National Management Information System (Wildlife Service)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form WS Form 66 Nuisance Wildlife Permit [Louisiana]	Form	Modified	Available
Form WS Form 37 Migratory Bird Damage Project Report	Form	Modified	Available
Form WS Form 30 WS Assistance Request	Form and Instruction	Modified	Available
Form WS Form 18 Control Materials Sales Record	Form	Modified	Available
Form WS Form 14 Project Report	Form and Instruction	Modified	Available
Form WS Form 17 Pocatello Supply Depot Order Form	Form	Modified	Available
Form WS Form 12C Work Initiation Document for Management of Wildlife Damage on Urban Properties	Form and Instruction	Modified	Available
Form WS Form 12B Addend Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	Form and Instruction	Modified	Available
Form WS Form 12B Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	Form and Instruction	Modified	Available
Form WS Form 12A Addend Work Initiation Document for Wildlife Damage Management	Form and Instruction	Modified	Available
Form WS Form 12A Work Initiation Document for Wildlife Damage Management	Form and Instruction	Modified	Available
Form SF 424 Application for Federal Assistance - Individual	Form	Modified	Available
Form WS Form 66 Nuisance Wildlife Permit [Louisiana]	Form	Modified	Available
Form WS Form 37 Migratory Bird Damage Project Report	Form	Modified	Available
Form WSForm 30 WS Assistance Request	Form and Instruction	Modified	Available
Form WS Form 18 Control Materials Sales Record	Form	Modified	Available
Form WS Form 14 Project Report	Form and Instruction	Modified	Available
Form WS Form 17 Pocatello Supply Depot Order Form	Form	Modified	Available
Form WS Form 12C Work Initiation Document for Management of Wildlife Damage on Urban Properties	Form and Instruction	Modified	Available
Form WS Form 12B Addend Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	Form and Instruction	Modified	Available
Form WS Form 12B Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	Form and Instruction	Modified	Available
Form WS Form 12A Addend Work Initiation Document for Wildlife Damage Management	Form and Instruction	Modified	Available
Form WS Form 12A Work Initiation Document for Wildlife Damage Management	Form and Instruction	Modified	Available
Form WS Form 68 WS Abatement Program Assignment of U.S. Government Property	Form and Instruction	Modified	Available
Form WS Form 66 Nuisance Wildlife Permit [Louisiana]	Form	Modified	Available
Form WS Form 37 Migratory Bird Damage Project Report	Form and Instruction	Modified	Available
Form WS Form 35 Report of Injury or Death of Nontarget Animal	Form	Modified	Available
Form WS Form 45 Resource Values Survey	Form and Instruction	Modified	Available
Form WS Form 30 Wildlife Services Assistance Request	Form and Instruction	Modified	Available
Form WS Form 18 Control Materials Sales Record	Form	Modified	Available
Form WS Form 14 Project Report	Form and Instruction	Modified	Available
Form WS Form 17 Supply Depot Order Form	Form	Modified	Available
Form WS Form 12C Work Initiation Document for Management of Wildlife Damage on Urban Properties	Form and Instruction	Modified	Available
Form WS Form 12B Addend Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	Form and Instruction	Modified	Available
Form WS Form 12B Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners	Form and Instruction	Modified	Repair queued
Form WS Form 12A Addend Work Initiation Document for Wildlife Damage Management	Form and Instruction	Modified	Available
Form WS Form 12A Work Initiation Document for Wildlife Damage Management	Form and Instruction	Modified	Available
SS-0335 2013 v1.doc	Supporting Statement A	Uploaded 2013-04-26	Available
APHIS 71.xls	Supplementary Document	Uploaded 2013-04-26	Available
SFLLL-V1.1.pdf	Supplementary Document	Uploaded 2013-04-24	Available
SF424B-V1.1.pdf	Supplementary Document	Uploaded 2013-04-24	Available
SF424A-V1.0.pdf	Supplementary Document	Uploaded 2013-04-24	Available
SF-424 Individual Mock-up form.doc	Supplementary Document	Uploaded 2013-04-24	Available
06-018-1 narrative statement.04.09 w. Dept. cgs.doc	Supplementary Document	Uploaded 2013-04-24	Available
2012 APHIS 79 new.xls	Supplementary Document	Uploaded 2013-04-24	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
182356	National Management Information System-State, Local...	Form	Modified	Nuisance Wildlife Permit [Louisiana]
182356	National Management Information System-State, Local...	Form	Modified	Migratory Bird Damage Project Report
182356	National Management Information System-State, Local...	Form and Instruction	Modified	WS Assistance Request
182356	National Management Information System-State, Local...	Form	Modified	Control Materials Sales Record
182356	National Management Information System-State, Local...	Form and Instruction	Modified	Project Report
182356	National Management Information System-State, Local...	Form	Modified	Pocatello Supply Depot Order Form
182356	National Management Information System-State, Local...	Form and Instruction	Modified	Work Initiation Document for Management of Wildlife Damage on Urban Properties
182356	National Management Information System-State, Local...	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners
182356	National Management Information System-State, Local...	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners
182356	National Management Information System-State, Local...	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management
182356	National Management Information System-State, Local...	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management
182356	National Management Information System-State, Local...	Form	Modified	Application for Federal Assistance - Individual
182355	National Management Information System-Individuals	Form	Modified	Nuisance Wildlife Permit [Louisiana]
182355	National Management Information System-Individuals	Form	Modified	Migratory Bird Damage Project Report
182355	National Management Information System-Individuals	Form and Instruction	Modified	WS Assistance Request
182355	National Management Information System-Individuals	Form	Modified	Control Materials Sales Record
182355	National Management Information System-Individuals	Form and Instruction	Modified	Project Report
182355	National Management Information System-Individuals	Form	Modified	Pocatello Supply Depot Order Form
182355	National Management Information System-Individuals	Form and Instruction	Modified	Work Initiation Document for Management of Wildlife Damage on Urban Properties
182355	National Management Information System-Individuals	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners
182355	National Management Information System-Individuals	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners
182355	National Management Information System-Individuals	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management
182355	National Management Information System-Individuals	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	WS Abatement Program Assignment of U.S. Government Property
182354	National Management Information System - Private Sector (Respondents)	Form	Modified	Nuisance Wildlife Permit [Louisiana]
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Migratory Bird Damage Project Report
182354	National Management Information System - Private Sector (Respondents)	Form	Modified	Report of Injury or Death of Nontarget Animal
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Resource Values Survey
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Wildlife Services Assistance Request
182354	National Management Information System - Private Sector (Respondents)	Form	Modified	Control Materials Sales Record
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Project Report
182354	National Management Information System - Private Sector (Respondents)	Form	Modified	Supply Depot Order Form
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Work Initiation Document for Management of Wildlife Damage on Urban Properties
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management
182354	National Management Information System - Private Sector (Respondents)	Form and Instruction	Modified	Work Initiation Document for Wildlife Damage Management

