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INSTRUCTIONS: Use this form when a single information collection document involves multiple reporting and recordkeeping requirements. The totals of the figures in cols. should be entered in item 13 of OMB-83-I: cols. (D) &/or (I) = 13a (respondent is only counted once); cols. F & I = 13b; cols. H & K = 13c. (F)Total/(D)Total = (E)Average (H)Total/(F)Total = (G)Average (K)Total/(I)Total = (J)Average
NOTE: The columns will calculate automatically. If Col. E's response is something other than annually, i.e., 1/6 years, list as "1/6" & decimal will display.
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TITLE OF INFORMATION COLLECTION DOCUMENT |
OMB NO. |
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| Application for Permit for Use of Roads, Trails, or Areas Restricted by Regulation or Order |
0596-0016 |
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| DATE PREPARED |
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| IDENTIFICATION OF REPORTING OR RECORDKEEPING REQUIREMENT |
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ANNUAL BURDEN |
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REPORTS |
RECORDS |
RESPONDENT COST |
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TOTAL |
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FORMS NO (S) |
NO. OF |
NO OF |
TOTAL ANNUAL |
HOURS |
TOTAL |
NO. OF |
ANNUAL |
RECORD- |
COST |
TOTAL |
| SECTION OF |
DESCRIPTION |
(If "none" |
RESPONDENTS |
RESPONSES |
RESPONSES |
PER |
HOURS |
RECORD- |
HOURS PER |
KEEPING HOURS |
PER |
COST |
| REGS. |
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so state) |
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PER |
(Col. D x E) |
RESPONSE |
(Col. F x G) |
KEEPERS |
RECORD- |
(Col. I x J) |
HOUR |
(Col. H x L) |
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RESPONDENT |
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KEEPER |
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(B) |
(C) |
(D) |
(E) |
(F) |
(G) |
(H) |
(I) |
(J) |
(K) |
(L) |
(M) |
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Private Sector |
FS-7700-40 |
600 |
1.00 |
600.00 |
0.250 |
150.00 |
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0.00 |
48.34 |
$7,251.00 |
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Individuals |
FS-7700-40a |
500 |
1.00 |
500.00 |
0.250 |
125.00 |
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0.00 |
48.34 |
$6,042.50 |
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0.00 |
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0.00 |
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0.00 |
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$0.00 |
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0.00 |
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0.00 |
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0.00 |
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$0.00 |
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0.00 |
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0.00 |
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0.00 |
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$0.00 |
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0.00 |
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0.00 |
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0.00 |
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$0.00 |
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SUBTOTAL |
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1,100.00 |
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275.00 |
0.00 |
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0.00 |
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$13,293.50 |
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TOTAL OF ALL PAGES |
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1,100.00 |
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275.00 |
0.00 |
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0.00 |
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$13,293.50 |
| TOTAL - COLUMNS "F" AND "I" = OMB 831, 13 b; COLUMNS "H" AND "K" = OMB 831, 13c |
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1,100.00 |
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275.00 |
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| The estimated time to complete each form or attachment is 15 minutes. This is based on trial application by people within the agency. |
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| Actual numbers are not available. Estimates of the total are based on a sample of Forests and Regions. Estimates by Category and Form Type are based on best professional judgment. Form FS-7700-40 is completed for all applications, so the numbers for that form represent the total estimated applicants. |
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| Cost per hour based on wage plus fringe |
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