Form 3-200-33 Federal Fish and Wildlife Permit Application Form

Expires XX/XX/XXXX
OMB No. 1018-0093

Department of the Interior
U.S. Fish and Wildlife Service

Federal Fish and Wildlife Permit Application Form
Type of Activity:
EXPORT OF ARTIFICIALLY PROPAGATED PLANTS (Multiple
Commercial Shipments)
□ New Application
□ Amendment or Renewal of Master file # ________________

Return to: Division of Management Authority (DMA)
U.S. Fish and Wildlife Service
4401 N. Fairfax Drive, Room 212
Arlington, VA 22203
1-800-358-2104 or 703-358-2104

Complete Sections A or B, and C, D, and E of this application. U.S. address may be required in Section C, see instructions for details.
See attached instruction pages for information on how to make your application complete and help avoid unnecessary delays.

A.

Complete if applying as an individual

1.a. Last name

1.b. First name

1.c. Middle name or initial

1.d. Suffix

2. Date of birth (mm/dd/yyyy)

3. Social Security No.

4. Occupation

5. Affiliation/ Doing business as (see instructions)

6.a. Telephone number

6.b. Alternate telephone number

6.c. Fax number

6.d. E-mail address

B.

Complete if applying on behalf of a business, corporation, public agency, tribe, or institution

1.a. Name of business, agency, tribe, or institution

1.b. Doing business as (dba)

2. Tax identification no.

3. Description of business, agency, tribe, or institution

4.a. Principal officer Last name

4.b. Principal officer First name

5. Principal officer title

4.c. Principal officer Middle name/ initial

4.d. Suffix

6. Primary contact

7.a. Business telephone number

7.b. Alternate telephone number

C.

7.c. Business fax number

7.d. Business e-mail address

All applicants complete address information

1.a. Physical address (Street address; Apartment #, Suite #, or Room #; no P.O. Boxes)
1.b. City

1.c. State

1.d. Zip code/Postal code:

1.e. County/Province

1.f. Country

2.a. Mailing Address (include if different than physical address; include name of contact person if applicable)
2.b. City

2.c. State

2.d. Zip code/Postal code:

2.e. County/Province

2.f. Country

D.

All applicants MUST complete

1.

Attach check or money order payable to the U.S. FISH AND WILDLIFE SERVICE in the amount identified on page 2. Federal, tribal, State, and local
government agencies, and those acting on behalf of such agencies, are exempt from the processing fee – attach documentation of fee exempt status as outlined in
instructions. (50 CFR 13.11(d))
Do you currently have or have you ever had any Federal Fish and Wildlife permits?
Yes
If yes, list the number of the most current permit you have held or that you are applying to renew/re-issue: _________________________________No

2.

3.

Certification: I hereby certify that I have read and am familiar with the regulations contained in Title 50, Part 13 of the Code of Federal Regulations and the other
applicable parts in subchapter B of Chapter I of Title 50, and I certify that the information submitted in this application for a permit is complete and accurate to
the best of my knowledge and belief. I understand that any false statement herein may subject me to the criminal penalties of 18 U.S.C. 1001.
________________________________________________________________________________________________________________________
Signature (in blue ink) of applicant/person responsible for permit (No photocopied or stamped signatures)
Date of signature (mm/dd/yyyy)

Please continue to next page

Form 3-200-33

Rev. <>

Page 1 of 11

The information in this application is used to determine whether your plant specimens (i.e., species, hybrids, cultivars)
meet the criteria of artificial propagation as defined by CITES Resolution Conf. 11.11 (Rev. CoP15; www.cites.org/).