ICR Details

OMB Control No: 0579-0335	ICR Reference No: 201304-0579-006
Status: Historical Active	Previous ICR Reference No: 201102-0579-004
Agency/Subagency: USDA/APHIS	Agency Tracking No:
Title: National Management Information System (Wildlife Service)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/13/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/29/2013
Terms of Clearance: In accordance with the terms of 5 CFR 1320, this collection is approved for a period of two years. Previous terms of clearance remain in effect. Failure to make electronic signature available for this collection by that time may result in disapproval of this collection. OMB notes that the burden associated with SF-424 (3 hours) is a violation and should be reported as such.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved	12/31/2013
Responses	117,772	0	91,066
Time Burden (Hours)	5,448	0	4,163
Cost Burden (Dollars)	0	0	0

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Abstract: WS responds to request for assistance in managing wildlife damage, and collects information about organizations, industry, Federal and non-federal entities, and members of the public is part of its program.

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Authorizing Statute(s): US Code: 7 USC 426-426c, Name of Law: Act of 1931
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 233	12/04/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 82	04/29/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
National Management Information System - Private Sector (Respondents)	WS Form 66, WS Form 12B Addendum, WS Form 45, WS Form 68, WS Form 17, WS Form 12B, WS Form 14, WS Form 35, WS Form 12A, WS Form 37, WS Form 12C, WS Form 18, WS Form 12A Addendum, WS Form 30	Work Initiation Document for Wildlife Damage Management ,   Work Initiation Document for Wildlife Damage Management ,   Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners ,   Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners ,   Work Initiation Document for Management of Wildlife Damage on Urban Properties ,   Supply Depot Order Form ,   Project Report ,   Control Materials Sales Record ,   Wildlife Services Assistance Request ,   Resource Values Survey ,   Report of Injury or Death of Nontarget Animal ,   Migratory Bird Damage Project Report ,   Nuisance Wildlife Permit [Louisiana] ,   WS Abatement Program Assignment of U.S. Government Property
National Management Information System-Individuals	WS Form 12B Addendum, WS Form 12C, WS Form 18, WSForm 30, WS Form 12B, WS Form 17, WS Form 14, WS Form 12A Addendum, WS Form 37, WS Form 66, WS Form 12A	Work Initiation Document for Wildlife Damage Management ,   Work Initiation Document for Wildlife Damage Management ,   Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners ,   Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners ,   Work Initiation Document for Management of Wildlife Damage on Urban Properties ,   Pocatello Supply Depot Order Form ,   Project Report ,   Control Materials Sales Record ,   WS Assistance Request ,   Migratory Bird Damage Project Report ,   Nuisance Wildlife Permit [Louisiana]
National Management Information System-State, Local...	SF 424, WS Form 12A Addendum, WS Form 12B, WS Form 17, WS Form 30, WS Form 66, WS Form 12B Addendum, WS Form 12C, WS Form 18, WS Form 12A, WS Form 14, WS Form 37	Work Initiation Document for Wildlife Damage Management ,   Work Initiation Document for Wildlife Damage Management ,   Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners ,   Work Initiation Document for Wildlife Damage Management - Multiple Resource Owners ,   Work Initiation Document for Management of Wildlife Damage on Urban Properties ,   Pocatello Supply Depot Order Form ,   Project Report ,   Control Materials Sales Record ,   WS Assistance Request ,   Migratory Bird Damage Project Report ,   Nuisance Wildlife Permit [Louisiana] ,   Application for Federal Assistance - Individual

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	117,772	91,066	0	0	26,706	0
Annual Time Burden (Hours)	5,448	4,163	0	0	1,285	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is an adjustment increase due to the following: the number of respondents has increased by 26,706; annual responses have increased by 26,706; and the total burden hours have increased by 1,285. These increases are due to an increase in the number of respondents which also impacted the annual responses and total burden hours. This collection is conducted for the purpose of initiating and conducting wildlife damage management programs with Cooperators. In the last submission, the common form – SF-424 was listed but the numbers associated with the number of respondents, annual responses, and burden hours were not accounted for. The numbers for the SF-424 have been included as now required, in this submission.

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Annual Cost to Federal Government: $175,662

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/29/2013

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