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

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

Registered Agent/Tannery Bi-Annual Inventory Report
Permit number________________ Name__________________________________ Time-period _________________________ Signature _________________________
Address (If location/address has changed, indicate new location and date of change): _______________________________________________________________________

This information details activities of a registered agent or registered tannery. This form may be copied. Please include the following information for EACH ITEM:
Animal
Species 1
Example:
Walrus

Amount and Description
of Item (only one item
per line)

Weight of
Walrus Ivory *2

1 Tusk

5 lbs.

US
FWS
Tag#3

Received from: Name and Address

Date

Transferred to, Returned to, or Sold to
(applicable only to Registered Agents):
Name and Address

Date

#8787

John Littlesmith
16 Main St., Anchorage, AK 99999

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 submit this form containing records of each transaction by either email to: [email protected] OR by mail to: Regional Investigative Analyst, U.S. Fish and Wildlife Service, Office 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.
Form 3-200-44a

Rev. <>

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

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.

2.

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. Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22;
b. Endangered Species Act of 1973 (16 U.S.C. 1531-1544), 50CFR 17;
c. Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21;
d. Marine Mammal Protection Act of 1972 (16 U.S.C. 1361, et. seq.), 50 CFR 18;
e. Wild Bird Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15;
f. Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;
g. Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), http://www.cites.org/ , 50 CFR 23;
h. General Provisions, 50 CFR 10;
i. General Permit Procedures, 50 CFR 13; and
j. Wildlife Provisions (Import/export/transport), 50 CFR 14.
This report is required to obtain or retain a benefit. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB control
number.

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.

Form 3-200-44a

Rev. <>