This application may be used to:
Establish a Master File (processing fee = $200): If approved for export, a Master File and an approved plant list,
valid for up to three years, will be created from the information you provide. Once the Master File is approved, you
must obtain single-use Certificates of Artificially Propagated Plants (CAPPs; processing fee of $5/certificate), valid
for 6 months, to export artificially propagated specimens of the approved species, hybrids, and cultivars. CAPPs must
be obtained prior to making any shipment and must accompany the shipment. Additional single-use CAPPS may be
requested by submitting form 3-200-74 (http://www.fws.gov/forms/).
Amend a current Master File (processing fee = $100): This form must be used to amend a current master file. A
master file must be amended when there have been changes to the information provided for a current master file (e.g.,
addition and/or deletions of species/hybrids/cultivars, source of plant material).
Renew a Master File (processing fee = $100): To renew a master file that has or will soon expire, you must
complete this entire application. Provide information on any changes to your facility, operations, or species that you
wish to export (e.g., plants propagated, sources of plant material). We require a complete inventory of the plants or
plant material that you expect to export under the permit, including both previously approved plants as well as new
plants (indicate any plants that are new on your inventory list).
I would like to:
 Establish a new Master File ($200 fee)
 Renew and/or Amend an existing Master File; PRT #___________ ($100 fee)
Indicate the number of single-use CAPPS you anticipate using in the next 6 months: ____ (fee - $5/certificate)
This form should NOT be used to re-export plant specimens. For shipments of plants that were previously imported
with a CITES document, complete application form 3-200-32. These plants cannot be shipped under a CAPP.
Specimens that are determine not to meet the criteria of artificial propagation as defined by CITES Res. Conf. 11.11 (Rev.
CoP15) might qualify for a single-use export. You must submit Form 3-200-32 (www.fws.gov/forms) to request
authorization to export such specimens.
Review this application carefully and provide complete answers to all of the questions. If a question is not
applicable, answer with “N.A.” If more space is needed for any of the tables in this document, photocopy the table as
needed, or download it from http://www.fws.gov/forms/. Number all pages in the bottom right corner.
This application is divided into 5 parts.
 To export ONLY interspecific and intergeneric hybrids of Appendix II CATTLEYA, CYMBIDIUM,
DENDROBIUM (phalaenopsis and nobile types only), ONCIDIUM, PHALAENOPSIS, and/or VANDA,
complete Parts I, IV and V only.
 To export specimens other than above-mentioned orchid hybrids, complete Parts II, III, IV, and V.
 To export specimens in addition to the above-mentioned orchid hybrids, complete the entire form.
Electronic submission of inventories, photographs, and receipts: Some applications contain long inventories
and/or a large number of photographs or receipts. You may provide electronic versions of these documents.
Such a submission may assist in expediting the processing of your application since it will reduce the data entry
by the U.S. Fish and Wildlife Service. You may include a disk containing your information or check here ___
and we will contact you by email for the file.

Form 3-200-33

Page 2 of 12

PART I. Certain Orchid Hybrids. Complete Table 1 to request authorization to export interspecific and intergeneric hybrids of Appendix II CATTLEYA,
CYMBIDIUM, DENDROBIUM (phalaenopsis and nobile types only), ONCIDIUM, PHALAENOPSIS, and/or VANDA orchids. For all other specimens,
including other orchid hybrids, proceed to Part II. Photocopy the table as needed, or download it from http://www.fws.gov/forms/.
TABLE 1. CERTAIN APPENDIX II ORCHID HYBRIDS.
Refer to the Codes for sections marked with double outlines. See page AA in the Instructions for an example of a completed table.
a. Specimen Description
b. Plant Product
at the time of export
at the time of export
Live Plant,
Plant Part,
Specify:
specify code specify code
code / unit / plants per unit

Genus

c. Growing
Environment
specify code

d. Propagation
Method(s)
specify code

e. Origin of Specimen
Facility name and address,
if other than applicant

 Cattleya hybrids

 Cymbidium hybrids*

 Dendrobium hybrids*
(phalaenopsis and nobile types only)

 Oncidium hybrids

 Phalaenopsis hybrids*

 Vanda hybrids*

a. Specimen Description: Live Plant - 1 = Flasks; 2 = Seedlings; 3 = Juveniles; 4 = Mature/blooming size; Plant Part - 5 = Cuttings/divisions; 6 = Roots; 7 = Other (specify)
b. Plant Product Code: 1 = Extracts; 2 = Powders; 3 = Other (specify); Unit: Provide measure of weight or volume; Plants Per Unit: Provide total number of plants used per unit
c. Growing Environment (where the specimens are growing): 1 = Greenhouse; 2 = Lathhouse; 3 = Lab; 4 = Field; 5 = Other (specify)
d. Propagation Method : 1 = Seeds; 2 = Cuttings/Divisions; 3 = Flasks; 4 = Other (specify)

 If you are NOT requesting authorization to export any other specimens, proceed to Part IV.
 If additional specimens are being requested, complete Parts II and III before proceeding to Part IV.
*For hybrids of these genera, there are exemptions under CITES that do not require CITES permits for some specimens. See Orchids at: http://www.fws.gov/permits/faqs/FaqA.shtml for details.

