Federal Fish and Wildlife Permit Applications and Reports--Management Authority; 50 CFR 12, 13, 14, 15, 16, 17, 18, 21, 23

Forms and Documents

Document	Type	Status	Availability
Form 3-200-88 Musical Instrument - application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-88 Musical Instrument - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-88 Application - Musical Instrument (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-87 Transfer/Transport of Live Captive-Held Marine Mammals (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-87 Transfer/Transport of Live Captive-Held Marine Mammals (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-86 Photography of Marine Mammals (govt)	Form and Instruction	Unchanged	Available
Form 3-200-86 Photography of Marine Mammals (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-85 Application to Establish a Master File for the Export of Live Captive-Bred Animals (CITES)	Form and Instruction	Unchanged	Available
Form 3-200-80 Export of Fertilized Live Eggs, Caviar or Meat from Aquacultured Paddlefish or Sturgeon (CITES)	Form and Instruction	Unchanged	Available
Form 3-200-75 Registration of a Production Facility for Export of Certain Native Species	Form and Instruction	Unchanged	Available
Form 3-200-74 Single Use Export Permits Under a Master File or an Annual Program File (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-74 Single Use Export Permits Under a Master File or an Annual Program File (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-74 Single Use Export Permits Under a Master File or an Annual Program File (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-26 Export of skins of 7 native species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan black bear, Alaskan gray wolf, and American alligator (CITES) (govt)	Form and Instruction	Unchanged	Available
Form 3-200-26 Export of Skins of 7 Native Species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan black bear, Alaskan gray wolf, and American alligator (CITES) (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-76 Export of Caviar or Meat of Paddlefish or Sturgeon Removed from the Wild (CITES)	Form and Instruction	Unchanged	Repair queued
Form 3-200-73 Re-Export of Wildlife (CITES) - Application (govt)	Form and Instruction	Modified	Available
Form 3-200-73 Re-Export of Wildlife (CITES) - Application (private sector)	Form and Instruction	Modified	Available
Form 3-200-73 Re-Export of Wildlife (CITES) - Application (indiv)	Form and Instruction	Modified	Available
Form 3-200-70 Export/Re-Import/Transport of Bald and Golden Eagle for Indian Religious Purposes (CITES)	Form and Instruction	Unchanged	Available
Form 3-200-69 Export/Import/Transport of Bald and Golden Eagle for Scientific or Exhibition Purposes (CITES) (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-69 Export/Import/Transport of Bald and Golden Eagle for Scientific or Exhibition Purposes (CITES) (Indiv)	Form and Instruction	Unchanged	Available
Form 3-200-66 Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-66 Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-66 Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-65 Registration of Appendix I Commercial Breeding Operations (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-64 Certificate of Ownership for Personally Owned Wildlife "Pet Passport" (CITES) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-61 American Ginseng Export Program - Report (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-61 American Ginseng Export Program - Report (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-58 Supplemental Application for a Retrospectively Issued Document (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-53 Export/Re-Export of Live Captive-Held Marine Mammals (CITES) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-53 Export/Re-Export of Live Captive-Held Marine Mammals (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-52 Reissuance, Renewal, or Amendment of a Permit - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-52 Reissuance, Renewal, or Amendment of a Permit - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-52 Reissuance, Renewal, or Amendment of a Permit - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-51 Approval of a Foreign Breeding Facility under the WBCA - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-51 Approval of a Foreign Breeding Facility under the WBCA - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-50 Approval of Sustainable Use Management Plan (WBCA) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-50 Approval of Sustainable Use Management Plan (WBCA) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-49 Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-49 Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-49 Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-48 Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-48 Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-48 Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-47 Import of Birds for Scientific Research or Zoological Breeding and Display (WBCA) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-47 Import of Birds for Scientific Research or Zoological Breeding and Display (WBCA) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-46 Import/Export/Re-export of Personal Pets (CITES or Wild Bird Conservation Act) - Application	Form and Instruction	Unchanged	Available
