Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants)

The Interagency Access Pass and Senior Pass Application Processes

Documents and Forms

Document Name Document Type
Form NPS Form 10-597 Form 10-597, "Access Pass – Statement of Disability" (In-person Applicants) Form and Instruction
NPS Form 10-597 America the Beautiful – The National Parks and Federal R Form 10-597 Statement of Disability Form rev 02-2017 FINAL.pdf store.usgs.gov/pass/access_pass_application.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Form 10-597, "Access Pass – Statement of Disability" (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	NPS Form 10-597	America the Beautiful – The National Parks and Federal Recreational Lands Pass - Statement of Permanent Disability	Form 10-597 Statement of Disability Form rev 02-2017 FINAL.pdf	https://store.usgs.gov/pass/access_pass_application.pdf	No		Printable Only

Line of Business: Natural Resources

Subfunction: Recreational Resource Management and Tourism

Privacy Act System of Records
Title: The ‘America the Beautiful—The National Parks and Federal Recreational Lands Pass’ System, DOI–06	FR Citation: 80 FR 63246

Number of Respondents: 152,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	152,000	152,000
Annual IC Time Burden (Hours)	12,667	12,667
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.