Form DI Form 9002 DI Form 9002 Paleontological Permit Application

CUI//PRVCY
(When filled-in)

DI Form 9002 (Rev. 09/2025)
U.S. Department of the Interior

OMB Control No. 1093-0008
Expires XX/XX/20XX

PALEONTOLOGY PERMIT APPLICATION

1a. Applicant name

1b. Applicant institutional affiliation

2. Professional contact information

3. Field contact information

4. Description of applicant qualifications

5a. Location of proposed work

5b. Administrative area

5c. Hazardous?

6. Description, scope, need for, and methodology of proposed work

7. Dates of proposed work
Start:
End:
8. Individuals who will be responsible for supervising or conducting work

9. Name, location, and contact information of the proposed repository

10. Anticipated costs and responsible parties

11. I certify under penalty of perjury that the information furnished is true and correct. Knowingly making a false statement may
subject the declarant to the penalty provided by 18 U.S.C. 1001 and 16 U.S.C. 3372(d).
Signature of Applicant

Date
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DI Form 9002 (Rev. 09/2025)
U.S. Department of the Interior

OMB Control No. 1093-0008
Expires XX/XX/20XX

INSTRUCTIONS
Paleontology Permit Application
General: Use this form to apply for authorization to collect paleontological resources on Bureau of Land Management, Bureau of
Reclamation, and U.S. Fish and Wildlife Service lands.

•
•

For proposed collection on Bureau of Land Management lands, request a permit through the Recreation And Permit Tracking &
Online Reporting (RAPTOR) system at https://permits.blm.gov/raptor/landing.
For proposed collection on National Park Service (NPS) lands, request a NPS scientific permit application through the NPS
Research Permit and Reporting System (RPRS) at https://irma.nps.gov/rprs/Home.

1a. Applicant name. The name of the individual applying for the permit.
1b. Applicant institutional affiliation. The employing or sponsoring organization with which the applicant is professionally associated.
2.

Professional contact information. Include Online Researcher Catalog Identification Number (ORCID), work mailing address,
work email, work fax and phone numbers, and any other information that is necessary for the Federal land manager to contact the
applicant/permittee.

3.

Field contact information. Any work phone, email, or social media address that will allow the Federal land manager to contact the
applicant/permittee while conducting fieldwork.

4.

Description of applicant qualifications. Attach a curriculum vitae or resume for the applicant and all other persons who will
oversee work under the permit, if it is approved. Include a list of the applicant’s past permits, if any, and record of compliance or
non-compliance. These attachments should demonstrate that the applicant possesses the qualifications required by 43 CFR §
49.110.

5a. Location of proposed work. Provide a State, County, map coordinates, and supporting information as appropriate.
5b. Administrative area. Provide administrative area such as forest, NPS unit, BLM district or field area where proposed work will
occur. This will allow DOI offices to assign local contacts to assist applicants and to track work for administrative accountability.
5c. Hazardous? Check the box if the proposed work is identified as hazardous, such as work in caves, with helicopters, or using high
angle rigging or ropes.
6.

Description, scope, need for, and methodology of proposed work. Give the proposed work a brief title (for example:
excavation of dinosaur remains from the Hell Creek Formation in the Charles M. Russell National Wildlife Refuge). Describe (1) the
purpose and need for the proposed work (research goals and how the proposed collection would further paleontological knowledge
or public education); (2) the scope of work or research plan (planned activities, field and analytical methods and description of
needed access to field areas, names of key personnel and their assigned roles and responsibilities for field, analytical, and
reporting efforts, with a summary of their prior experience and/or training that qualifies them to perform these duties); (3) duration
of the proposed work (requested schedule for fieldwork, analysis, preparation, delivery of collected materials to the proposed
repository, and report submittal); (4) logistical information (maximum number in field party and maximum number of vehicles,
means to access sites, intent to house crews on Federal land, site preparatory work that could affect land resources; (5) nature and
extent of proposed specimen collection, collection methods, any intent to perform consumptive use of collected specimens and
why it is required to achieve defined research objectives, name and location of laboratory facilities where analytical work will be
performed, and planned actions to prepare specimens for curation; (6) any existing collections known to have come from this area;
and (7) any additional information that will help the federal land manager identify the extent, nature, and potential impacts of the
proposal. Include contract statement of work if applicable for this project.

7.

Dates of proposed work. Include the proposed starting and projected end date of work for this project.

8.

Individuals who will be responsible for supervising or conducting work. For each individual named on line 8 attach a
curriculum vitae or resume that provides a summary of education, training, and experience in the kind of work proposed, and in the
role proposed.

9.

Name, location, and contact information of the proposed repository. Provide the name and address of the facility that agrees
to receive the collection made under the permit if granted, and name, phone number, and email address of the facility’s point of
contact.

10. Anticipated costs and responsible parties. Describe the anticipated costs of the permitted activities, including preparation and
initial curation, and identify the persons or organizations that will be responsible for these costs if the permit is granted.
Responsibility for costs must be agreed upon before any collection takes place. Including bonding information, if required by the
bureau.
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DI Form 9002 (Rev. 09/2025)
U.S. Department of the Interior

OMB Control No. 1093-0008
Expires XX/XX/20XX

11. Signature of applicant. By signing this application, the applicant certifies that the information provided is true and accurate. If a
bureau finds that the applicant has intentionally provided misleading or false information, or has failed to disclose facts about past
performance, or otherwise failed to provide a complete and truthful application about proposed actions and their ability to perform,
it is a basis for denial of a permit.

NOTICES
Privacy Act Statement
Authority: 16 U.S.C. 470aaa.aaa-11, Paleontological Resources Preservation Act of 2009.
Purpose: The primary use of the records maintained in the system is to manage, protect, and preserve paleontological resources on
Federal lands under the jurisdiction of the Department of the Interior. Information will be used to issue permits for the collection of
paleontological resources and facilitate the management of activities under these permits.
Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, records or information
may be shared with partners and curators who have physical custody of Federally-owned collections of paleontological resources to
manage the collections, permitted researchers to share relevant information from previous discoveries and scientific investigations, and
other Federal agencies and non-Federal entities as necessary to maintain accurate and complete permit records as authorized under
the Privacy Act and in the routine uses outlined in the system of records notice INTERIOR/DOI-20, Paleontological Resources
Preservation System.
Disclosure: Providing information is voluntary; however, not providing the requested information may hinder the approval of the
requested permit.
Paperwork Reduction Act Statement
In accordance with the Paperwork Reduction Act (44 U.S.C. 3501, et seq.), we collect the necessary information, under the applicable
laws, to evaluate your qualifications, decide whether to issue a permit, and decide whether to approve the proposed repository for
deposit of any collections. Your response is required to obtain or retain a benefit. Failure to provide all requested information may be
sufficient cause to deny the request. We may not conduct or sponsor and you are not required to respond to a collection of information
unless it displays a currently valid OMB control number. OMB has approved this collection of information and assigned Control No.
1093-0008.
Estimated Burden Statement
We estimate it will take you about 4 hours to complete this application, including time to maintain records, gather information, and
complete the form. You may send comments on the burden estimate or any other aspect of this form to the Departmental Information
Collection Clearance Officer, Office of the Chief Information Officer, 1849 C Street NW, Washington, DC 20240, or via email at DOIPRA@ios.doi.gov. Please do not send your completed form to this email address.

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