Agency Information Collection Activities; Native Youth Community Adaptation and Leadership Congress, 38111-38113 [2021-15173]
Download as PDF
Federal Register / Vol. 86, No. 135 / Monday, July 19, 2021 / Notices
Boating Partnership Council (Council),
in accordance with the Federal
Advisory Committee Act.
DATES:
Teleconference/Web Meeting: The
Council will meet via teleconference
and broadcast over the internet on
Wednesday, August 4, 2021, from 12
p.m. to 4 p.m. Eastern Time, and
Thursday, August 5, 2021, from 12 p.m.
to 3 p.m. Eastern Time. The meeting is
open to the public, except for on August
4, between 12 p.m. and 12:40 p.m.,
when members will attend an ethics
training session.
Registration: Registration is required.
The deadline for registration is August
2, 2021.
Accessibility: The deadline for
accessibility accommodation requests is
July 30, 2021. Please see Accessibility
Information, below.
ADDRESSES: The meeting will be held
via teleconference and broadcast over
the internet. To register and receive the
web address and telephone number for
participation, contact the Designated
Federal Officer (see FOR FURTHER
INFORMATION CONTACT).
FOR FURTHER INFORMATION CONTACT: Tom
McCann, Designated Federal Officer, by
email at thomas_mccann@fws.gov, by
telephone at 703–358–2056, by
telecommunication device for the deaf
(TDD) via the Federal Relay Service at
800–877–8339, or by U.S. mail at the
U.S. Fish and Wildlife Service,
MS:3C016A–FAC, 5275 Leesburg Pike,
Falls Church, Virginia 22041–3803.
SUPPLEMENTARY INFORMATION:
Established in 1993, the Council advises
the Secretary of the Interior, through the
Director of the U.S. Fish and Wildlife
Service, on aquatic conservation
endeavors that benefit recreational
fishery resources and recreational
boating and that encourage partnerships
among industry, the public, and
government.
lotter on DSK11XQN23PROD with NOTICES1
Meeting Agenda
• Administrative business/member
ethics training
• Program updates from:
Æ U.S. Fish and Wildlife Service
(USFWS) Fish and Aquatic
Conservation
Æ USFWS Wildlife and Sport Fish
Restoration
Æ National Oceanic and Atmospheric
Administration
Æ Recreational Boating and Fishing
Foundation
D Discuss programmatic assessment
D Review Council appointments for
Board of Directors
• COVID–19 roundtable to discuss
impacts on fishing and boating
VerDate Sep<11>2014
18:23 Jul 16, 2021
Jkt 253001
industries and leveraging new
enthusiasts
• Other Council business
Æ Review subcommittee structure
Æ Discuss agenda items for next
meeting
• Public comment and adjourn
The final agenda and other related
meeting information will be posted on
the Council’s website, https://
www.fws.gov/sfbpc/.
Public Input
If you wish to listen to the meeting by
telephone, listen and view through the
internet, provide oral public comment
by phone, or provide a written comment
for the Council to consider, contact the
Designated Federal Officer (see FOR
FURTHER INFORMATION CONTACT). Written
comments should be received no later
than Monday, August 2, 2021, to be
considered by the Council during the
meeting.
Depending on the number of people
who want to comment and the time
available, the amount of time for
individual oral comments may be
limited. Interested parties should
contact the Designated Federal Officer,
in writing (see FOR FURTHER INFORMATION
CONTACT), for placement on the public
speaker list for this teleconference.
Registered speakers who wish to expand
upon their oral statements, or those who
had wished to speak but could not be
accommodated on the agenda, may
submit written statements to the
Designated Federal Officer up to 30 days
following the meeting. Requests to
address the Council during the
teleconference will be accommodated in
the order the requests are received.
Accessibility Information
Requests for sign language
interpretation services, closed
captioning, or other accessibility
accommodations should be directed to
the Designated Federal Officer (see FOR
FURTHER INFORMATION CONTACT) by close
of business Friday, July 30, 2021.
