Information Collection

General Special Use Application (govt)

IC 197359 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form 3-1383-G General Special Use Application (govt)	Form and Instruction
3-1383-G General Special Use Application and Permit 3-1383G.pdf	Form and Instruction

IC Title:

General Special Use Application (govt)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-G	General Special Use Application and Permit	3-1383G.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: 100

Number of Respondents for Small Entity: 20

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	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.