Form 3-200-44a Registered Agent/Tannery Inventory Report

Expires XX/XX/XXXX
OMB No. 1018-XXXX

Registered Agent/Tannery Inventory Report [Form 3-200-44a]
Permit number________________ Name__________________________________ Time-period _________________________ Signature _________________________
This information details activities of a registered agent or registered tannery. This form may be copied. Use of this form is not mandatory; however, the same information must
be submitted if using an alternate form. Address (If location/address has changed, indicate new location and date of change): _______________________________________
Please include the following information for EACH ITEM:

Animal
Species 1

Amount and Description
of Item

Weight of
Walrus Ivory *2
Applicable only
to registered
agents in AK

Example:
Walrus

2 Tusks

10 lbs.

US
FWS
Tag#3

Received from
(Name and Address)

#8787

John Littlesmith
16 Main St., Anchorage, AK 99999

Date

Transferred, Sold, or Returned to
(Name and Address) 4
Sale is only applicable to Registered
Agents

Date

1/1/2007

Jane Featherstone
20 Main St., Anchorage, AK 99999

5/1/2007

SUBMIT REPORT: Biannually (twice a year) on or before the 10th day of January and July, the permittee must mail records of each transaction to the Legal Instruments Examiner
at: U.S. Fish and Wildlife Service, Division of Law Enforcement, 1011 East Tudor Road, Mail Stop 151, Anchorage, AK 99503-6199.
If no transactions have occurred, a negative report is required.
1 Animal Species: Polar bear, Walrus, Alaskan sea otter
2 Applicable only to registered agents in Alaska. Provide weight of walrus ivory in pounds.
3 U.S. Fish & Wildlife Service Tag number assigned by Service personnel or Service’s authorized representative.
4 Complete name and address of person/agent/tannery Transferred, Sold (Applicable only to registered agents), or Returned to.

Form 3-200-44a

Rev. <>

FEDERAL FISH AND WILDLIFE PERMIT
Paperwork Reduction Act – Notice
In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.), please be advised:
1.

The gathering of information on fish and wildlife is authorized by:
(Authorizing statutes can be found at: http://www.gpoaccess.gov/cfr/index.html and http://www.fws.gov/permits/ltr/ltr.shtml.)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22;
Endangered Species Act of 1973 (16 U.S.C. 1531-1544), 50CFR 17;
Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21;
Marine Mammal Protection Act of 1972 (16 U.S.C. 1361, et. seq.), 50 CFR 18;
Wild Bird Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15;
Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;
Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), http://www.cites.org/ , 50 CFR 23;
General Provisions, 50 CFR 10;
General Permit Procedures, 50 CFR 13; and
Wildlife Provisions (Import/export/transport), 50 CFR 14.

2.

Use of this form is not mandatory; however, the same information must be submitted if using an alternate form.

3.

The relevant burden for the report conditioned by an issued Registration of Agent/Tannery is 1 hour. This burden estimate includes time for reviewing instructions, gathering and maintaining data and
completing and reviewing the report. You may direct comments regarding the burden estimate to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, Mail Stop 222, Arlington
Square, U.S. Department of the Interior, 1849 C Street, NW, Washington D.C. 20240.

3-200-44

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