Form 3-200-44a Registered Agent/Tannery Inventory Report	Form and Instruction	Unchanged	Repair queued
Form 3-200-44 Registration of an Agency/Tannery (MMPA) - Application	Form and Instruction	Unchanged	Available
Form 3-200-43 Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-43 Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-43 Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-42 Import/Acquisition/Transport of Injurious Wildlife - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-42 Import/Acquisition/Transport of Injurious Wildlife - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-42 Import/Acquisition/Transport of Injurious Wildlife - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-41a Captive-Bred Wildlife Registration Annual Report (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-41 Captive-Bred Wildlife Registration/CBW - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-40a ESA Museum Permit Report (govt)	Form and Instruction	Unchanged	Available
Form 3-200-40a ESA Museum Permit Report (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-40 Export and Re-export of Museum Specimens - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-40 Export and Re-export of Museum Specimens - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-39a Certificate of Scientific Exchange (COSE) Special Reporting Conditions - Report (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-39a Certificate of Scientific Exchange (COSE) Special Reporting Conditions - Report (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-39 Certificate of Scientific Exchange/COSE (CITES) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-39 Certificate of Scientific Exchange/COSE (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-37 Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-37 Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-37 Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-36 Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-36 Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-36 Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-35 Import of Wild Collected Appendix 1 Plants (CITES) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-35 Import of Wild Collected Appendix 1 Plants (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-35 Import of Wild Collected Appendix 1 Plants (CITES) - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-34 Export of American Ginseng - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-34 Export of American Ginseng - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-33 Export of Artificially Propagated Plants - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-33 Export of Artificially Propagated Plants - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-32 Export/Re-export of Plants (CITES) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-32 Export/Re-export of Plants (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-32 Export/Re-export of Plants (CITES) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-31 Introduction from the Sea (CITES) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-31 Introduction from the Sea (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-31 Introduction from the Sea (CITES) - Application (indiv.)	Form and Instruction	Unchanged	Available
Form 3-200-30a Annual Report for Exhibition Permittees (private sector)	Form	Unchanged	Available
Form 3-200-30 Export/Re-export/Re-import of Circuses and Traveling Animal Exhibitions (and Reissuance) (CITES/ESA) – Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-29 Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-29 Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-29 Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-28 Export of Trophies by Hunters or Taxidermists (CITES) - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-27 Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-27 Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-27 Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (indiv)	Form and Instruction	Unchanged	Available
Form 3-200-26 Export of Skins of 7 Native Species: Bobcat, Lynx, River Otter, Alaskan Brown Bear, Alaskan Black Bear, Alaskan Gray Wolf, and American Alligator (CITES) - Application (private sector)	Form and Instruction	Unchanged	Available
Form 3-200-25 Export of Raptors (MBTA and/or CITES) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-24 Commercial Export of Live Captive-Born Animals (CITES) - Application (govt)	Form and Instruction	Unchanged	Available
Form 3-200-24 Commercial Export of Live Captive-Born Animals (CITES) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-24 Commercial Export of Live Captive-Born Animals (CITES) - Application (Indiv)	Form and Instruction	Unchanged	Available
Form 3-200-23 Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (govt)	Form and Instruction	Unchanged	Repair queued
