to issue hazard warnings, closure notification, conduct search and rescue efforts, promote Leave No Trace outdoor ethics, and provide mission-based visitor and resource protection.

---

Authorizing Statute(s): US Code: 16 USC 3101 Name of Law: Alaska National Interest Lands Conservation Act
   US Code: 43 USC 1701 Name of Law: Federal Lands Recreation Enhancement Act
   US Code: 16 USC 1131-1136 Name of Law: Wilderness Act
   US Code: 54 USC 100101 Name of Law: NPS Organic 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 73776	12/01/2022
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 63603	09/15/2023
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
10-404 Backcountry/Wilderness Use Permit Application (Gov.)	10-404	Backcountry/Wilderness Use Permit Application
10-404 Backcountry/Wilderness Use Permit Application (Individuals)	10-404	Backcountry/Wilderness Use Permit Application
10-404 Backcountry/Wilderness Use Permit Application (Private Sector)	10-404	Backcountry/Wilderness Use Permit Application
10-404A Backcountry/Wilderness Use Permit Hangtag (Gov)	10-404A	NPS Backcountry/Wilderness Use Permit Hangtag
10-404A Backcountry/Wilderness Use Permit Hangtag (Individual)	10-404A	NPS Backcountry/Wilderness Use Permit Hangtag
10-404A Backcountry/Wilderness Use Permit Hangtag (Private)	10-404A	NPS Backcountry/Wilderness Use Permit Hangtag
10-404AK Alaska Backcountry/Wilderness Use Permit Application (Gov)	10-404AK	Alaska Backcountry/Wilderness Use Permit
10-404AK Alaska Backcountry/Wilderness Use Permit Application (invididual)	10-404AK	Alaska Backcountry/Wilderness Use Permit
10-404AK Alaska Backcountry/Wilderness Use Permit Application (private)	10-404AK	Alaska Backcountry/Wilderness Use Permit

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	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	473,872	351,121	0	0	122,751	0
Annual Time Burden (Hours)	51,337	39,116	0	0	12,221	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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 use of Recreation.gov to accept applications caused a 35% (n=122,751) net increase in the annual number of permits and hangtags issued which corresponds 31% (n=12,221) net increase in the burden hours. Since the last renewal cycle, we did not receive any applications originating from State, Local, or Tribal governments. Employees of State, Local and Tribal governments must follow the same guidance and instructions as individual respondents. Therefore, removing this category of respondents causes a net decrease of 1,756 responses and 195 burden hours. However, we will note, that these respondents are now included to estimate the burden for respondents listed under “individuals and households.”

---

Annual Cost to Federal Government: $1,686,984

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: 09/19/2023

---