Information Collection

Special Use Application (individuals)

IC 11000 under ICR 201104-1018-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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

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: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 27.71, 27.91, 27.97 50 CFR 25.41 & 25.61 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

Information Collection 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

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 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-2,845	2,845
Annual IC Time Burden (Hours)	-2,845	2,845
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.