Public Disclosure
Before including your address, phone
number, email address, or other
personal identifying information in your
comment, you should be aware that
your entire comment—including your
personal identifying information—may
be made publicly available at any time.
While you can ask us in your comment
to withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
PO 00000
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Fmt 4703
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38111
Authority: Federal Advisory
Committee Act (5 U.S.C. Appendix).
David A. Miko,
Acting Assistant Director, Fish and Aquatic
Conservation Program, U.S. Fish and Wildlife
Service.
[FR Doc. 2021–15200 Filed 7–16–21; 8:45 am]
BILLING CODE 4333–15–P
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
[FWS–HQ–NCTC–2021–N035;
FXGO16610900600 (212) FF09X35000; OMB
Control Number 1018–0176]
Agency Information Collection
Activities; Native Youth Community
Adaptation and Leadership Congress
Fish and Wildlife Service,
Interior.
ACTION: Notice of information collection;
request for comment.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995, we,
the U.S. Fish and Wildlife Service
(Service), are proposing to revise a
currently approved information
collection.
DATES: Interested persons are invited to
submit comments on or before
September 17, 2021.
ADDRESSES: Send your comments on the
information collection request by mail
to the Service Information Collection
Clearance Officer, U.S. Fish and
Wildlife Service, MS: JAO/1N (PERMA–
PRB), 5275 Leesburg Pike, Falls Church,
VA 22041–3803 (mail); or by email to
Info_Coll@fws.gov. Please reference
OMB Control Number 1018–0176 in the
subject line of your comments.
FOR FURTHER INFORMATION CONTACT: To
request additional information about
this ICR, contact Madonna L. Baucum,
Service Information Collection
Clearance Officer, by email at Info_
Coll@fws.gov, or by telephone at (703)
358–2503.
SUPPLEMENTARY INFORMATION: In
accordance with the Paperwork
Reduction Act (PRA, 44 U.S.C. 3501 et
seq.) and its implementing regulations
at 5 CFR 1320, all information
collections require approval under the
PRA. 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.
As part of our continuing effort to
reduce paperwork and respondent
burdens, we invite the public and other
Federal agencies to comment on new,
proposed, revised, and continuing
SUMMARY:
E:\FR\FM\19JYN1.SGM
19JYN1
lotter on DSK11XQN23PROD with NOTICES1
38112
Federal Register / Vol. 86, No. 135 / Monday, July 19, 2021 / Notices
collections of information. This helps us
assess the impact of our information
collection requirements and minimize
the public’s reporting burden. It also
helps the public understand our
information collection requirements and
provide the requested data in the
desired format.
We are especially interested in public
comment addressing the following:
(1) Whether or not the collection of
information is necessary for the proper
performance of the functions of the
agency, including whether or not the
information will have practical utility;
(2) The accuracy of our estimate of the
burden for this collection of
information, including the validity of
the methodology and assumptions used;
(3) Ways to enhance the quality,
utility, and clarity of the information to
be collected; and
(4) How might the agency minimize
the burden of the collection of
information on those who are to
respond, including through the use of
appropriate automated, electronic,
mechanical, or other technological
collection techniques or other forms of
information technology, e.g., permitting
electronic submission of response.
Comments that you submit in
response to this notice are a matter of
public record. We will include or
summarize each comment in our request
to OMB to approve this ICR. Before
including your address, phone number,
email address, or other personal
identifying information in your
comment, you should be aware that
your entire comment—including your
personal identifying information—may
be made publicly available at any time.
