FS-2700-26 Category 6 Major Cost Recovery Agreement

FS-2700-26 (XX/202X)
OMB No. 0596-0082
CATEGORY 6 MAJOR COST RECOVERY AGREEMENT
Between
USDA, FOREST SERVICE, [name] National Forest,
and [name of applicant]

This agreement is entered into between the UNITED STATES DEPARTMENT OF AGRICULTURE, FOREST
SERVICE, [name] National Forest (the Forest Service), and the [name of entity or individual] (the applicant) under
36 CFR 251.58.
A. RECITALS
1. On [date], the Forest Service accepted the applicant’s application for use and occupancy of National Forest
System lands (hereinafter “the application”), which is enumerated in Appendix A. The Forest Service shall assess
the applicant a cost recovery fee for the agency’s costs to process the application.
2. The Forest Service has determined that the fee for processing the application falls within category 6 under the
applicable Forest Service processing fee schedule and/or that the fee for monitoring the applicant’s special use
authorization falls within category 6 under the applicable Forest Service monitoring fee schedule.

3. A special use authorization (“the authorization”) may be issued to the applicant. The authorization is
enumerated in Appendix A and subject to assessment of monitoring fees by the Forest Service.
4. The geographic area to be covered by this agreement is [describe geographic area]. See Appendix B.

5. The application has been submitted or the applicant’s special use authorization is being issued under the
Mineral Leasing Act, or under other authorities and the applicant has waived payment of reasonable costs.
Therefore, the Forest Service is entitled to recover its full actual costs incurred in processing the application or
monitoring the authorization.

5. The application has been submitted or the applicant’s special use authorization is being issued under an
authority other than the Mineral Leasing Act, and the applicant has not waived payment of reasonable costs.
Therefore, the Forest Service is entitled to recover its full reasonable costs incurred in processing the application
or monitoring the authorization.

6. Payment of a processing fee by the applicant does not obligate the Forest Service to authorize the applicant’s
proposed use and occupancy. If the application is denied or withdrawn in writing, the applicant is responsible for
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costs incurred by the Forest Service in processing the application up to and including the date the agency denies
the application or receives written notice of the applicant’s withdrawal. If the applicant withdraws the application,
the applicant also is responsible for any costs subsequently incurred by the Forest Service in terminating
consideration of the application.
7. The Forest Service shall determine the appropriate level of environmental analysis for the application and
inform the applicant prior to initiating the environmental analysis.
8. Information associated with this agreement may be released to the public in accordance with the provisions of
the Freedom of Information Act and Privacy Act.

PART I – PROCESSING FEES
B. BASIS FOR PROCESSING FEES. Processing fees for the application are based upon the direct and indirect
costs that the Forest Service incurs in reviewing the application, conducting environmental analyses of the effects
of the proposed use, reviewing any applicant-generated environmental documents and studies, conducting site
visits, evaluating the applicant’s technical and financial qualifications, making a decision on whether to issue the
authorization, and preparing documentation of analyses, decisions, and authorizations for the application. The
processing fee for the application shall be based only on costs that are necessary for processing the application.
“Necessary for” means that but for the application, the costs would not have been incurred. The processing fee
shall not include costs for studies for programmatic planning or analysis or other agency management objectives,
unless they are necessary for processing the application. Proportional costs for analyses, such as capacity
studies, that are necessary for the application may be included in the processing fee.
C. AGREEMENT. In consideration of the foregoing, the parties agree as follows:
1. Scope of Work. The Forest Service shall develop a scope of work for processing the application and an
estimate of the agency’s costs to process the application, which will be incorporated into this agreement as
Appendix C. This scope of work shall report direct costs in categories that correspond to those in the agency’s
accounting system, e.g., job code, personnel compensation based upon the cost to the government (salary and
benefits), travel, and other direct services, materials, and supplies. In addition, the estimate of the agency’s
processing costs shall include the agency’s indirect costs based upon the approved annual indirect cost rate.
Classification of costs as direct or indirect shall be in accordance with the published Forest Service budget for the
applicable fiscal year.
2. Environmental Analysis. The Forest Service shall supervise the preparation of the environmental analysis
associated with the application in compliance with applicable legal requirements, including public review of the
analysis, analysis of public comments, and decision documentation. In exercising this responsibility, the Forest
Service shall endeavor to foster cooperation among other agencies involved in the process, and to integrate
National Environmental Policy Act requirements and other environmental review and consultation requirements to
avoid, to the fullest extent possible, duplication of efforts by those agencies. However, the Forest Service shall
not delegate to any other agency its authority over the scope and content of the environmental analysis, or
approval or denial of the application.

