WS Form 66 Nuisance Wildlife Permit (Louisiana)

OMB Control 0579-XXXX

WS FORM 66 Page 1
(2005)

WS FORM 66 Page 2

Privacy Act Notice
Title 5. United States Code, Section 552a(e)(3) requires that each agency that maintains a system of records provide each individual from whom the
agency solicits information with the following information.
Authority for Requesting Information
Title 7, United States Code (USC), Section 426-426c, and Title 16 USC, Section 667, authorizes officers, agents, and employees of the USDA,
APHIS, Wildlife Services to conduct a program of wildlife services and to enter into agreements with States, local jurisdictions, individuals, and
public and private agencies, organizations, and institutions for the purpose of conducting such services. Further, 5 USC 552a authorizes USDA,
APHIS, Wildlife Services to collect information about private individuals for its system of records pursuant to the conduct of program activities with
those private individuals.
Nature of Your Disclosure of Information
Disclosure of information solicited by USDA, APHIS, Wildlife Services is voluntary.
Principle Purpose for Which the Information is Solicited
Information is solicited from you for the purpose of executing and implementing agreements for control of wildlife damage.
Routine Uses Which May be Made of the Information
The routine uses which may be made of the information are:
Routine use 1 provides for disclosure to the cooperative State government officials, employees, or contractors, as necessary to carry out the program.
Routine use 2 provides for the referral to the appropriate agency, whether Federal, State, local, or foreign, charged with responsibility of
investigating or prosecuting a violation of law or of enforcing, implementing, or complying with a statute, rule, regulation, or order issued pursuant
thereto, of any record within this system when information available indicates a violation or potential violation of law, whether civil, criminal, or
regulatory in nature, and either arising by general statute or particular program statute, or by rule, regulation, or court order issued pursuant thereto;
Routine use 3 permits disclosure to the Department of Justice when the Agency, or any component thereof, or any employee of the Agency in his or
her official capacity, or any employee of the Agency in his or her individual capacity where the Department of Justice has agreed to represent the
employee, or the United States, in litigation, where the Agency determines that litigation is likely to affect the Agency or any of its components, is a
party to litigation or has an interest in such litigation, and the use of such records by the Department of Justice is deemed by the Agency to be
relevant and necessary to the litigation; provided, however, that in each case, the Agency determines that disclosure of the records to the Department
of Justice is a use of the information contained in the records that is compatible with the purpose for which the records were collected;
Routine use 4 permits disclosure for use in a proceeding before a court or adjudicative body before which the Agency is authorized to appear, when
the Agency, or any component thereof, or any employee of the Agency in his or her official capacity, or any employee of the Agency in his or her
individual capacity where the Agency has agreed to represent the employee, or the United States, where the Agency determines that litigation is
likely to affect the Agency or any of its components, is a party to litigation or has an interest in such litigation, and the Agency determines that use of
such records is relevant and necessary to the litigation; provided, however, that in each case, the Agency determines that disclosure of the records to
the court is a use of the information contained in the records that is compatible with the purpose for which the records were collected;
Routine use 5 permits disclosure to a congressional office in response to a request from that office for the record of an individual made at the request
of that individual;
Routine use 6 permits disclosure to the Comptroller General or any of his authorized representatives in the course of their duties at the Government
Accountability Office; and
Routine use 7 permits disclosure to a consumer reporting agency in accordance with section 31 U.S.C. 3711(e).
Routine use 8 permits disclosure to appropriate agencies, entities, and persons when the Agency suspects or has confirmed that the security or
confidentiality of information in the system of records has been compromised; the Agency has determined that as a result of the suspected or
confirmed compromise there is a risk of harm to economic or property interests, a risk of identity theft or fraud, or a risk of harm to the security or
integrity of this system or other systems or programs (whether maintained by the Agency or another agency or entity) that rely upon the
compromised information; and the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with the
Agency’s efforts to respond to the suspected or confirmed compromise and prevent, minimize, or remedy such harm.
Effects of Failure to Furnish Information
Failure to provide the solicited information will not subject you to penalties or adverse consequences.

According to the Paperwork Reduction Act of 1995, 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 0579-XXXX. The time required to complete this information
collection is estimated to average .061 minutes/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.