Financial Statement - Private Sector

Special Use Administration

Documents and Forms

Document Name Document Type
Form FS-6500-24 Financial Statement - Private Sector Form and Instruction
FS-6500-24 Financial Statement FS-6500-24 Financial Statement_508.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Financial Statement - Private Sector	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FS-6500-24	Financial Statement	FS-6500-24 Financial Statement_508.docx		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

Percentage of Respondents Reporting Electronically: 40 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	800	800
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.