Information Collection

Special Use Application (individuals)

IC 11000 under ICR 200801-1018-002 · OMB 1018-0102.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0102 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-1383 Special Use Application (individuals)	Form and Instruction
3-1383 Special Use Application and Permit 3-1383.pdf www.fws.gov/forms/3-1383.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Special Use Application (individuals)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29.1, 29.2 50 CFR 26.36 50 CFR 30.11 50 CFR 31.2, 31.13, 31.14, 31.16 50 CFR 32.2(1) 43 CFR 5 50 CFR 27.71, 27.91, 27.97 50 CFR 25.41 & 25.61

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-1383	Special Use Application and Permit	3-1383.pdf	http://www.fws.gov/forms/3-1383.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: National Wildlife Refuge Special Use Permits

FR Citation: 48 FR 54716

Number of Respondents: 2,845

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,845	-11,305	14,150
Annual IC Time Burden (Hours)	2,845	-11,305	14,150
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.