Part II Supplemental Information (Applicants Complete)

Mark X in Appropriate Box Below

 

I - Private Corporations Attached Filed

  1. Articles of Incorporation
  2. Corporation Bylaws
  3. A certificate from the State showing the corporation is in good standing and is entitled to operate within the State.
  4. Copy of resolution authorizing filing
  5. The name and address of each shareholder owning 3 percent or more of the shares, together with the number and percentage of any class voting shares of the entity which such shareholder is authorized to vote and the name and address of each affiliate of the entity together with, in the case of an affiliiate owned, directly or indirectly, by that entity, and in the case of an afiliate which controls that entity, the number of shares and the percentage of any class of voting stock of that entity owned, directlly or indirectly, by the affiliate.
  6. If application is for an oil or gas pipeline, describe any related right of way or temporary use permit applications, and identify previous applications.
  7. If proposed land use involves other Federal lands identify each agency impacted by proposal.

II - Public Corporations

  1. Copy of laaw forming corporation
  2. Proof of organization
  3. Copy of Bylaws
  4. Copy of resolution authorizing filing
  5. If application is for an oil or gas pipeline, provide information required by item I-f and I-g above

III - PARTNERSHIP or OTHER UNINCORPORATED ENTITY

  1. Articles of association, if any
  2. If one partner is authorized to sign, resolution authorizing action
  3. Name and address of each participant, partner, association, or other
  4. If application is for oil or gas pipeline, provide information required by Item I-f and I-g above

* If the required information is already filed with the Forest Service, and is current, check box titled Filed. Provide the file identification information (e.g., number, date, code, name and office at which filed. If not on file or current, attach requested information

REMARKS (This space provided for more detailed responses to PART 1.) Please indicate the item numbers to which these responses apply. Attach sheets, if additional space is needed.

Under the Paperwork Reduction Act of 1993, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082.

This information is needed by the Forest Service to evaluate requests to use National Forest system lands and manage those laands to protect natural resources, administer the use, and ensure public heaalth and safety. This information is required to obtain or retain a benefit. The authority for that requirement is provided by the Organic Act of 1897 and the FLPMA of 1976, which authorizes the Secretary of Agriculture to promulgate rules and regulations for authorizing and managing National Forest System Lands. These statutes, along with the Term Permit Act, National Forest Ski Area Permit Act, Granger-Thye Act, Mineral Leasing Act, Alaska Term Permit Act of September 3, 1954, Wilderness Act, National Forest Roads and Trails Act, Act of November 16, 1973, Archeological Resoources Protection Act, and Alaska National Interest Lands Conservation Act authorize the Secretary of Agriculture to issue authorizations or the use and occupancy of National Forest System lands. The Secretary of Agriculture's regulations aat 26 CFR Part 251, Subpart B, establish procedures for issuing those authorizations.

The Privacy Act of 1974 (5 U.S.C. 552a) and the Freedom of Information Act (5 U.S.C. 552) govern the confidentiality to be provided for information received by the Forest Service.

Send comments regarding this burden estimate or any other aaspect of this collection of information, including suggestions for reducing this burden, to Department of Agriculture, Clearance Officer, Stop 7602, 1400 Independence Ave. S.W. Washington, D.C. 20250-7602; and to the Office of Management and Budget, Office of Regulatory Affairs, Desk Officer for Forest Serviccce, Washington, D.C. 20503.

Name: Day Phone: Evening Phone:

Name: Day Phone: Evening Phone:

Name: Day Phone: Evening Phone:

Address:

Address:

Addres'.

Part II Supplemental Information (Applicants Complete)

I - Private Corporations

II - Public Corporations

III - PARTNERSHIP or OTHER UNINCORPORATED ENTITY

  1. Articles of association
  2. Corporation Bylaws
  3. Name and address of each participant, partner, asssociation, or other
  4. If application is for an oil or gas pipeline, provide information required by item I-f and I-g above

*If the required information is already filed with the Forest Service, and is current, check box titled "filed". Provide the file identification information (e.g., number, date, code, name and office at which filed). If not on file or current, attach requested information

REMARKS: (This space is provided for more detailed responses to PART I.) Please indicate the item numbers to which these responses apply. Attach sheets if additional space is needed.

Under the Paperwork Reduction Act of 1993, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0082.

This information is needed by the Forest Service to elavaluate requests to use National Forest System Lands and manage those lands to protect natural resources, administer the use, and ensure public helath and safety. This information is required to obtain or retain a benefit. The authority for that requirement is provided by the Organic Act of 1897 and the Federal Land Policy and Management Act of 1976, which authorize the Secretary of Agriculture to issue authorizations for the use and occupancy of National Forest System lands. The Secretary of Agriculture’s regulations at 36 CFR Part 251, Subpart B, establish procedures for issuing those authorizations.

The Privacy Act of 1974 (5 USC 552a) and the Freedom of Information Act (5 USC 552) govern the confidentiality to be provided for information received by the Forest Service.

Send comments regarding this burden estimate or any other aspect of this collection information, including suggestions for reducing the burden, to Department of Agriculture, Clearance Officer, Stop 7602, 1400 Independence Ave. S.W. Washington, D.C. 20503