Information Collection

Application for Programmatic Permit - (Private Sector)

IC 187564 under ICR 200812-1018-001 · OMB 1018-0136.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-71 Application for Programmatic Permit - (Private Sector)	Form
3-200-71 Eagle Take - Necessary to Protect Interests in a Particu 3-200-71.pdf www.fws.gov/forms/3-200-71.pdf	Form
3-200-72 Eagle Nest Take 3-200-72.pdf www.fws.gov/forms/3-200-72.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 22.26 & 22.27

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	3-200-71	Eagle Take - Necessary to Protect Interests in a Particular Locality	3-200-71.pdf	http://www.fws.gov/forms/3-200-71.pdf	Yes	No	Fillable Printable
Form and Instruction	3-200-72	Eagle Nest Take	3-200-72.pdf	http://www.fws.gov/forms/3-200-72.pdf	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Permits System

FR Citation: 68 FR 52610

Number of Respondents: 16

Number of Respondents for Small Entity: 15

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	16	16
Annual IC Time Burden (Hours)	640	640
Annual IC Cost Burden (Dollars)	16,000	16,000

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.