Information Collection

Insurance Endorsement for a Special Use Authorization

IC 273369 under ICR 202412-0596-001 · OMB 0596-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0596-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FS-2700-33 Insurance Endorsement for a Special Use Authorization	Form and Instruction
Form FS-2700-33 Insurance Endorsement for a Special Use Authorization Insurance Endorsement for a Special Use Authorization	Form and Instruction
FS-2700-33 Insurance Endorsement for a Special Use Authorization FS-2700-33 Insurance Endorsement for a Special Use Authorization_508.docx	Form and Instruction
FS-2700-33 Insurance Endorsement for a Special Use Authorization FS-2700-33 Insurance Endorsement for a Special Use Authorization.508.pdf	Form and Instruction

IC Title:

Insurance Endorsement for a Special Use Authorization

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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	FS-2700-33				Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Special Use Authorizations (USDA/FS-24)

FR Citation: 48 FR 243

Number of Respondents: 100

Number of Respondents for Small Entity: 20

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 40 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	30	30
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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