Form 3-200-23 Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (private sector)	Form and Instruction	Unchanged	Repair queued
Form 3-200-23 Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (Indiv)	Form and Instruction	Unchanged	Repair queued
Form 3-200-22 Import of Sport-Hunted Bontebok Trophies from South Africa - Application	Form and Instruction	Unchanged	Repair queued
Form 3-200-21 Import of Sport-Hunted Trophies of Argali - Application	Form and Instruction	Unchanged	Repair queued
Form 3-200-20 Import of Sport-Hunted Trophies - Application	Form and Instruction	Unchanged	Available
Form 3-200-19 Import of Sport-hunted Trophies of Southern African Leopard, African Elephant, and Namibian Southern White Rhinocceros - Application	Form and Instruction	Unchanged	Repair queued
JUSTIFICATION FOR NONSUBSTANTIVE CHANGE.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-08-13	Repair queued
1018-0093 30-day published.pdf	Supplementary Document	Uploaded 2014-02-28	Available
1018-0093 60-day published.pdf	Supplementary Document	Uploaded 2014-02-24	Available
SS-A with Attachment A.pdf	Supporting Statement A	Uploaded 2014-02-24	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
210461	Musical Instrument - application (govt)	Form and Instruction	Unchanged
210460	Musical Instrument - Application (private sector)	Form and Instruction	Unchanged
210459	Application - Musical Instrument (indiv)	Form and Instruction	Unchanged
195338	Transfer/Transport of Live Captive-Held Marine Mammals (govt)	Form and Instruction	Unchanged
195336	Transfer/Transport of Live Captive-Held Marine Mammals (private sector)	Form and Instruction	Unchanged
195333	Photography of Marine Mammals (govt)	Form and Instruction	Unchanged
195332	Photography of Marine Mammals (private sector)	Form and Instruction	Unchanged
195331	Application to Establish a Master File for the Export of Live Captive-Bred Animals (CITES)	Form and Instruction	Unchanged
195320	Export of Fertilized Live Eggs, Caviar or Meat from Aquacultured Paddlefish or Sturgeon (CITES)	Form and Instruction	Unchanged
195299	Registration of a Production Facility for Export of Certain Native Species	Form and Instruction	Unchanged
195298	Single Use Export Permits Under a Master File or an Annual Program File (govt)	Form and Instruction	Unchanged
195297	Single Use Export Permits Under a Master File or an Annual Program File (private sector)	Form and Instruction	Unchanged
195296	Single Use Export Permits Under a Master File or an Annual Program File (indiv)	Form and Instruction	Unchanged
195262	Export of skins of 7 native species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan black bear, Alaskan gray wolf, and American alligator (CITES) (govt)	Form and Instruction	Unchanged
195261	Export of Skins of 7 Native Species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan black bear, Alaskan gray wolf, and American alligator (CITES) (indiv)	Form and Instruction	Unchanged
180704	Plant Rescue Program - Report on Receipt and Condition of Specimens (govt)		Unchanged
180703	Plant Rescue Program - Report on Receipt and Condition of Specimens (private sector)		Unchanged
180701	Participation in the Plant Rescue Center Program - Application (govt)		Unchanged
180700	Report for American Alligator CITES Export Program		Unchanged
180699	Report for Furbearer CITES Export Programs		Unchanged
180692	Request for Approval of a CITES Export Program (American ginseng, CITES furbearers, American Allicator)		Unchanged
180664	Export of Caviar or Meat of Paddlefish or Sturgeon Removed from the Wild (CITES)	Form and Instruction	Unchanged
180663	Re-Export of Wildlife (CITES) - Application (govt)	Form and Instruction	Modified
180662	Re-Export of Wildlife (CITES) - Application (private sector)	Form and Instruction	Modified
180661	Re-Export of Wildlife (CITES) - Application (indiv)	Form and Instruction	Modified
180660	Export/Re-Import/Transport of Bald and Golden Eagle for Indian Religious Purposes (CITES)	Form and Instruction	Unchanged
180658	Export/Import/Transport of Bald and Golden Eagle for Scientific or Exhibition Purposes (CITES) (private sector)	Form and Instruction	Unchanged
180657	Export/Import/Transport of Bald and Golden Eagle for Scientific or Exhibition Purposes (CITES) (Indiv)	Form and Instruction	Unchanged
180656	Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (govt)	Form and Instruction	Unchanged
180655	Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (private sector)	Form and Instruction	Unchanged
180654	Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (indiv)	Form and Instruction	Unchanged
180653	Registration of Appendix I Commercial Breeding Operations (CITES) - Application (private sector)	Form and Instruction	Unchanged
180652	Certificate of Ownership for Personally Owned Wildlife "Pet Passport" (CITES) - Application (indiv)	Form and Instruction	Unchanged
180651	American Ginseng Export Program - Report (private sector)	Form and Instruction	Unchanged
180650	American Ginseng Export Program - Report (indiv)	Form and Instruction	Unchanged
180649	Supplemental Application for a Retrospectively Issued Document (CITES) - Application (private sector)	Form and Instruction	Unchanged
180647	Export/Re-Export of Live Captive-Held Marine Mammals (CITES) - Application (govt)	Form and Instruction	Unchanged
