Special Use Permit for Public Display of Alaska Reindeer

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IN REPLY REFER TO:

UNITED STATES OMB Control # 1076-0047

DEPARTMENT OF THE INTERIOR Expires: 12/31/2008

BUREAU OF INDIAN AFFAIRS

Alaska Region

P.O. Box 25520

Juneau, Alaska 99802-5520

SPECIAL USE PERMIT FOR PUBLIC DISPLAY OF ALASKA REINDEER

By authority of 25 U.S.C. 500, the Reindeer Act of 1937, the Alaska Regional Director of the Bureau of Indian Affairs grants permission to the permittee, __________________________ ________________, to keep up to _____ reindeer for public display. Permittee’s mailing address is __________________________________________________ _________Alaska ___________. The reindeer will be kept at __________________________ ______________ _______________________________in/near the town of ______________________________, Alaska. This permit shall be in effect as signed and will continue for five (5) years, until surrendered by Permittee, or revoked by the Bureau, whichever occurs soonest.

The Permittee agrees to the following terms:

1. Use of the reindeer will be for public display only.

2. Permit is restricted to male or neutered reindeer only. The permit does not allow maintenance of a breeding herd.

3. The reindeer will be kept in healthy condition, treated in a humane manner, and provided with adequate food, clean shelter, veterinary care as needed, and protection from predatory actions, at no expense to the Bureau.

4. The Bureau shall have the right to access to inspect the reindeer and premises.

5. Permittee shall file a report with the Bureau not later than 30 September of each year, stating the number of reindeer in the permittee’s possession and any change in status or condition of the reindeer from the previous year.

6. Permittee shall not assign or transfer permit of reindeer.

7. The reindeer shall not be used for any unlawful purpose.

8. At termination of this permit, the reindeer may be donated to the University of Alaska Reindeer Research Project, slaughtered, shipped out of Alaska, or otherwise disposed of by a means approved by the Bureau to be done within thirty days of notice to termination.

It is understood and agreed that this permit is not permanent, and maybe revoked for any breach of these terms, or at the discretion of the Bureau.

Permittee: ____________________________ date ________________

Approved: ____________________________ date _________________

Alaska Regional Director

Special Use Permit Number 20__________

OMB control # 1076-0047

Expires: 12/31/2008

Page 2 This document explains the effect of the Paperwork Reduction Act on the Reindeer in Alaska program, 25 CFR 243, OMB Control # 1076-0047. on the forms listed below.

SPECIAL USE PERMIT FOR PUBLIC DISPLAY OF ALASKA REINDEER

SALE PERMIT FOR ALASKAN REINDEER

REINDEER REPORT

DISPOSITION OF REINDEER ANNUAL REPORT

Paperwork Reduction Act Statement: This information is collected to manage the reindeer program in Alaska and to monitor their use by non-Natives.. The information is supplied by a respondent to obtain or retain a benefit, that is, obtaining reindeer in Alaska. It is estimated that responding to the request will take an average of 10 minutes to complete. This includes the amount of time it takes to gather the information and fill out the form. If you wish to make comments on the form, please send them to the Information Collection Clearance Officer, DAS-IRM/CIO, 625 Herndon Parkway, Herndon, VA 20170. Note: comments, names and addresses of commenters are available for public review during regular business hours. If you wish us to withhold this information, you must state this prominently at the beginning of your comment. We will honor your request to the extent allowable by law. In compliance with the Paperwork Reduction Act of 1995 as amended, the collection has been reviewed by the Office of Management and Budget and assigned a number and expiration date. The number and expiration date are at the top right corner of the form. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless there is a valid OMB clearance number.

Privacy Act Statement: This information collection document contains information that is covered under the Privacy Act, as amended. Collection of this information is authorized under 25 U.S.C. 500. The Bureau of Indian Affairs will not disclose any record containing such information without the written consent of the respondent unless the requestor uses the information to perform assigned duties. The primary use of this information is to monitor use of Alaska reindeer by non-Natives for certain purposes authorized purposes. Additional disclosure of the information may be made to: a Bureau of Indian Affairs or Department of the Interior employee in the course of a program review or audit; or to a Federal law enforcement agency when the agency becomes aware of a violation or possible violation of civil or criminal law.