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Statement of Disability for Interagency Access Pass In-person Applicants
The Interagency Access Pass and Senior Pass Application Processes
OMB: 1024-0252
IC ID: 46500
OMB.report
DOI/NPS
OMB 1024-0252
ICR 201010-1024-002
IC 46500
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1024-0252 can be found here:
2023-08-11 - Extension without change of a currently approved collection
2020-07-29 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Statement of Disability for Interagency Access Pass In-person Applicants
Form and Instruction
Statement of Disability
FINAL Interagency Statement of Disability.doc
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement of Disability for Interagency Access Pass 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:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
None
Statement of Disability
FINAL Interagency Statement of Disability.doc
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Recreational Resource Management and Tourism
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
69,730
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
69,730
0
0
-3,670
0
73,400
Annual IC Time Burden (Hours)
5,811
0
0
-306
0
6,117
Annual IC Cost Burden (Dollars)
0
0
0
0
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.