While you can ask us in your comment
to withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
Abstract: The Service offers eligible
Native American, Alaskan Native, and
Pacific Islander high school students the
opportunity to apply for the Native
Youth Community Adaptation and
Leadership Congress (Congress). The
mission of the Congress is to develop
future conservation leaders with the
skills, knowledge, and tools to address
environmental change and conservation
challenges to better serve their schools
and home communities. The Congress
supports and operates under the
following authorities:
• Executive Order (E.O.) 13175,
‘‘Consultation and Coordination With
Indian Tribal Governments’’ (November
6, 2000);
• E.O. 13515, ‘‘Increasing
Participation of Asian Americans and
VerDate Sep<11>2014
18:23 Jul 16, 2021
Jkt 253001
Pacific Islanders in Federal Programs’’
(October 14, 2009);
• E.O. 13592, ‘‘Improving American
Indian and Alaska Native Educational
Opportunities and Strengthening Tribal
Colleges and Universities’’ (December 2,
2011);
• Public Law 116–9, Section 9003,
‘‘John D. Dingell, Jr. Conservation,
Management, and Recreation Act’’
(March 12, 2019);
• 16 U.S.C. 1727b, Indian Youth
Service Corps;
• White House Memorandum on
Government-to-Government
Relationships with Tribal Governments
(September 23, 2004);
• Secretarial Order (S.O.) 3206,
‘‘American Indian Tribal Rights,
Federal-Tribal Trust Responsibilities,
and the Endangered Species Act,’’
issued jointly by the Department of the
Interior and the Department of
Commerce (June 5, 1997);
• S.O. 3317, ‘‘DOI Policy: Department
of the Interior Policy on Consultation
with Indian Tribes’’ (December 1, 2011);
• S.O. 3335, ‘‘Reaffirmation of the
Federal Trust Responsibility to
Federally Recognized Indian Tribes and
Individual Indian Beneficiaries’’
(August 20, 2014); and
• The Service’s Native American
Policy (510 FW 1), published January
20, 2016.
The following Federal partners assist
and support the Service’s
administration of the Congress:
• The U.S. Department of the
Interior—
—Bureau of Indian Affairs;
—Bureau of Land Management;
—National Park Service; and
—United States Geological Survey;
• The U.S. Department of
Agriculture—U.S. Forest Service;
• The U.S. Department of
Commerce—National Oceanic and
Atmospheric Administration;
• The Federal Emergency
Management Agency; and
• The National Aeronautics and
Space Administration.
The weeklong environmental
conference fosters an inclusive,
meaningful, and educational
opportunity for aspiring Native youth
leaders interested in addressing
environmental issues facing Native
American, Alaskan Native, and Pacific
Islander communities. Eligible
students—representing a diverse mix of
Native communities from various
geographic locations, both urban and
rural—compete for the opportunity to
represent their Native communities
from across the country. The students
learn about environmental change and
conservation while strengthening their
PO 00000
Frm 00126
Fmt 4703
Sfmt 4703
leadership skills for addressing
conservation issues within their own
Native communities.
Through a cooperative agreement
with the New Mexico Wildlife
Federation (NMWF), the Service solicits
and evaluates applications from eligible
students interested in applying for the
program. The NMWF notifies successful
applicants and arranges all travel for
them. Information collected from each
applicant via an online application
administered by the NMWF includes:
• Applicant’s full name, contact
information, date of birth, and Tribal/
community affiliation;
• Emergency contact information for
applicant;
• Name and contact information of
applicant’s mentor;
• Applicant’s school name and
address;
• Applicant’s current grade in school;
• Applicant’s participation in
extracurricular activities, school clubs,
or community organizations;
• Applicant’s volunteer experience;
and
• Applicant’s accomplishments or
awards received.
Successful applicants also complete
Form 3–2525, ‘‘Native Youth
Community Adaptation and Leadership
Congress Student Medical Information,’’
which collects the following
information:
• Student’s full name and preferred
name;
• Date of birth;
• Age;
• Health insurance policy
information;
• Medication information, to include
dose and frequency;
• Drug and/or food sensitivities/
allergies;
• Medications and immunizations;
and
• Pre-existing condition(s).