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PART II. Specimen inventory (excluding hybrids in Part I). Table 2 must be completed for all specimens other than those listed in Table 1. Photocopy the
table as needed, or download it from http://www.fws.gov/forms/.
TABLE 2. SPECIMEN INVENTORY (Excluding hybrids in Table 1).
Refer to the Codes for sections marked with double outlines. See page AA in the Instructions for an example of a completed table.
Item
No.

a. Scientific Name
(Genus, species, sub-species, cultivar)

**If hybrid, list parental species**

b. Common Name

c. Specimen
d. Plant Product
Description
Live Plant, Plant Part, Specify:
specify code specify code code / unit / plants per unit

e. Growing
Environmen
t specify code

f.
Propagation
Method
specify code

g. Origin of Specimen
Facility name and
address, if other than
applicant

c. Specimen Description: Live Plant - 1 = Flasks; 2 = Seedlings; 3 = Juveniles; 4 = Mature/blooming size; Plant Part - 5 = Cuttings/divisions; 6 = Roots; 7 = Other (specify)
d. Plant Product Code: 1 = Extracts; 2 = Powders; 3 = Other (specify); Unit: Provide measure of weight or volume; Plants Per Unit: Provide total number of plants used per unit
e. Growing Environment, where the specimens are growing: 1 = Greenhouse; 2 = Lathhouse; 3 = Lab; 4 = Field; 5 = Other (specify)
f. Propagation Method : 1 = Seeds; 2 = Cuttings/Divisions; 3 = Root Cuttings/Divisions; 5 = Flasks; 6 = Other (specify)

 Proceed to Part III.

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PART III. Parental Stock (For all specimens in Part II). Complete Table 3 for the plants used to produce all specimens identified in Table 2. You do not
need to provide this information for specimens identified in Table 1. Photocopy the table as needed, or download it from http://www.fws.gov/forms/.
TABLE 3. PARENTAL STOCK (For all specimens in Part II). Refer to each specimen using the specimen Item number from Table 2. List all suppliers or
collectors by NAME ONLY in column 3b; use a separate line for each supplier; and provide supplier contact information in Table 4. See the documentation
checklist below. Refer to the Codes for sections marked with double outlines. See page BB in the Instructions for an example of a completed table.
Source information
Item No. a. Origin of
e. Material
b. Supplier NAME:
from
Parental Stock Provide contact info in Table 4 c. Date
d. Quantity Acquired f. If wild, location of collection
Table 2
specify code
Acquired
Acquired specify code (indicate nearest city, county, state)

g. No. of plants
maintained as
growing stock

h. Growing i. Do you augment from
Environment the wild?
specify code If yes, how often?

a. Origin of Parental Stock*: 1 = Cultivated; 2 = Wild 3 = CITES permit
e. Material Acquired (purchased or collected): 1 = Flasks; 2 = Seedlings; 3 = Juveniles; 4 = Mature/blooming size; 5 = Cuttings/divisions; 6 = Roots; 7 = Other (specify)
h. Growing Environment (for Parental Plants): 1 = Greenhouse; 2 = Lathhouse; 3 = Lab; 4 = Field; 5 = Other (specify)

* Checklist for additional documentation required:  Provide copies of collection permits for wild plant material.
 Provide receipts or signed grower’s statements from suppliers.
 *If parental stock was imported, provide importation documentation.

 Proceed to Part IV.
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PART IV. Supplier Information. Complete Table 4 for all sources of parental stock identified in Table 3, column b. If the same source was used for more
than one item identified in Table 3, you only need to supply the requested information once. You do not need to provide information about the source of
specimens identified in Table 1, since that has already been provided. Photocopy the table as needed, or download it from http://www.fws.gov/forms/.
TABLE 4. SUPPLIER INFORMATION. Complete Table 4 for all sources identified in Table 3b. Copy table as needed or download table at: [hyperlinked url to
table]. See page BB in the Instructions for an example of a completed table. (Provide receipts or signed grower’s statements from suppliers.)
Name of Supplier
(as identified in Table 3, column b)

Full Address
(street address, city, state, country, zip code)

Telephone
Number

Fax Number
(if available)

 Proceed to Part V.
3-200-33

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E-Mail/website (if available)

