The Interagency Access Pass and Senior Pass Application Processes

Forms and Documents

Document Name	Status
Form 10-597 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction	Modified
Form 10-596 Form 10-596, "Access Pass" (Mail-in Applicants) Form and Instruction	Modified
Form 10-595 Form 10-595, "Senior Pass" (Mail-in Applicants) Form and Instruction	Modified
1024-0252 30-Day FRN Published 2017-10834.pdf Supplementary Document	2017-05-26
1024-0252 SSA Final 03012017.docx Supporting Statement A	2017-03-01
1024-0252 60-day FRN Interagency Pass Published 08292016 81167 59243 2016-20602.pdf Supplementary Document	2017-02-27
lii_usc_TI_16_CH_87.pdf Supplementary Document	2017-02-27
ATB SOP 2017 - FINAL - 10-26-2016.pdf Supplementary Document	2017-02-27

IC Document Collections

IC ID	Document Title	Status
46500	Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction	Modified
195251	Form 10-596, "Access Pass" (Mail-in Applicants) Form and Instruction	Modified
195250	Form 10-595, "Senior Pass" (Mail-in Applicants) Form and Instruction	Modified

ICR Details

OMB Control No: 1024-0252	ICR Reference No: 201702-1024-003
Status: Historical Active	Previous ICR Reference No: 201310-1024-001
Agency/Subagency: DOI/NPS	Agency Tracking No:
Title: The Interagency Access Pass and Senior Pass Application Processes
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/02/2017
	Date Received in OIRA: 05/26/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	36 Months From Approved	08/31/2017
Responses	113,750	0	109,750
Time Burden (Hours)	12,624	0	11,958
Cost Burden (Dollars)	402,415	0	359,775

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Abstract: The America the Beautiful – the National Parks and Federal Recreational Lands Access Pass (Interagency Access Pass) and Interagency Senior Pass are free, lifetime Passes issued by the Bureau of Land Management, the Bureau of Reclamation, the U.S. Fish and Wildlife Service, the U.S. Forest Service, and the National Park Service to citizens or persons who are domiciled in the United States, regardless of age, and who have a medical determination and documentation of permanent disability (for the Access Pass) or who are 62 years of age or older (for the Senior Pass). The Interagency Access Pass and Interagency Senior Pass were created to meet the requirements of Title VIII, Division J of The Federal Lands Recreation Enhancement Act (FLREA), (Public Law 108-447), codified in Title 16, United States Code, sections 6801-6814 (16 U.S.C. 6801-6814). The FLREA (the Act) requires the Secretary of Agriculture and the Secretary of the Interior to make a free America the Beautiful – National Parks and Federal Recreational Lands Access Pass available to any United States citizen or person domiciled (i.e., permanent residents) in the United States who has been medically determined to be permanently disabled for purposes of section 7(20)(B)(i) of the Rehabilitation Act of 1973 (29 U.S.C. 705(20)(B)(i)). The Act requires applicants to provide adequate proof of citizenship or residency and permanent disability, and that the Interagency Access Pass be valid for the lifetime of the Pass owner. The Interagency Access Pass entitles the Pass owner (only) to a 50 percent discount on some expanded amenity fees. Information available to the general public through agency websites and publications will inform potential Interagency Access Pass applicants of documentation requirements; however, there are instances where applicants learn about the Interagency Access Pass when arriving at a recreation site and do not have the required documentation available. For those instances, a fourth option is available at recreation sites. If a person claims eligibility for the Interagency Access Pass but cannot produce any documentation outlined above, that person must read, sign, and date a Statement of Disability Form in the presence of the agency officer issuing the Interagency Access Pass. If the applicant cannot read and/or sign the Form, someone else may read, date, and sign the statement on his/her behalf in the applicant’s presence and in the presence of the agency officer issuing the Interagency Access Pass. The Interagency Access Pass replaced the Golden Access Passport established in 1980 by an amendment to the Land and Water Conservation Fund Act (L&WCFA) of 1965. Previously issued Golden Access Passports will remain valid for the lifetime of the Passport holder. Under OMB control number 0596-0173 (which was used until 2007) and under the authority of the Land and Water Conservation Fund Act, the requested information detailed above and the statement of disability have been collected and used since the creation of the Golden Access Passport in 1980 to verify individuals have been medically determined to have a permanent disability.

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Authorizing Statute(s): US Code: 29 USC 705 (20)(B)(i) Name of Law: The Rehabilitation Act of 1973
   US Code: 16 USC 6801-6814 Name of Law: The Federal Lands Recreation Enhancement Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 59243	08/29/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 24394	05/26/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Form 10-595, "Senior Pass" (Mail-in Applicants)	10-595	The America the Beautiful – the National Parks and Federal Recreational Lands Senior Pass
Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)	10-597	Access Pass - Statement of Disability
Form 10-596, "Access Pass" (Mail-in Applicants)	10-596	The America the Beautiful – the National Parks and Federal Recreational Lands Senior Pass

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ICR Summary 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	113,750	109,750	0	0	4,000	0
Annual Time Burden (Hours)	12,624	11,958	0	0	666	0
Annual Cost Burden (Dollars)	402,415	359,775	0	0	42,640	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: We are reporting 113,750 responses, totaling 12,624 annual burden hours, and $402,415 in nonhour burden costs. This is an increase of 4,000 responses, 666 annual burden hours, and $42,640 in nonhour burden costs from our previous submission. Based on our experience in administering this collection, we increased the number of responses due to an increase in applications in recent years. The adjusted increase of $42,640 in nonhour burden costs is a result of an increase in mailing costs.

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Annual Cost to Federal Government: $488,551

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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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: 05/26/2017

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