Each applicant also provides essay
responses to questions concerning
topics such as environmental issues
affecting their home/Tribal community,
how or whether the environmental
issues are addressed, and/or how, as a
Native youth leader, they can lead the
community in adapting to a changing
environment. Successful applicants
must also provide basic medical
information to assure their health and
safety while on site at the National
Conservation Training Center for the
Congress. The on-site nurse keeps this
information strictly confidential, for use
only in an emergency.
Proposed Revisions Requiring OMB
Approval
The following forms used with the
Congress require OMB approval:
E:\FR\FM\19JYN1.SGM
19JYN1
38113
Federal Register / Vol. 86, No. 135 / Monday, July 19, 2021 / Notices
• Form 3–2546, ‘‘Enrollment Form,’’
which collects the following
information:
—Applicant’s full name, address, and
contact information;
—Parent/guardian name and contact
information;
—Student’s age, date of birth, and sex;
—Student’s high school year;
—Student’s high school name,
address, and contact information; and
—Chaperone name.
• Form 3–2547, ‘‘Parental Consent
Form,’’ which collects the following
information:
—Name of student and date of birth;
—Student address, school, grade, and
contact information; and
—Student’s physician name, address,
and contact information.
• Form 3–2548, ‘‘Student Conduct
Agreement,’’ which collects the
following information:
—Student’s full name and preferred
name;
—Student signature and signature
date; and
—Parent/guardian name, signature,
and signature date.
• Form 3–2549, ‘‘Mentor Waiver,’’
which collects the following
information:
—Mentor name;
—Mentor signature and signature
date;
—Emergency contact name and
contact number.
Total
annual
responses
Activity
Completion
time per
response
Total
annual
burden
hours
Application (Online) .....................................................................................................................
Form 3–2525, Student Medical Information ................................................................................
Form 3–2546, Enrollment Form ..................................................................................................
Form 3–2547, Parental Consent Form .......................................................................................
Form 3–2548, Student Conduct Agreement ...............................................................................
Form 3–2549, Mentor Waiver .....................................................................................................
105
100
100
100
100
30
4 Hours
30 Mins
18 mins
12 Mins
12 Mins
12 Mins
..........
..........
..........
..........
..........
..........
420
50
30
20
20
6
Totals: ...................................................................................................................................
635
........................
576
An agency may not conduct or
sponsor and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number.
The authority for this action is the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Madonna Baucum,
Information Collection Clearance Officer, U.S.
Fish and Wildlife Service.
[FR Doc. 2021–15173 Filed 7–16–21; 8:45 am]
BILLING CODE 4333–15–P
DEPARTMENT OF THE INTERIOR
Geological Survey
[WBS Number GX21EF00PMELE00]
lotter on DSK11XQN23PROD with NOTICES1
Title of Collection: Native Youth
Community Adaptation and Leadership
Congress.
OMB Control Number: 1018–0176.
Form Numbers: Forms 3–2525, 3–
2546, 3–2547, 3–2548, 3–2549, and
3–2550.
Type of Review: Revision of a
currently approved information
collection.
Respondents/Affected Public: Eligible
high school or college students
interested in applying for the program.
Respondent’s Obligation: Voluntary.
Frequency of Collection: On occasion.
Total Estimated Annual Nonhour
Burden Cost: None.
Agency Notice of Webinar;
Announcement of U.S. Geological
Survey (USGS), National Geospatial
Program 3D Elevation Program FY21
Informational Training Webinar in
Preparation for the Upcoming Release
of the USGS Broad Agency
Announcement for 3D Elevation
Program
U.S. Geological Survey,
Department of the Interior.
AGENCY:
ACTION:
Notice.
VerDate Sep<11>2014
18:23 Jul 16, 2021
Jkt 253001
The U.S. Geological Survey is
proposing a program-sponsored
informational training webinar to
provide scripted training to prospective
applicants. This 3D Elevation Program
(3DEP) training has been developed to
encourage applications from federal
agencies, states, tribes, private industry
and communities across the nation to
support the acquisition of high-quality
elevation data and a wide range of other
three-dimensional representations of the
Nation’s natural and constructed
features.