3. Billing. The Forest Service shall bill the applicant prior to commencement of work. The applicant agrees to
pay the estimated processing fee of $_____. The bill for the estimated processing fee will be sent by Forest
Service the Albuquerque Service Center (ASC).

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4. Payment. The applicant shall pay the estimated processing fee within 30 days of the date the bill for the fee is
issued. The Forest Service shall not initiate processing the application until the estimated processing fee is paid.
If the applicant fails to pay the estimated processing fee or the fee is late, the Forest Service shall cease
processing the application until the fee is paid.

3. Billing. The Forest Service shall bill the applicant prior to commencement of work. The applicant agrees to
pay an initial estimated processing fee of $_____ and a subsequent [monthly or quarterly] estimated processing
fee of $_____, for a total of $_____. The initial bill for the estimated processing fee will be sent by Forest Service
the Albuquerque Service Center (ASC).
4. Payment. The applicant shall pay the initial estimated processing fee and any subsequent estimated
processing fee within 30 days of the date the bill for the fee is issued. The Forest Service shall not initiate
processing the application until the initial estimated processing fee is paid. If the applicant fails to pay the initial or
any subsequent estimated processing fee or the fee is late, the Forest Service shall cease processing the
application until the fee is paid.

5. Statement of Costs. The Forest Service shall [annually or upon completion of the project] report costs
incurred for processing the application by providing a financial statement from the agency’s accounting system to
the applicant.

6. Underpayment. When the estimated processing fee is lower than the full actual costs of processing an
application submitted under the Mineral Leasing Act, or lower than the full reasonable costs (when the applicant
has not waived payment of reasonable costs) of processing an application submitted under other authorities, the
applicant shall pay the difference between the estimated and full actual or reasonable processing costs within 30
days of billing.
7. Overpayment. If payment of the processing fee exceeds the full actual costs of processing an application
submitted under the Mineral Leasing Act, or the full reasonable costs (when the applicant has not waived
payment of reasonable costs) of processing an application submitted under other authorities, the Forest Service
shall either (a) refund the excess payment to the applicant or (b) at the applicant’s request, credit it towards
monitoring fees due.
8. Disputes
a. If the applicant disagrees with the estimated dollar amount of the processing costs, the applicant may submit
a written request before the disputed fee is due for substitution of alternative estimated costs to the immediate
supervisor of the authorized officer who determined the estimated costs. The written request must include
supporting documentation.
b. If the applicant pays the full disputed processing fee, the Forest Service shall continue to process the
application during the supervisory officer’s review of the disputed fee, unless the applicant requests that the
application processing cease.
c. If the applicant fails to pay the full disputed processing fee, the Forest Service shall suspend further
processing of the application pending the supervisory officer’s determination of an appropriate processing fee and
the applicant’s payment of that fee.
d. The authorized officer’s immediate supervisor shall render a decision on a disputed processing fee within 30
calendar days of receipt of the written request from the applicant. The supervisory officer’s decision is the final
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level of administrative review. The dispute shall be decided in favor of the applicant if the supervisory officer does
not respond to the written request within 30 days of receipt.
9. Lack of Administrative Appeal. A decision by an authorized officer to assess a processing fee or to determine
the estimated costs is not subject to administrative appeal. A decision by an authorized officer’s immediate
supervisor in response to a request for substitution of alternative estimated costs likewise is not subject to
administrative appeal.
10. Amendment. Modifications to this agreement shall be made in writing and shall be signed and dated by both
parties.
11. Expiration and Termination. This agreement expires on [date]. Either party, in writing, may terminate this
agreement in whole or in part at any time before it expires. The applicant is responsible for all Forest Service
costs covered by this agreement that are incurred up to the date of expiration or termination.
12. Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of
contact for purposes of this agreement.
The Forest Service’s contact is [name, title and telephone number].
The applicant’s contact is [name, title and telephone number]

This agreement is accepted subject to all terms and conditions.
___________________________________
[name of applicant]
[title of applicant]