3-200-33

Page 7 of 12

PART V. General Information (To be completed by all applicants).
1. Provide a copy of your State nursery license and U. S. Department of Agriculture Protected Plant
Permit.
2. Provide labeled photographs depicting the growing facilities for the specimens described in your application.
3. Describe the type of shipping containers and the arrangements for LIVE plant care during shipping.
__________________________________________________________________________________
__________________________________________________________________________________
4. Address where you wish permit mailed (if different than page 1):
__________________________________________________________________________________
__________________________________________________________________________________
5. If you want the permit to be sent to you by means other than regular mail, provide an air bill, pre-paid
envelope, or billing information:
__________________________________________________________________________________
6. Who should we contact if we have questions about the application? (Include name, phone number, and email):
__________________________________________________________________________________
__________________________________________________________________________________

3-200-33

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SAMPLE TABLES

TABLE 1. CERTAIN APPENDIX II ORCHID HYBRIDS.
a. Specimen Description
b. Plant Product
at the time of export
at the time of export
Live Plant,
Plant Part,
Specify:
specify code specify code
code / unit / plants per unit

Genus

 Cattleya hybrids

 Dendrobium hybrids*
(phalaenopsis and nobile types only)

c. Growing
Environment
specify code

d. Propagation
Method(s)
specify code

1

2

3

3

5

1

e. Origin of Specimen
Facility name and address,
if other than applicant

A1 Orchids
Orchid Lane
Orchid City, Oklahoma USA
Orchids R Us
Orchid Blvd.
City of Orchids, Wisconsin USA

a. Specimen Description: Live Plant - 1 = Flasks; 2 = Seedlings; 3 = Juveniles; 4 = Mature/blooming size; Plant Part - 5 = Cuttings/divisions; 6 = Roots; 7 = Other (specify)
b. Plant Product Code: 1 = Extracts; 2 = Powders; 3 = Other (specify); Unit: Provide measure of weight or volume; Plants Per Unit: Provide total number of plants used per unit
c. Growing Environment (where the specimens are growing): 1 = Greenhouse; 2 = Lathhouse; 3 = Lab; 4 = Field; 5 = Other (specify)
d. Propagation Method : 1 = Seeds; 2 = Cuttings/Divisions; 3 = Flasks; 4 = Other (specify)

TABLE 2. SPECIMEN INVENTORY (Excluding hybrids in Table 1).
Item
No.

a. Scientific Name

b. Common Name

(Genus, species, sub-species, cultivar)

**If hybrid, list parental species**

c. Specimen
d. Plant Product
Description
Live Plant, Plant Part, Specify:

e. Growing
Environmen
t specify code

specify code specify code code / unit / plants per unit

1

Ferocactus wislizenii

Fishhook barrel cactus

2

Dionaea muscipula

Venus fly trap

4
7

1

18.7

100
ml

f.
Propagation
Method
specify code

g. Origin of Specimen
Facility name and
address, if other than
applicant

4

1

Applicant

1

5

Pat’s Pet Plants

c. Specimen Description: Live Plant - 1 = Flasks; 2 = Seedlings; 3 = Juveniles; 4 = Mature/blooming size; Plant Part - 5 = Cuttings/divisions; 6 = Roots; 7 = Other (specify)
d. Plant Product Code: 1 = Extracts; 2 = Powders; 3 = Other (specify); Unit: Provide measure of weight or volume; Plants Per Unit: Provide total number of plants used per unit
e. Growing Environment, where the specimens are growing: 1 = Greenhouse; 2 = Lathhouse; 3 = Lab; 4 = Field; 5 = Other (specify)
f. Propagation Method : 1 = Seeds; 2 = Cuttings/Divisions; 3 = Root Cuttings/Divisions; 5 = Flasks; 6 = Other (specify)

Page AA

3-200-33

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SAMPLE TABLES
(continued)

TABLE 3. PARENTAL STOCK (For all specimens in Part II).
Source information
Item No. a. Origin of
e. Material
b. Supplier NAME:
from
Parental Stock Provide contact info in Table 4 c. Date
d. Quantity Acquired f. If wild, location of collection
Table 2I
specify code
Acquired
Acquired specify code (indicate nearest city, county, state)

1

2

John Doe Applicant

2

1

Pat’s Pet Plants

1995

7

seeds

g. No. of plants
maintained as
growing stock

h. Growing i. Do you augment from
Environment the wild?
specify code If yes, how often?

Sierra Vista, AZ

30

4

N.A.