DATES: The USGS Broad Agency
Announcement (BAA) for 3DEP FY21
Informational Training Webinar will be
held on August 11, 2021 1:00–2:30 p.m.
ET.
ADDRESSES: Informational training
webinar information is available at
https://usgs.gov/3DEP/BAA.
FOR FURTHER INFORMATION CONTACT: For
further information about this webinar
contact Diana Thunen by email at gs_
baa@usgs.gov, or by telephone at (303)
202–4279.
SUPPLEMENTARY INFORMATION: The goal
of the 3DEP is to complete acquisition
of nationwide lidar (IfSAR in AK) by
2023 to provide the first ever national
baseline of consistent high-resolution
elevation data—both bare earth and 3D
point clouds—in a timeframe of less
than a decade. The 3DEP initiative is
SUMMARY:
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Frm 00127
Fmt 4703
Sfmt 4703
based on the results of the National
Enhanced Elevation Assessment
(NEEA), which indicated an optimal
benefit to cost ratio for Quality Level 2
(QL2) data collected over 8-years to
complete national coverage. The
implementation model for 3DEP is
based on multi-agency partnership
funding for data acquisition, with the
USGS acting in a lead program
management role to facilitate planning
and acquisition for the broader
community through the use of
government contracts and partnership
agreements. The annual BAA is a
competitive solicitation issued to
facilitate the collection of lidar and
derived elevation data for the 3DEP. It
has been included in the annual Catalog
of Domestic Federal Assistance under
USGS 15.8 17. Federal agencies, state
and local governments, tribes, academic
institutions, and the private sector are
eligible to submit BAA proposals. The
3DEP informational training webinar
will introduce this opportunity to the
wide array of prospective applicants
and provide a summary of the BAA
application procedures. Advanced
Registration is required to attend the
webinar. Webinar materials will be
posted to usgs.gov/3DEP/BAA after the
event.
E:\FR\FM\19JYN1.SGM
19JYN1
Agencies
[Federal Register Volume 86, Number 135 (Monday, July 19, 2021)]
[Notices]
[Pages 38111-38113]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-15173]
-----------------------------------------------------------------------
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
[FWS-HQ-NCTC-2021-N035; FXGO16610900600 (212) FF09X35000; OMB Control
Number 1018-0176]
Agency Information Collection Activities; Native Youth Community
Adaptation and Leadership Congress
AGENCY: Fish and Wildlife Service, Interior.
ACTION: Notice of information collection; request for comment.
-----------------------------------------------------------------------
SUMMARY: In accordance with the Paperwork Reduction Act of 1995, we,
the U.S. Fish and Wildlife Service (Service), are proposing to revise a
currently approved information collection.
DATES: Interested persons are invited to submit comments on or before
September 17, 2021.
ADDRESSES: Send your comments on the information collection request by
mail to the Service Information Collection Clearance Officer, U.S. Fish
and Wildlife Service, MS: JAO/1N (PERMA-PRB), 5275 Leesburg Pike, Falls
Church, VA 22041-3803 (mail); or by email to [email protected]. Please
reference OMB Control Number 1018-0176 in the subject line of your
comments.
FOR FURTHER INFORMATION CONTACT: To request additional information
about this ICR, contact Madonna L. Baucum, Service Information
Collection Clearance Officer, by email at [email protected], or by
telephone at (703) 358-2503.
SUPPLEMENTARY INFORMATION: In accordance with the Paperwork Reduction
Act (PRA, 44 U.S.C. 3501 et seq.) and its implementing regulations at 5
CFR 1320, all information collections require approval under the PRA.
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.