_____________________________
Date

____________________________________
[name of authorized officer]
[title of authorized officer]
USDA, Forest Service

_____________________________
Date

PAPERWORK REDUCTION ACT STATEMENT
According to the Paperwork Reduction Act of 1995, a Federal agency may not conduct or sponsor, and a person is not
required to respond to, an information collection request unless it displays a valid Office of Management and Budget
(OMB) control number. The valid OMB control number for this information collection request is 0596-0082. Response to
this information collection request is required to obtain or retain benefits, specifically, a special use authorization. The
authority for this information collection request is the ACT OF MAY 26, 2000, PL 106-206 May 26, 2000. The time
required to complete this information collection request is estimated to average 8 hours per response, including the time
for reviewing instructions, searching existing data sources, collecting and maintaining the data needed, and completing
and reviewing the information collection request. Send comments regarding this burden estimate or any other aspect of
this information collection request, including suggestions for reducing the burden, to Forest Service Information
Collections Officer, SM.FS.InfoCollect@usda.gov, with OMB control number 0596-0082 in the subject line.
PRIVACY ACT STATEMENT
Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act statement serves to inform you of the following concerning the
collection of the information on this form.
Purpose: The Privacy Act of 1974 requires that the Director of Recreation, Heritage, and Volunteer Resources staff and
the Director of Lands, Minerals, and Geology Management staff provide the following statements to individuals from whom
they request information.
Authority: Collection of this information solicited on this form is authorized by the ACT OF MAY 26, 2000, PL 106-206
May 26, 2000.
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Routine Uses: The information collected will be used by Forest Service officials to ensure that your use of National
Forest System lands is administered in accordance with applicable statutes, regulations, and directives. The information
collected from you is retained in the Special Uses Data System (SUDS) and is retrieved by the Forest Service create
reports for the Agency’s Special Uses Program, generate bills for collection of land use fees for your authorization,
monitor compliance with your special use authorization, and other matters pertaining to administration of your special use
authorization. SUDS is a component of the Forest Service’s Natural Resources Manager database (NRM). A complete
list of the routine uses of NRM can be found in the system of records notice associated with this form, FS-24.
Disclosure: The submission of this information is required to obtain or retain benefits, specifically, a special use
authorization.
NONDISCRIMINATION STATEMENT
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies,
the USDA, its agencies, offices, and employees, and institutions participating in or administering USDA programs are
prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender
expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public
assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity
conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by
program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print,
audiotape, American Sign Language, etc.) should contact the responsible agency or USDA’s TARGET Center at (202)
720-2600 (voice and TYY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program
information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found
online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and
provide in the letter all the information requested in the form. To request a copy of the complaint form, call (866) 6329992. Submit the completed form or letter to USDA by (1) mail: U.S. Department of Agriculture, Office of the Assistant
Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3)
email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.

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PART II – MONITORING FEES
B. BASIS FOR MONITORING FEES. The Forest Service shall assess the applicant a monitoring fee based
upon the agency’s estimated costs to ensure compliance with the terms and conditions of the authorization during
all phases of its term, including but not limited to monitoring to ensure compliance with the authorization during
the construction or reconstruction of temporary or permanent facilities and rehabilitation of the construction or
reconstruction site.
C. AGREEMENT. In consideration of the foregoing, the parties agree as follows:
1. Scope of Work. The Forest Service shall develop a scope of work for monitoring the authorization and an
estimate of the agency’s costs to monitor the authorization, which will be incorporated into this agreement as
Appendix C. This scope of work shall report direct costs in categories that correspond to those in the agency’s
accounting system, e.g., job code, personnel compensation based upon the cost to the government (salary and
benefits), travel, and other direct services, materials, and supplies. In addition, the scope of work shall include the
agency’s indirect costs based upon the approved annual indirect cost rate. Classification of costs as direct or
indirect shall be in accordance with the published Forest Service budget for the applicable fiscal year.

2. Billing. The Forest Service shall bill the applicant prior to commencement of construction, reconstruction,
rehabilitation, or any other activity subject to a monitoring fee. The applicant shall pay an estimated monitoring
fee of $_____ before or at the same time the authorization is issued. The bill for the estimated monitoring fee is
attached.
3. Payment. The applicant shall pay the estimated monitoring fee within 30 days of the date the bill for the fee is
issued. The Forest Service shall not initiate monitoring the authorization until the estimated monitoring fee is
paid. If the applicant fails to pay the estimated monitoring fee or the fee is late, the Forest Service shall not issue
the authorization or shall suspend or revoke the authorization in whole or in part.

2. Billing. The Forest Service shall bill the applicant prior to commencement of construction, reconstruction,
rehabilitation, or any other activity subject to a monitoring fee. The applicant shall pay an initial estimated
monitoring fee of $_____ before or at the same time the authorization is issued and a subsequent [monthly or
quarterly] estimated monitoring fee of $_____, for a total of $_____. The bill for the initial estimated monitoring
fee is attached.
3. Payment. The applicant shall pay the initial estimated monitoring fee and any subsequent estimated
monitoring fees within 30 days of the date the bill for the fee is issued. The Forest Service shall not initiate
monitoring the authorization until the estimated monitoring fee is paid. If the applicant fails to pay the initial or any
subsequent estimated monitoring fee or the fee is late, the Forest Service shall not issue the authorization or shall
suspend or revoke the authorization in whole or in part.