180646	Export/Re-Export of Live Captive-Held Marine Mammals (CITES) - Application (private sector)	Form and Instruction	Unchanged
180645	Reissuance, Renewal, or Amendment of a Permit - Application (govt)	Form and Instruction	Unchanged
180644	Reissuance, Renewal, or Amendment of a Permit - Application (private sector)	Form and Instruction	Unchanged
180643	Reissuance, Renewal, or Amendment of a Permit - Application (indiv)	Form and Instruction	Unchanged
180642	Approval of a Foreign Breeding Facility under the WBCA - Application (private sector)	Form and Instruction	Unchanged
180641	Approval of a Foreign Breeding Facility under the WBCA - Application (indiv)	Form and Instruction	Unchanged
180640	Approval of Sustainable Use Management Plan (WBCA) - Application (private sector)	Form and Instruction	Unchanged
180639	Approval of Sustainable Use Management Plan (WBCA) - Application (govt)	Form and Instruction	Unchanged
180638	Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (govt)	Form and Instruction	Unchanged
180637	Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (private sector)	Form and Instruction	Unchanged
180636	Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (indiv)	Form and Instruction	Unchanged
180635	Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (govt)	Form and Instruction	Unchanged
180634	Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (private sector)	Form and Instruction	Unchanged
180627	Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (indiv)	Form and Instruction	Unchanged
180626	Import of Birds for Scientific Research or Zoological Breeding and Display (WBCA) - Application (govt)	Form and Instruction	Unchanged
180625	Import of Birds for Scientific Research or Zoological Breeding and Display (WBCA) - Application (private sector)	Form and Instruction	Unchanged
180624	Import/Export/Re-export of Personal Pets (CITES or Wild Bird Conservation Act) - Application	Form and Instruction	Unchanged
180622	Registered Agent/Tannery Inventory Report	Form and Instruction	Unchanged
180621	Registration of an Agency/Tannery (MMPA) - Application	Form and Instruction	Unchanged
180618	Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (govt)	Form and Instruction	Unchanged
180617	Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (private sector)	Form and Instruction	Unchanged
180616	Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (indiv)	Form and Instruction	Unchanged
180615	Import/Acquisition/Transport of Injurious Wildlife - Application (govt)	Form and Instruction	Unchanged
180614	Import/Acquisition/Transport of Injurious Wildlife - Application (private sector)	Form and Instruction	Unchanged
180613	Import/Acquisition/Transport of Injurious Wildlife - Application (indiv)	Form and Instruction	Unchanged
180611	Captive-Bred Wildlife Registration Annual Report (private sector)	Form and Instruction	Unchanged
180608	Captive-Bred Wildlife Registration/CBW - Application (private sector)	Form and Instruction	Unchanged
180541	ESA Museum Permit Report (govt)	Form and Instruction	Unchanged
180540	ESA Museum Permit Report (private sector)	Form and Instruction	Unchanged
180538	Export and Re-export of Museum Specimens - Application (govt)	Form and Instruction	Unchanged
180536	Export and Re-export of Museum Specimens - Application (private sector)	Form and Instruction	Unchanged
180535	Certificate of Scientific Exchange (COSE) Special Reporting Conditions - Report (govt)	Form and Instruction	Unchanged
180534	Certificate of Scientific Exchange (COSE) Special Reporting Conditions - Report (private sector)	Form and Instruction	Unchanged
180533	Certificate of Scientific Exchange/COSE (CITES) - Application (govt)	Form and Instruction	Unchanged
180532	Certificate of Scientific Exchange/COSE (CITES) - Application (private sector)	Form and Instruction	Unchanged
180531	Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (govt)	Form and Instruction	Unchanged
180529	Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (private sector)	Form and Instruction	Unchanged
180526	Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (indiv)	Form and Instruction	Unchanged
180525	Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (govt)	Form and Instruction	Unchanged
180524	Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (private sector)	Form and Instruction	Unchanged
180523	Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (indiv)	Form and Instruction	Unchanged
180517	Import of Wild Collected Appendix 1 Plants (CITES) - Application (govt)	Form and Instruction	Unchanged
180516	Import of Wild Collected Appendix 1 Plants (CITES) - Application (private sector)	Form and Instruction	Unchanged
180515	Import of Wild Collected Appendix 1 Plants (CITES) - Application (indiv)	Form and Instruction	Unchanged
180514	Export of American Ginseng - Application (private sector)	Form and Instruction	Unchanged
180513	Export of American Ginseng - Application (indiv)	Form and Instruction	Unchanged
180512	Export of Artificially Propagated Plants - Application (private sector)	Form and Instruction	Unchanged
180510	Export of Artificially Propagated Plants - Application (indiv)	Form and Instruction	Unchanged