As part of our continuing effort to reduce paperwork and respondent
burdens, we invite the public and other Federal agencies to comment on
new, proposed, revised, and continuing
[[Page 38112]]
collections of information. This helps us assess the impact of our
information collection requirements and minimize the public's reporting
burden. It also helps the public understand our information collection
requirements and provide the requested data in the desired format.
We are especially interested in public comment addressing the
following:
(1) Whether or not the collection of information is necessary for
the proper performance of the functions of the agency, including
whether or not the information will have practical utility;
(2) The accuracy of our estimate of the burden for this collection
of information, including the validity of the methodology and
assumptions used;
(3) Ways to enhance the quality, utility, and clarity of the
information to be collected; and
(4) How might the agency minimize the burden of the collection of
information on those who are to respond, including through the use of
appropriate automated, electronic, mechanical, or other technological
collection techniques or other forms of information technology, e.g.,
permitting electronic submission of response.
Comments that you submit in response to this notice are a matter of
public record. We will include or summarize each comment in our request
to OMB to approve this ICR. Before including your address, phone
number, email address, or other personal identifying information in
your comment, you should be aware that your entire comment--including
your personal identifying information--may be made publicly available
at any time. While you can ask us in your comment to withhold your
personal identifying information from public review, we cannot
guarantee that we will be able to do so.
Abstract: The Service offers eligible Native American, Alaskan
Native, and Pacific Islander high school students the opportunity to
apply for the Native Youth Community Adaptation and Leadership Congress
(Congress). The mission of the Congress is to develop future
conservation leaders with the skills, knowledge, and tools to address
environmental change and conservation challenges to better serve their
schools and home communities. The Congress supports and operates under
the following authorities:
Executive Order (E.O.) 13175, ``Consultation and
Coordination With Indian Tribal Governments'' (November 6, 2000);
E.O. 13515, ``Increasing Participation of Asian Americans
and Pacific Islanders in Federal Programs'' (October 14, 2009);
E.O. 13592, ``Improving American Indian and Alaska Native
Educational Opportunities and Strengthening Tribal Colleges and
Universities'' (December 2, 2011);
Public Law 116-9, Section 9003, ``John D. Dingell, Jr.
Conservation, Management, and Recreation Act'' (March 12, 2019);
16 U.S.C. 1727b, Indian Youth Service Corps;
White House Memorandum on Government-to-Government
Relationships with Tribal Governments (September 23, 2004);
Secretarial Order (S.O.) 3206, ``American Indian Tribal
Rights, Federal-Tribal Trust Responsibilities, and the Endangered
Species Act,'' issued jointly by the Department of the Interior and the
Department of Commerce (June 5, 1997);
S.O. 3317, ``DOI Policy: Department of the Interior Policy
on Consultation with Indian Tribes'' (December 1, 2011);
S.O. 3335, ``Reaffirmation of the Federal Trust
Responsibility to Federally Recognized Indian Tribes and Individual
Indian Beneficiaries'' (August 20, 2014); and
The Service's Native American Policy (510 FW 1), published
January 20, 2016.
The following Federal partners assist and support the Service's
administration of the Congress:
The U.S. Department of the Interior--
--Bureau of Indian Affairs;
--Bureau of Land Management;
--National Park Service; and
--United States Geological Survey;
The U.S. Department of Agriculture--U.S. Forest Service;
The U.S. Department of Commerce--National Oceanic and
Atmospheric Administration;
The Federal Emergency Management Agency; and
The National Aeronautics and Space Administration.
The weeklong environmental conference fosters an inclusive,
meaningful, and educational opportunity for aspiring Native youth
leaders interested in addressing environmental issues facing Native
American, Alaskan Native, and Pacific Islander communities. Eligible
students--representing a diverse mix of Native communities from various
geographic locations, both urban and rural--compete for the opportunity
to represent their Native communities from across the country. The
students learn about environmental change and conservation while
strengthening their leadership skills for addressing conservation
issues within their own Native communities.