50

1

Yes, every
10 years
No

a. Origin of Parental Stock: 1 = Cultivated; 2= Wild
e. Material Acquired (purchased or collected): 1 = Flasks; 2 = Seedlings; 3 = Juveniles; 4 = Mature/blooming size; 5 = Cuttings/divisions; 6 = Roots; 7 = Other (specify)
h. Growing Environment (for Parental Plants): 1 = Greenhouse; 2 = Lathhouse; 3 = Lab; 4 = Field; 5 = Other (specify)

TABLE 4. SOURCE INFORMATION
Full Address
(street address, city, state/province, country,
zip code)

Telephone
Number

Fax Number
(if available)

E-Mail/website (if available)

John Doe Applicant

142 Doe Lane
Sierra Vista, AZ 12345

010-000-1001

N.A.

[email protected]

Pat’s Pet Plants

100 Pat’s Way
Pauline, VA. USA 10000

000-100-1234

N.A.

Name of Source
(as identified in Table 3, column b)

Page BB

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PERMIT APPLICATION FORM INSTRUCTIONS
The following instructions pertain an application for a U.S. Fish and Wildlife Service or CITES permit. The General Permit
Procedures in 50 CFR 13 address the permitting process. For simplicity, all licenses, permits, registrations, and certificates are
referred to as a permit.
GENERAL INSTRUCTIONS:

Complete all blocks/lines/questions in Sections A or B, C, D, and E.

An incomplete application may cause delays in processing or may be returned to the applicant. Be sure you are filling in the appropriate
application form for the proposed activity.

Print clearly or type in the information. Illegible applications may cause delays.

Sign the application in blue ink. Faxes or copies of the original signature will not be accepted.

Mail the original application to the address at the top of page one of the application or if applicable on the attached address list.

Keep a copy of your completed application.

Please plan ahead. Allow at least 60 days for your application to be processed. Some applications may take longer than 90 days to process. (50 CFR
13.11)

Applications are processed in the order they are received.
Additional forms and instructions are available from . http://www.fws.gov/forms/display.cfm?number1=200
COMPLETE EITHER SECTION A OR SECTION B:
Section A. Complete if applying as an individual:

Enter the complete name of the responsible individual who will be the permittee if a permit is issued. Enter personal information that identifies the applicant.
Fax and e-mail are not required if not available.

If you are applying on behalf of a client, the personal information must pertain to the client, and a document evidencing power of attorney must be included
with the application.

Affiliation/ Doing business as (dba): business, agency, organizational, tribe, or institutional affiliation directly related to the activity requested in the
application (e.g., a taxidermist is an individual whose business can directly relate to the requested activity). The Division of Management Authority (DMA)
will not accept doing business as affiliations for individuals.
Section B. Complete if applying as a business, corporation, public agency,tribe or institution:

Enter the complete name of the business, agency, tribe, or institution that will be the permittee if a permit is issued. Give a brief description of the type of
business the applicant is engaged in. Provide contact phone number(s) of the business.

Principal Officer is the person in charge of the listed business, corporation, public agency, tribe or institution. The principal officer is the person
responsible for the application and any permitted activities. Often the principal officer is a Director or President. Primary Contact is the person at the
business, corporation, public agency, or institution who will be available to answer questions about the application or permitted activities. Often this is the
preparer of the application.
ALL APPLICANTS COMPLETE SECTION C:

For all applications submitted to the Division of Management Authority (DMA) a physical U.S. address is required. Province and Country blocks are
provided for those USFWS programs which use foreign addresses and are not required by DMA..

Mailing address is address where communications from USFWS should be mailed if different than applicant’s physical address.
ALL APPLICANTS COMPLETE SECTION D:
Section D.1 Application processing fee:

An application processing fee is required at the time of application; unless exempted under 50 CFR13.11(d)(3). The application processing fee is assessed to
partially cover the cost of processing a request. The fee does not guarantee the issuance of a permit. Fees will not be refunded for applications that
are approved, abandoned, or denied. We may return fees for withdrawn applications prior to any significant processing occurring.

Documentation of fee exempt status is not required for Federal, tribal, State, or local government agencies; but must be supplied by those applicants
acting on behalf of such agencies. Those applicants acting on behalf of such agencies must submit a letter on agency letterhead and signed by the head of
the unit of government for which the applicant is acting on behalf, confirming that the applicant will be carrying out the permitted activity for the agency.
Section D.2 Federal Fish and Wildlife permits:

List the number(s) of your most current FWS or CITES permit or the number of the most recent permit if none are currently valid. If applying for reissuance of a CITES permit, the original permit must be returned with this application.
Section D.3 CERTIFICATION:

The individual identified in Section A, the principal officer named in Section B, or person with a valid power of attorney (documentation must be
included in the application) must sign and date the application in blue ink. This signature binds the applicant to the statement of certification. This
means that you certify that you have read and understand the regulations that apply to the permit. You also certify that everything included in the application
is true to the best of your knowledge. Be sure to read the statement and re-read the application and your answers before signing.