180508	Export/Re-export of Plants (CITES) - Application (govt)	Form and Instruction	Unchanged
180507	Export/Re-export of Plants (CITES) - Application (private sector)	Form and Instruction	Unchanged
180506	Export/Re-export of Plants (CITES) - Application (indiv)	Form and Instruction	Unchanged
180504	Introduction from the Sea (CITES) - Application (govt)	Form and Instruction	Unchanged
180503	Introduction from the Sea (CITES) - Application (private sector)	Form and Instruction	Unchanged
180496	Introduction from the Sea (CITES) - Application (indiv.)	Form and Instruction	Unchanged
180492	Annual Report for Exhibition Permittees (private sector)	Form	Unchanged
180490	Export/Re-export/Re-import of Circuses and Traveling Animal Exhibitions (and Reissuance) (CITES/ESA) – Application (private sector)	Form and Instruction	Unchanged
180488	Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (govt)	Form and Instruction	Unchanged
180487	Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (private sector)	Form and Instruction	Unchanged
180486	Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (indiv)	Form and Instruction	Unchanged
180484	Export of Trophies by Hunters or Taxidermists (CITES) - Application (indiv)	Form and Instruction	Unchanged
180483	Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (govt)	Form and Instruction	Unchanged
180482	Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (private sector)	Form and Instruction	Unchanged
180481	Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (indiv)	Form and Instruction	Unchanged
180480	Export of Skins of 7 Native Species: Bobcat, Lynx, River Otter, Alaskan Brown Bear, Alaskan Black Bear, Alaskan Gray Wolf, and American Alligator (CITES) - Application (private sector)	Form and Instruction	Unchanged
180479	Export of Raptors (MBTA and/or CITES) - Application (private sector)	Form and Instruction	Unchanged
180477	Commercial Export of Live Captive-Born Animals (CITES) - Application (govt)	Form and Instruction	Unchanged
180476	Commercial Export of Live Captive-Born Animals (CITES) - Application (private sector)	Form and Instruction	Unchanged
180475	Commercial Export of Live Captive-Born Animals (CITES) - Application (Indiv)	Form and Instruction	Unchanged
180474	Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (govt)	Form and Instruction	Unchanged
180473	Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (private sector)	Form and Instruction	Unchanged
180472	Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (Indiv)	Form and Instruction	Unchanged
180471	Import of Sport-Hunted Bontebok Trophies from South Africa - Application	Form and Instruction	Unchanged
180470	Import of Sport-Hunted Trophies of Argali - Report		Unchanged
180469	Import of Sport-Hunted Trophies of Argali - Application	Form and Instruction	Unchanged
180466	Import of Sport-Hunted Trophies - Application	Form and Instruction	Unchanged
10976	Import of Sport-hunted Trophies of Southern African Leopard, African Elephant, and Namibian Southern White Rhinocceros - Application	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1018-0093	ICR Reference No: 201508-1018-002
Status: Historical Active	Previous ICR Reference No: 201402-1018-005
Agency/Subagency: DOI/FWS	Agency Tracking No:
Title: Federal Fish and Wildlife Permit Applications and Reports--Management Authority; 50 CFR 12, 13, 14, 15, 16, 17, 18, 21, 23
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/20/2015
	Date Received in OIRA: 08/14/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2017	05/31/2017	05/31/2017
Responses	13,360	0	13,360
Time Burden (Hours)	9,806	0	9,806
Cost Burden (Dollars)	1,018,751	0	1,018,751

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Abstract: The Fish and Wildlife Service uses the information collected to evaluate permit applications and make decisions according to criteria established in various Federal wildlife laws and regulations on the issuance, denial, suspension, or revocation or permits.

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Authorizing Statute(s): US Code: 16 USC 1531 et seq Name of Law: Endangered Species Act
   US Code: 16 USC 703 et seq. Name of Law: Migratory Bird Treaty Act
   US Code: 16 USC 3371 et seq. Name of Law: Lacey Act
   US Code: 16 USC 668 Name of Law: Bald and Golden Eagle Protection Act
   US Code: 16 USC 1361-1407 Name of Law: Marine Mammal Protection Act
   US Code: 16 USC 4901-4916 Name of Law: Wild Bird Conservation At
  

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:
	78 FR 76313	12/17/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 11459	02/28/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 113

IC Title	Form No.	Form Name
Export of Artificially Propagated Plants - Application (private sector)	3-200-33	Federal Fish and Wildlife Permit Application Form
Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (indiv)	3-200-37	Federal Fish and Wildlife Permit Application Form
Export/Re-export/Re-import of Circuses and Traveling Animal Exhibitions (and Reissuance) (CITES/ESA) – Application (private sector)	3-200-30	Federal Fish and Wildlife Permit Application Form
Export of Fertilized Live Eggs, Caviar or Meat from Aquacultured Paddlefish or Sturgeon (CITES)	3-200-80	Federal Fish and Wildlife Permit Application Form