Through a cooperative agreement with the New Mexico Wildlife
Federation (NMWF), the Service solicits and evaluates applications from
eligible students interested in applying for the program. The NMWF
notifies successful applicants and arranges all travel for them.
Information collected from each applicant via an online application
administered by the NMWF includes:
Applicant's full name, contact information, date of birth,
and Tribal/community affiliation;
Emergency contact information for applicant;
Name and contact information of applicant's mentor;
Applicant's school name and address;
Applicant's current grade in school;
Applicant's participation in extracurricular activities,
school clubs, or community organizations;
Applicant's volunteer experience; and
Applicant's accomplishments or awards received.
Successful applicants also complete Form 3-2525, ``Native Youth
Community Adaptation and Leadership Congress Student Medical
Information,'' which collects the following information:
Student's full name and preferred name;
Date of birth;
Age;
Health insurance policy information;
Medication information, to include dose and frequency;
Drug and/or food sensitivities/allergies;
Medications and immunizations; and
Pre-existing condition(s).
Each applicant also provides essay responses to questions
concerning topics such as environmental issues affecting their home/
Tribal community, how or whether the environmental issues are
addressed, and/or how, as a Native youth leader, they can lead the
community in adapting to a changing environment. Successful applicants
must also provide basic medical information to assure their health and
safety while on site at the National Conservation Training Center for
the Congress. The on-site nurse keeps this information strictly
confidential, for use only in an emergency.
Proposed Revisions Requiring OMB Approval
The following forms used with the Congress require OMB approval:
[[Page 38113]]
Form 3-2546, ``Enrollment Form,'' which collects the
following information:
--Applicant's full name, address, and contact information;
--Parent/guardian name and contact information;
--Student's age, date of birth, and sex;
--Student's high school year;
--Student's high school name, address, and contact information; and
--Chaperone name.
Form 3-2547, ``Parental Consent Form,'' which collects the
following information:
--Name of student and date of birth;
--Student address, school, grade, and contact information; and
--Student's physician name, address, and contact information.
Form 3-2548, ``Student Conduct Agreement,'' which collects
the following information:
--Student's full name and preferred name;
--Student signature and signature date; and
--Parent/guardian name, signature, and signature date.
Form 3-2549, ``Mentor Waiver,'' which collects the
following information:
--Mentor name;
--Mentor signature and signature date;
--Emergency contact name and contact number.
Title of Collection: Native Youth Community Adaptation and
Leadership Congress.
OMB Control Number: 1018-0176.
Form Numbers: Forms 3-2525, 3-2546, 3-2547, 3-2548, 3-2549, and 3-
2550.
Type of Review: Revision of a currently approved information
collection.
Respondents/Affected Public: Eligible high school or college
students interested in applying for the program.
Respondent's Obligation: Voluntary.
Frequency of Collection: On occasion.
Total Estimated Annual Nonhour Burden Cost: None.
----------------------------------------------------------------------------------------------------------------
Total annual Total annual
Activity responses Completion time per response burden hours
----------------------------------------------------------------------------------------------------------------
Application (Online)........................ 105 4 Hours........................... 420
Form 3-2525, Student Medical Information.... 100 30 Mins........................... 50
Form 3-2546, Enrollment Form................ 100 18 mins........................... 30
Form 3-2547, Parental Consent Form.......... 100 12 Mins........................... 20
Form 3-2548, Student Conduct Agreement...... 100 12 Mins........................... 20
Form 3-2549, Mentor Waiver.................. 30 12 Mins........................... 6
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Totals:................................. 635 .................................. 576
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An agency may not conduct or sponsor and a person is not required
to respond to a collection of information unless it displays a
currently valid OMB control number.
The authority for this action is the Paperwork Reduction Act of
1995 (44 U.S.C. 3501 et seq.).
Madonna Baucum,
Information Collection Clearance Officer, U.S. Fish and Wildlife
Service.
[FR Doc. 2021-15173 Filed 7-16-21; 8:45 am]
BILLING CODE 4333-15-P