CACO_Armstrong-Dune-Shack_RFP_Attachment-B_Form-10-353_NPS-Leasing-Organization-Information-(Individual-or-Sole-Proprietor)_508_Complaint.docx
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- CACO_Armstrong-Dune-Shack_RFP_2026
About this file
This is a National Park Service (NPS) Form 10-353, an offeror information form designed for individual or sole proprietorship applicants submitting proposals under the NPS Leasing Program. The form is a template component of Proposal Package L-CACOARM-27 for the Armstrong Dune Shack leasing opportunity at Cape Cod National Seashore in Truro, Massachusetts. Applicants must complete this form to provide essential business and contact information, including the individual's name and trade name (if applicable), address, telephone number, email address, tax identification number, years in business, current yearly income or business value, and designated role under the proposed lease. The form notes that corporations, limited liability companies, partnerships, or joint ventures should use Form 10-354 instead.
The form is part of the NPS Leasing Program system of records, which is governed by the Privacy Act (5 U.S.C. 552a) and is administered under the authority of 54 U.S. Code Chapter 1021. Information collected may be disclosed to federal, state, and local government agencies, tribal organizations, and the general public to inform citizens of services and businesses operating within National Park System units. Completion is voluntary but required to enable NPS to manage the leasing program, monitor affected resources, and track lease applicants and holders. The OMB has approved this collection under Control No. 1024-0233 with an expiration date of May 31, 2029, with an estimated burden of one hour to complete.
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OFFEROR INFORMATION
Individual or Sole Proprietorship
Proposal Package
L-CACOARM-27
Note: Either a Form 10-353 or Form 10-354 is completed for each proposal, depending on the nature of the Offeror.
Complete separate forms for each Offeror, if more than one. If the Offeror is a corporation, limited liability company, partnership, or joint venture, use Form 10-354.
Name of Individual and Tradename, if Any* Click or tap here to enter text.
Address Click or tap here to enter text.
Telephone Number Click or tap here to enter text.
Email Address Click or tap here to enter text.
Contact Person (if other than the Offeror) Click or tap here to enter text.
Tax ID # Click or tap here to enter text.
Years in Business (if applicable) Click or tap here to enter text.
Current Yearly Income or Value of Business Click or tap here to enter text.
Role under the Lease Click or tap here to enter text.
* If the sole proprietorship acts under a name other than that of its owner (i.e., does business as “company name”), also add the jurisdiction where the company’s trade name is registered, if any.
NPS Form 10-353 (Rev.10/2026) National Park Service OMB Control No. 1024-0233 Expiration Date: 05/31/2029
NOTICES
PRIVACY ACT STATEMENT
Authority: 54 U.S. Code Chapter 1021—Privileges and Leases; 54 U.S. Code § 306121—Lease or exchange.
Purpose: The purposes of the system are (1) to assist NPS employees in managing the NPS Leasing program allowing for residential and commercial uses within a unit of the National Park System to ensure that business activities are conducted in a manner that complies with Federal laws and regulations; (2) to monitor resources that are or may be affected by the authorized residential and/or commercial uses within a unit of the National Park System; (3) to track applicants and holders of leases who are planning to conduct or are conducting business within units of the National Park System; and (4) to provide to the public the description and contact information for businesses that provide services in national parks.
Routine Uses: In addition to those disclosures generally permitted under 5 U.S.C.552a(b) of the Privacy Act, records or information contained in this system may be disclosed outside DOI as a routine use pursuant to 5 U.S.C. 552a(b)(3) to other Federal, state and local governments, tribal organizations, and members of the general public upon request for names, addresses and phone numbers of lease holders conducting business within units of the National Park System for the purpose of informing the public of the availability of the services offered by the lease holder. In addition, records or information contained in this system may be disclosed outside DOI based on an authorized routine use when the disclosure is compatible with the purpose for which the records were compiled as described under the system of records notice for this system.
Disclosure: Voluntary, however, failure to provide the requested information may impede our ability to 1) manage the National Park Service (NPS) Leasing Program allowing for residential and/or commercial uses within a unit of the NPS, 2) monitor resources that are or may be affected by the authorized residential and/or commercial uses, and 3) provide the public the description and contact information for businesses that provide services in national parks.
PAPERWORK REDUCTION ACT STATEMENT
We collect this information under the authority of 54 U.S.C. Chapter 1021. We use this information to evaluate a lease proposal. Your response is required to obtain or retain a benefit. We may not collect 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. 1024-0233.
ESTIMATED BURDEN STATEMENT
We estimate that it will take no more than 1 hour to complete this form, including time to review instructions, gather and maintain data, and complete and review the form. You may send comments on the burden estimate or any aspect of this form to the Information Collection Clearance Officer, National Park Service, 1201 Oakridge Drive, Fort Collins, CO 80525. Please do not send your completed form to this address.
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