Import of Sport-Hunted Bontebok Trophies from South Africa - Application	3-200-22	Federal Fish and Wildlife Permit Application Form
Import/Export/Re-export of Personal Pets (CITES or Wild Bird Conservation Act) - Application	3-200-46	Federal Fish and Wildlife Permit Application Form
Export and Re-export of Museum Specimens - Application (private sector)	3-200-40	Federal Fish and Wildlife Permit Application Form
Supplemental Application for a Retrospectively Issued Document (CITES) - Application (private sector)	3-200-58	Federal Fish and Wildlife Permit Application Form
Approval of a Foreign Breeding Facility under the WBCA - Application (private sector)	3-200-51	Federal Fish and Wildlife Permit Application Form
Reissuance, Renewal, or Amendment of a Permit - Application (indiv)	3-200-52	Federal Fish and Wildlife Permit Application Form
Reissuance, Renewal, or Amendment of a Permit - Application (private sector)	3-200-52	Federal Fish and Wildlife Permit Application Form
Introduction from the Sea (CITES) - Application (indiv.)	3-200-31	Federal Fish and Wildlife Permit Application Form
Request for Approval of a CITES Export Program (American ginseng, CITES furbearers, American Allicator)
Commercial Export of Live Captive-Born Animals (CITES) - Application (private sector)	3-200-24	Federal Fish and Wildlife Permit Application Form
Import of Sport-hunted Trophies of Southern African Leopard, African Elephant, and Namibian Southern White Rhinocceros - Application	3-200-19	Federal Fish and Wildlife Permit Application Form
Certificate of Scientific Exchange (COSE) Special Reporting Conditions - Report (govt)	3-200-39a	Certificate of Scientific Exchange (COSE) Special Reporting Conditions
Export of Caviar or Meat of Paddlefish or Sturgeon Removed from the Wild (CITES)	3-200-76	Federal Fish and Wildlife Permit Application Form
Plant Rescue Program - Report on Receipt and Condition of Specimens (private sector)
Certificate of Scientific Exchange (COSE) Special Reporting Conditions - Report (private sector)	3-200-39a	Certificate of Scientific Exchange (COSE) Special Reporting Conditions
Import of Wild Collected Appendix 1 Plants (CITES) - Application (indiv)	3-200-35	Federal Fish and Wildlife Permit Application Form
Transfer/Transport of Live Captive-Held Marine Mammals (private sector)	3-200-87	Federal Fish and Wildlife Permit Application Form
Transfer/Transport of Live Captive-Held Marine Mammals (govt)	3-200-87	Federal Fish and Wildlife Permit Application Form
Import of Wild Collected Appendix 1 Plants (CITES) - Application (private sector)	3-200-35	Federal Fish and Wildlife Permit Application Form
Captive-Bred Wildlife Registration/CBW - Application (private sector)	3-200-41	Federal Fish and Wildlife Permit Application Form
Report for Furbearer CITES Export Programs
American Ginseng Export Program - Report (indiv)	3-200-61	Federal Fish and Wildlife Permit Application Form
Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (private sector)	3-200-23	Federal Fish and Wildlife Permit Application Form
Plant Rescue Program - Report on Receipt and Condition of Specimens (govt)
Certificate of Scientific Exchange/COSE (CITES) - Application (private sector)	3-200-39	Federal Fish and Wildlife Permit Application Form
Commercial Export of Live Captive-Born Animals (CITES) - Application (Indiv)	3-200-24	Federal Fish and Wildlife Permit Application Form
Approval of Sustainable Use Management Plan (WBCA) - Application (govt)	3-200-50	Federal Fish and Wildlife Permit Application Form
Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (govt)	3-200-27	Federal Fish and Wildlife Permit Application Form
Export of American Ginseng - Application (private sector)	3-200-34	Federal Fish and Wildlife Permit Application Form
Import of Sport-Hunted Trophies of Argali - Application	3-200-21	Federal Fish and Wildlife Permit Application Form
Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (indiv)	3-200-36	Federal Fish and Wildlife Permit Application Form
Application to Establish a Master File for the Export of Live Captive-Bred Animals (CITES)	3-200-85	Federal Fish and Wildlife Permit Application Form
Registered Agent/Tannery Inventory Report	3-200-44a	Registered Agent/Tannery Inventory Report
Import/Acquisition/Transport of Injurious Wildlife - Application (govt)	3-200-42	Federal Fish and Wildlife Permit Application Form
Photography of Marine Mammals (private sector)	3-200-86	Federal Fish and Wildlife Permit Application Form
Import of Birds for Scientific Research or Zoological Breeding and Display (WBCA) - Application (private sector)	3-200-47	Federal Fish and Wildlife Permit Application Form
Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (indiv)	3-200-48	Federal Fish and Wildlife Permit Application Form
Approval of a Foreign Breeding Facility under the WBCA - Application (indiv)	3-200-51	Federal Fish and Wildlife Permit Application Form
Commercial Export of Live Captive-Born Animals (CITES) - Application (govt)	3-200-24	Federal Fish and Wildlife Permit Application Form
Registration of an Agency/Tannery (MMPA) - Application	3-200-44	Federal Fish and Wildlife Permit Application Form