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APPLICATION FOR A FEDERAL FISH AND WILDLIFE PERMIT
Paperwork Reduction Act, Privacy Act, and Freedom of Information Act – Notices
In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) and the Privacy Act of 1974 (5 U.S.C.
552a), 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.html
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.
Information requested in this form is purely voluntary. However, submission of requested information is required in order to process applications for permits
authorized under the above laws. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request. We
may not conduct or sponsor and you are not required to respond to collection of information unless it displays a currently valid OMB control number.
3.

Certain applications for permits authorized under the Endangered Species Act of 1973 (16 U.S.C. 1539) and the Marine Mammal Protection Act of 1972 (16
U.S.C. 1374) will be published in the Federal Register as required by the two laws.

4.

Disclosures outside the Department of the Interior may be made without the consent of an individual under the routine uses listed below, if the disclosure is
compatible with the purposes for which the record was collected. (Ref. 68 FR 52611, September 4, 2003)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Routine disclosure to subject matter experts, and Federal, tribal, State, local, and foreign agencies, for the purpose of obtaining advice relevant to making a
decision on an application for a permit or when necessary to accomplish a FWS function related to this system of records.
Routine disclosure to the public as a result of publishing Federal Register notices announcing the receipt of permit applications for public comment or
notice of the decision on a permit application.
Routine disclosure to Federal, tribal, State, local, or foreign wildlife and plant agencies for the exchange of information on permits granted or denied to
assure compliance with all applicable permitting requirements.
Routine disclosure to Captive-bred Wildlife registrants under the Endangered Species Act for the exchange of authorized species, and to share information
on the captive breeding of these species.
Routine disclosure to Federal, tribal, State, and local authorities who need to know who is permitted to receive and rehabilitate sick, orphaned, and injured
birds under the Migratory Bird Treaty Act and the Bald and Golden Eagle Protection Act; federally permitted rehabilitators; individuals seeking a permitted
rehabilitator with whom to place a bird in need of care; and licensed veterinarians who receive, treat, or diagnose sick, orphaned, and injured birds.
Routine disclosure to the Department of Justice, or a court, adjudicative, or other administrative body or to a party in litigation before a court or adjudicative
or administrative body, under certain circumstances.
Routine disclosure to the appropriate Federal, tribal, State, local, or foreign governmental agency responsible for investigating, prosecuting, enforcing, or
implementing statutes, rules, or licenses, when we become aware of a violation or potential violation of such statutes, rules, or licenses, or when we need to
monitor activities associated with a permit or regulated use.
Routine disclosure to a congressional office in response to an inquiry to the office by the individual to whom the record pertains.
Routine disclosure to the General Accounting Office or Congress when the information is required for the evaluation of the permit programs.
Routine disclosure to provide addresses obtained from the Internal Revenue Service to debt collection agencies for purposes of locating a debtor to
collect or compromise a Federal claim against the debtor or to consumer reporting agencies to prepare a commercial credit report for use by the FWS.

5. For individuals, personal information such as home address and telephone number, financial data, and personal identifiers (social security number, birth date,
etc.) will be removed prior to any release of the application.
6. The public reporting burden on the applicant for information collection varies depending on the activity for which a permit is requested. The relevant burden
for an Export of Artificially Propagated Plants application is 120 minutes. This burden estimate includes time for reviewing instructions, gathering and
maintaining data and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of the form 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.
Freedom of Information Act – Notice
For organizations, businesses, or individuals operating as a business (i.e., permittees not covered by the Privacy Act), we request that you identify any information
that should be considered privileged and confidential business information to allow the Service to meet its responsibilities under FOIA. Confidential business
information must be clearly marked "Business Confidential" at the top of the letter or page and each succeeding page and must be accompanied by a nonconfidential summary of the confidential information. The non-confidential summary and remaining documents may be made available to the public under FOIA
[43 CFR 2.13(c)(4), 43 CFR 2.15(d)(1)(i)].

3-200-33

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