Form 3-200-15b Federal Fish and Wildlife Permit Application Form

Ordering Eagle Parts and Feathers from the
National Eagle Repository
For hundreds of years, Native Americans have used eagle parts and feathers for religious and cultural
purposes, including healing, marriage, and naming ceremonies. Recognizing the significance of eagles
to Native Americans, the U.S. Fish and Wildlife Service (Service) established the National Eagle
Repository (Repository) in the early 1970s to provide Native Americans with the carcasses, parts and
feathers of Golden and Bald eagles for religious purposes.

 Who may obtain eagle carcasses, parts, and feathers from the Repository?
Only enrolled members of federally recognized tribes who are 18 years of age or older may
apply to receive and possess eagle carcasses, parts, and feathers from the Repository for
religious purposes.



How do I request these items from the Repository?
Applications can be found online at:
http://www.fws.gov/permits/applicationforms/ApplicationB.html
 For First Time Applicants:
1. Fill out Form 3-200-15A (Permit Application and First Order Request )
Online at: http://forms.fws.gov/3-200-15a.pdf
2. Have your tribal enrollment office fill out the “ Certificate of Enrollment in a
Federally Recognized Tribe form”.
3. Submit all documentation to the permit office designated for the state you live in
(see page 4).
4. The permit office will process your permit application and, if approved, issue you a
lifetime permit to possess eagle carcasses or parts (including feathers) provided by the
Repository for religious purposes.
5. The permit office will forward your First Order to the Repository for processing.
After your first order has been filled, you will submit all Reorders directly to the repository.
You may only have one pending request on file at any given time.
 For Reorders:
1. Fill out Form 3-200-15B (Reorder Request)
Online at: http://forms.fws.gov/3-200-15b.pdf
2. You do not have to have your tribal office fill out another Certificate of Enrollment.
3. Submit completed form directly to the Repository.
4. A blue postcard acknowledging your request was received will be sent to you within 2
weeks. It is a notification only and there is no need to contact the repository.
Please contact the permit office if you need to change the name or address on your permit or
request a copy. You may only have one pending request on file at any given time.

1

 What items may Native Americans order from the Repository?
1.
2.
3.
4.
5.

Up to one whole Golden or Bald eagle or equivalent parts.
Loose feathers.
A pair of wings
A whole tail
A head, pair of talons, or trunk.

You many not order more of any part than is found on one whole eagle.

 How many loose feathers may an individual request?
There are two types of loose feather requests. You may only request one or the other but not
both and the Loose Feathers cannot be added to a whole bird, pair of wings, or tail order.
 10 Quality Loose Feathers:





These consist of 8 wing feathers and 2 tail feathers.
Hand- picked.
No more than 2 tail feathers will be provided per order, due to limited supply.
Wing feathers will be selected half from the left wing and half from the right wing,
unless specified all from one side.
 Spike feathers will be utilized.
 Efforts are made to match the best quality feathers available.
 20 Miscellaneous Loose Feathers:





These consist of assorted feathers.
Includes various type feathers (such as primaries, secondaries, tail, and plumes).
All plumes may be requested.
These are lower quality feathers and feather condition cannot be
guaranteed.
 Applicants may not customize orders.

 May a school request eagle feathers for graduation?
Yes, schools may request eagle feathers to present at graduation to Native American students
who are enrolled members of federally recognized tribes.
1. A representative from the school who is an enrolled member of a federally recognized
tribe should apply at the beginning of the school year for the 20 miscellaneous feather
category which has the shortest turnaround time.
2. More than one representative may apply.
a. Only one order per applicant may be pending at a time. This includes orders
placed for personal use.
3. Upon receipt of feathers, applicants may reorder and may continue to do so throughout
the year until the number of feathers needed have been acquired.
If your order is for graduation purposes, please write “GRADUATION” on the order form.

2

 How long does it take the Repository to fill orders?
The demand for eagle carcasses, parts, and feathers is high and supplies are limited. The time
needed to fill requests will vary depending on the items ordered and as the inventory permits.
Estimated time frames for various items are provided below.
Item requested:
Whole Bird
Whole Tail
Pair of Wings
Wings & Tail
Loose Feathers:
10 Quality
20 Miscellaneous
Other Items/Parts

Approximate Waiting Period*
Adult
Bald Eagle
Golden
2 years
2 years
2 years
2 years
1 year
1-2 years
2 years
2 years
6 months
3 months
Minimal

6 months
3 months
Minimal

Immature Golden
5 years
5 years
1-2 years
5 years
1 year
6 months
Minimal

*Waiting Period is approximate and may be longer than expected for all Golden
eagles/parts due to the high demand and low supply.