Certificate of Scientific Exchange/COSE (CITES) - Application (govt)	3-200-39	Federal Fish and Wildlife Permit Application Form
Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (private sector)	3-200-37	Federal Fish and Wildlife Permit Application Form
Export of Skins of 7 Native Species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan black bear, Alaskan gray wolf, and American alligator (CITES) (indiv)	3-200-26	Federal Fish and Wildlife Permit Application Form
Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (Indiv)	3-200-23	Federal Fish and Wildlife Permit Application Form
Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (govt)	3-200-29	Federal Fish and Wildlife Permit Application Form
Export and Re-export of Museum Specimens - Application (govt)	3-200-40	Federal Fish and Wildlife Permit Application Form
Export/Re-export of Plants (CITES) - Application (indiv)	3-200-32	Federal Fish and Wildlife Permit Application Form
Participation in the Plant Rescue Center Program - Application (govt)
Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (govt)	3-200-49	Federal Fish and Wildlife Permit Application Form
Captive-Bred Wildlife Registration Annual Report (private sector)	3-200-41a	Captive-Bred Wildlife Registration Annual Report
Import/Acquisition/Transport of Injurious Wildlife - Application (indiv)	3-200-42	Federal Fish and Wildlife Permit Application Form
Import/Acquisition/Transport of Injurious Wildlife - Application (private sector)	3-200-42	Federal Fish and Wildlife Permit Application Form
Export of American Ginseng - Application (indiv)	3-200-34	Federal Fish and Wildlife Permit Application Form
Approval of Sustainable Use Management Plan (WBCA) - Application (private sector)	3-200-50	Federal Fish and Wildlife Permit Application Form
Single Use Export Permits Under a Master File or an Annual Program File (private sector)	3-200-74	Federal Fish and Wildlife Permit Application Form
Single Use Export Permits Under a Master File or an Annual Program File (govt)	3-200-74	Federal Fish and Wildlife Permit Application Form
Registration of a Production Facility for Export of Certain Native Species	3-200-75	Federal Fish and Wildlife Permit Application Form
Single Use Export Permits Under a Master File or an Annual Program File (indiv)	3-200-74	Federal Fish and Wildlife Permit Application Form
Photography of Marine Mammals (govt)	3-200-86	Federal Fish and Wildlife Permit Application Form
Export of Skins of 7 Native Species: Bobcat, Lynx, River Otter, Alaskan Brown Bear, Alaskan Black Bear, Alaskan Gray Wolf, and American Alligator (CITES) - Application (private sector)	3-200-26	Federal Fish and Wildlife Permit Application Form
Export of Trophies by Hunters or Taxidermists (CITES) - Application (indiv)	3-200-28	Federal Fish and Wildlife Permit Application Form
Annual Report for Exhibition Permittees (private sector)	3-200-30a	Annual Report for Exhibition Permittees
Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (indiv)	3-200-29	Federal Fish and Wildlife Permit Application Form
Export/Re-export of Plants (CITES) - Application (govt)	3-200-32	Federal Fish and Wildlife Permit Application Form
ESA Museum Permit Report (govt)	3-200-40a	ESA Museum Permit Report
Export of Pre-Convention, Pre-Act, or Antique Specimens (CITES, MMPA, and/or ESA) - Application (govt)	3-200-23	Federal Fish and Wildlife Permit Application Form
Export/Import/Transport of Bald and Golden Eagle for Scientific or Exhibition Purposes (CITES) (Indiv)	3-200-69	Federal Fish and Wildlife Permit Application Form
Export/Re-Import/Transport of Bald and Golden Eagle for Indian Religious Purposes (CITES)	3-200-70	Federal Fish and Wildlife Permit Application Form
Re-Export of Wildlife (CITES) - Application (indiv)	3-200-73	Federal Fish and Wildlife Permit Application Form
Musical Instrument - application (govt)	3-200-88	Federal Fish and Wildlife Permit Application Form
Application - Musical Instrument (indiv)	3-200-88	Federal Fish and Wildlife Permit Application Form
Musical Instrument - Application (private sector)	3-200-88	Federal Fish and Wildlife Permit Application Form
Import of Sport-Hunted Trophies of Argali - Report
Export of Artificially Propagated Plants - Application (indiv)	3-200-33	Federal Fish and Wildlife Permit Application Form
American Ginseng Export Program - Report (private sector)	3-200-61	Federal Fish and Wildlife Permit Application Form
Certificate of Ownership for Personally Owned Wildlife "Pet Passport" (CITES) - Application (indiv)	3-200-64	Federal Fish and Wildlife Permit Application Form
Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (govt)	3-200-48	Federal Fish and Wildlife Permit Application Form
Export of Raptors (MBTA and/or CITES) - Application (private sector)	3-200-25	Federal Fish and Wildlife Permit Application Form
Export of skins of 7 native species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan black bear, Alaskan gray wolf, and American alligator (CITES) (govt)	3-200-26	Federal Fish and Wildlife Permit Application Form
Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (indiv)	3-200-66	Federal Fish and Wildlife Permit Application Form
Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (private sector)	3-200-66	Federal Fish and Wildlife Permit Application Form