4. Statement of Costs. The Forest Service shall [annually or upon completion of the project] report costs
incurred for monitoring the authorization by providing a financial statement from the agency’s accounting system.
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5. Underpayment. When the estimated monitoring fee is lower than the full actual costs of monitoring an
authorization issued under the Mineral Leasing Act, or lower than the full reasonable costs (when the applicant
has not waived payment of reasonable costs) of monitoring an authorization issued under other authorities, the
applicant shall pay the difference in the next periodic payment or the Forest Service shall bill the applicant for the
difference between the estimated and full actual or reasonable monitoring costs. Payment shall be due within 30
days of receipt of the bill.
6. Overpayment. If payment of the monitoring fee exceeds the full actual costs of monitoring an authorization
issued under the Mineral Leasing Act, or the full reasonable costs (when the applicant has not waived payment of
reasonable costs) of monitoring an authorization issued under other authorities, the Forest Service shall either
(a) adjust the next periodic payment to reflect the overpayment or (b) refund the excess payment to the applicant.
7. Disputes
a. If the applicant disagrees with the estimated dollar amount of the monitoring costs, the applicant may submit a
written request before the disputed fee is due for substitution of alternative estimated costs to the immediate
supervisor of the authorized officer who determined the estimated costs. The written request must including
supporting documentation.
b. If the applicant pays the full disputed monitoring fee, the Forest Service shall issue the authorization and/or
allow the use and occupancy to continue during the supervisory officer’s review of the disputed fee, unless the
applicant elects not to exercise the authorized use and occupancy of National Forest System lands during the
review period.
c. If the applicant fails to pay the full disputed monitoring fee, the Forest Service shall not issue the applicant an
authorization for any new uses or shall suspend or revoke the applicant’s existing authorization in whole or part
pending the supervisory officer’s determination of an appropriate monitoring fee and the applicant’s payment of
that fee.
d. The authorized officer’s immediate supervisor shall render a decision on a disputed monitoring fee within 30
calendar days of receipt of the written request from the applicant. The supervisory officer’s decision is the final
level of administrative review. The dispute shall be decided in favor of the applicant if the supervisory officer does
not respond to the written request within 30 days of receipt.
8. Lack of Administrative Appeal. A decision by an authorized officer to assess a monitoring fee or to determine
estimated costs is not subject to administrative appeal. A decision by an authorized officer’s immediate
supervisor in response to a request for substitution of alternative estimated costs likewise is not subject to
administrative appeal.
9. Amendment. Modifications to this agreement shall be made in writing and shall be signed and dated by both
parties.
10. Expiration and Termination. This agreement expires on [date]. Either party, in writing, may terminate this
agreement in whole or in part at any time before it expires. The applicant is responsible for all Forest Service
costs covered by this agreement that are incurred up to the date of expiration or termination.
11. Principal Point of Contact. The Forest Service and the applicant shall each establish a principal point of
contact for purposes of this agreement.
The Forest Service’s contact is [name, title and telephone number].
The applicant’s contact is [name, title and telephone number].

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This agreement is accepted subject to all its terms and conditions.

___________________________________
[name of applicant]
[title of applicant]

_____________________________
Date

____________________________________
[name of authorized officer]
[title of authorized officer]
USDA, Forest Service

_____________________________
Date

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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. Response to this collection of information is required. The authority to collect the information is the
Independent Offices Appropriations Act of 1952. The time required to complete this information collection is estimated to average 8
hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information.
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the
USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from
discriminating based on race, color, national origin, religion, sex, disability, age, marital status, family/parental status, income derived
from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity
conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or
incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape,
American Sign Language, etc.) should contact the State or local Agency that administers the program or contact USDA through the
Telecommunications Relay Service at 711 (voice and TTY). Additionally, program information may be made available in languages
other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at
How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter
all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed
form or letter to USDA by:
(1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW,
Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.
USDA is an equal opportunity provider, employer, and lender.
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.

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APPENDIX A
Applications and Authorizations Subject to this Agreement

Applications

Authorizations

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APPENDIX B
Description and Map of the Geographic Area

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APPENDIX C
Scope of Work

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