3

Permit Office contact information:
Region

State in which you live

Mailing Address

Phone Number and
Email Address

1

Hawaii, Idaho, Oregon, Washington,
Pacific Island Territories

911 N.E. 11th Avenue
Portland, OR 97232-4181

(503) 872-2715
[email protected]

2

Arizona, New Mexico, Oklahoma, Texas

P.O. Box 709
Albuquerque, NM 87103

(505) 248-7882
[email protected]

3

Illinois, Indiana, Iowa, Michigan,
Minnesota, Missouri, Ohio, Wisconsin

5600 American Blvd. West
Suite 990
Bloomington, MN 55437-1458

(612) 713-5436
[email protected]

4

Alabama, Arkansas, Florida, Georgia,
Kentucky, Louisiana, Mississippi, North
Carolina, South Carolina, Tennessee,
Puerto Rico, U.S. Virgin Islands

P.O. Box 49208
Atlanta, GA 30359

(404) 679-7070
[email protected]

5

Connecticut, Delaware, District of
Columbia, Maine, Maryland,
Massachusetts, New Hampshire, New
Jersey, New York, Pennsylvania, Rhode
Island, Vermont, Virginia, West Virginia

P.O. Box 779
Hadley, MA 01035-0779

(413) 253-8643
[email protected]

6

Colorado, Kansas, Montana, Nebraska,
North Dakota, South
Dakota, Utah, Wyoming

P.O. Box 25486, DFC
Denver, CO 80225-0486

(303) 236-8171
[email protected]

7

Alaska

1011 East Tudor Road (MS 201)
Anchorage, AK 99503

(907) 786-3693
[email protected]

8

California, Nevada

2800 Cottage Way
Room W-2606
Sacramento, CA 95825

(916) 978-6183
[email protected]

Repository contact information:
National Eagle Repository
6550 Gateway Road, Building 128
Commerce City, Colorado 80022
(303) 287-2110
www.fws.gov/eaglerepository

4

Department of the Interior, U.S. Fish and Wildlife Service,
National Eagle Repository
RMA, Building 128, 6550 Gateway Road,
Commerce City, CO 80022
(303)-287-2110

OMB Control #1018-0022
Expires

OFFICE USE ONLY
Date Completed Request Rcvd
_______/________/______

REORDER REQUEST
EAGLE PARTS FOR NATIVE AMERICAN RELIGIOUS PURPOSES
Last Name

First Name

Initials: _____________

Middle Name

Suffix
(Sr., Jr., etc.)

Physical address (Street address; Apartment #, Suite #; no P.O. Boxes)
City

State

Zip code/Postal code

State

Zip code/Postal code

Mailing Address (if different than physical address)
City
Date of Birth

Social Security Number

Home Phone Number

Permit Number:
MB
Cellular Phone Number

Email Address

Contact Person ( if you have no phone)

Phone Number of Contact Person

Work Phone Number

Name of Tribe

Enrollment Number

Have you been convicted, or entered a plea of guilty or nolo contendere, forfeited collateral, or are you currently under charges for any violations of the
Lacey Act, the Migratory Bird Treaty Act, or the Bald and Golden Eagle Protection Act?  Yes  No
If you answered “Yes” provide: a) name at
time of conviction, b) date of charge, c) charge(s), d) location of incident, e) court, and f) action taken for each violation.

DESCRIPTION OF REQUESTED MATERIAL (You can only have one pending request at a time.)
Approximate Waiting Period*
Species:
Item:

Bald

Adult Immature
Golden Golden

Whole Eagle
2 yrs
2 yrs
Whole Tail
2 yrs
2 yrs
Pair of Wings
1 yr
1-2 yrs
Wings and Tail
2 yrs
2 yrs
Loose Feathers
10 Quality
6 mths 6 mths
20 Miscellaneous 3 mths 3 mths
Other Items/Parts Minimal Minimal

5 yrs
5 yrs
1-2 yrs
5 yrs
1 yr
6 mths
Minimal

*Waiting Period is approximate and may be
longer than expected for all Golden
Eagles/parts due to the high demand and low
supply.

 Golden
 Bald
 Either
Age:

Section 1: If a whole eagle is not needed, please request only the
parts necessary for your religious purposes.
Note: Parts cannot be added to whole eagle orders.
Items:
Parts:
 Whole Eagle
 Head
Or
 Pair of Claws
 Pair of Wings Only
 Trunk (body minus the head,
claws, wings and tail)
 Whole Tail Only
Or
 Other: (please specify)
 Wings and Tail
Section 2: Loose Feather orders cannot be added to whole eagle, pair
of wings, or tail orders.

 Immature



 Adult

(8 wing and 2 tail)

10 Quality

OR



20 Miscellaneous

(Lower Quality, mixed)

 Include Plumes
 Either
Requests are filled as inventory permits.
I hereby certify that I am requesting eagle items for religious purposes and that the information submitted herein is complete and accurate
to the best of my knowledge. I understand that false statements made here may subject me to criminal penalties.
Signature:____________________________________________________________ Date:_____________________________
===== OFFICIAL USE ONLY BELOW HERE =====

Date Forwarded to NER: _____/_____/_____ MBPO initials: _____
Date Received at NER: _____/_____/_____ NER initials: _____
Form 3-200-15B (Revised 1/2014)

5

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.) & 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:
a.
Bald and Golden Eagle Protection Act (16 U.S.C. 668), Title 50, Code of Federal Regulations, Part 22 [50 CFR 22];
b.
Endangered Species Act of 1973 (16 U.S.C. 1531-1544), 50 CFR 17.1 to 17.95(b) , 50 CFR 17.95(c) , 50 CFR 17.96 to 17.99 , and
50 CFR 17.99 to end;
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 (18 U.S.C. 42); Injurious Wildlife, 50 CFR 16;
g.
Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249) ; 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.

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. Response is not required unless a currently valid Office of Management and Budget (OMB) control
number is displayed on the form.

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 an 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, tribal, 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 Government Accountability 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 Eagle Indian Religious Reorder Request is 30 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 non-confidential summary of the confidential information. The non-confidential summary and remaining documents may be
made available to the public under FOIA [43 CFR 2.26 – 2.33].

6