Temporary Access Permit Application

Non-Federal Oil and Gas Operations on National Wildlife Refuge System Lands, 50 CFR 29, Subpart D

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0162 can be found here:

Documents and Forms

Document Name Document Type
Form FWS Form 3-2469 Temporary Access Permit Application Form and Instruction
FWS Form 3-2469 Oil and Gas Operations Special Permit Application 3-2469 rev 5_06_15.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Temporary Access Permit Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29.71

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FWS Form 3-2469	Oil and Gas Operations Special Permit Application	3-2469 rev 5_06_15.docx		Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 35	Number of Respondents for Small Entity: 35

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	35	35
Annual IC Time Burden (Hours)	595	595
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.