Replacement Document (CITES,MMPA, WBCA/Lacey Act) - Application (govt)	3-200-66	Federal Fish and Wildlife Permit Application Form
Re-Export of Wildlife (CITES) - Application (private sector)	3-200-73	Federal Fish and Wildlife Permit Application Form
Re-Export of Wildlife (CITES) - Application (govt)	3-200-73	Federal Fish and Wildlife Permit Application Form
ESA Museum Permit Report (private sector)	3-200-40a	ESA Museum Permit Report
Export/Re-export of Plants (CITES) - Application (private sector)	3-200-32	Federal Fish and Wildlife Permit Application Form
Export/Re-Export of Live Captive-Held Marine Mammals (CITES) - Application (private sector)	3-200-53	Federal Fish and Wildlife Permit Application Form
Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (private sector)	3-200-49	Federal Fish and Wildlife Permit Application Form
Report for American Alligator CITES Export Program
Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (private sector)	3-200-36	Federal Fish and Wildlife Permit Application Form
Export/Import/Transport of Bald and Golden Eagle for Scientific or Exhibition Purposes (CITES) (private sector)	3-200-69	Federal Fish and Wildlife Permit Application Form
Registration of Appendix I Commercial Breeding Operations (CITES) - Application (private sector)	3-200-65	Federal Fish and Wildlife Permit Application Form
Import of Sport-Hunted Trophies - Application	3-200-20	Federal Fish and Wildlife Permit Application Form
Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (indiv)	3-200-43	Federal Fish and Wildlife Permit Application Form
Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (private sector)	3-200-43	Federal Fish and Wildlife Permit Application Form
Introduction from the Sea (CITES) - Application (private sector)	3-200-31	Federal Fish and Wildlife Permit Application Form
Export/Import/Interstate and Foreign Commerce of Plants (CITES and/or ESA) - Application (govt)	3-200-36	Federal Fish and Wildlife Permit Application Form
Export/Import/Interstate and Foreign Commerce/Take of Animals (Live/Samples/Parts/Products (CITES and/or ESA) - Application (govt)	3-200-37	Federal Fish and Wildlife Permit Application Form
Approval, Amendment or Renewal of a Cooperative Breeding Program (WBCA) - Application (indiv)	3-200-49	Federal Fish and Wildlife Permit Application Form
Reissuance, Renewal, or Amendment of a Permit - Application (govt)	3-200-52	Federal Fish and Wildlife Permit Application Form
Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (indiv)	3-200-27	Federal Fish and Wildlife Permit Application Form
Introduction from the Sea (CITES) - Application (govt)	3-200-31	Federal Fish and Wildlife Permit Application Form
Export/Re-Export of Live Captive-Held Marine Mammals (CITES) - Application (govt)	3-200-53	Federal Fish and Wildlife Permit Application Form
Take/Import/Transport/Export of Marine Mammals or Renewal/Amendment of Existing Permit - Application (govt)	3-200-43	Federal Fish and Wildlife Permit Application Form
Import of Birds for Scientific Research or Zoological Breeding and Display (WBCA) - Application (govt)	3-200-47	Federal Fish and Wildlife Permit Application Form
Import of Wild Collected Appendix 1 Plants (CITES) - Application (govt)	3-200-35	Federal Fish and Wildlife Permit Application Form
Export of Wildlife Removed from the Wild (Live/Samples/Parts/Products (CITES) - Application (private sector)	3-200-27	Federal Fish and Wildlife Permit Application Form
Import of Birds Under an Approved Cooperative Breeding Program (WBCA) - Application (private sector)	3-200-48	Federal Fish and Wildlife Permit Application Form
Export/Re-Export of Wildlife Samples and/or Biomedical Samples (CITES) - Application (private sector)	3-200-29	Federal Fish and Wildlife Permit Application Form

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ICR Summary 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	13,360	13,360	0	0	0	0
Annual Time Burden (Hours)	9,806	9,806	0	0	0	0
Annual Cost Burden (Dollars)	1,018,751	1,018,751	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: We are estimating 13,360 responses, 9,806 burden hours, and $1,018,751 in nonhour burden costs. This is a net increase of 305 responses, 281 burden hours, and $36,000 in nonhour burden costs from our previous submission. • We are reporting as a program change a net decrease of 172 responses, 216 burden hours, and $18,400 in nonhour burden costs. This includes an increase of 75 responses and 38 burden hours associated with the new application form (3-200-88). The remaining hour and costs are a ROCIS-forced program change. These are actually an adjustment as a result of our efforts to accurately identify respondent groups. • We are reporting as an adjustment an increase of 477 responses, 497 burden hours, and $54,400 in nonhour burden costs. These increases are the result of adjustments to our estimated number of responses based on our experience in administering this collection.

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Annual Cost to Federal Government: $1,838,735

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: 08/14/2015

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