Form 3-200-72 Federal Fish and Wildlife Service Permit Application For

Eagle Take Permits and Fees, 50 CFR 22

3-200-72 - 2016

3-200-72 - application - Eagle Nest Take - multiple nests - change in nonhour cost burden - indiv

OMB: 1018-0167

Document [pdf]
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WHAT YOU SHOULD KNOW ABOUT A FEDERAL
PERMIT FOR EAGLE NEST REMOVAL

A Federal permit for take of an eagle nest authorizes take (removal and/or relocation) of a bald or golden
eagle nest to protect human safety or eagles, and under other limited circumstances. You should review
Title 50 Parts 10, 13, and 22.27 of the Code of Federal Regulations (CFR). You are responsible for
reviewing and understanding these regulations before you request and accept a permit. These
regulations can be found on our website at http://www.fws.gov/permits/ltr/ltr.html. Below are questions
and answers regarding eagle nest take permits.
1. Under what circumstances may an eagle nest be removed?
This permit may be used to authorize the removal of a bald or golden eagle nest where the removal is: (a)
necessary to alleviate a safety emergency to people or eagles; (b) necessary to ensure public health and
safety; (c) the nest prevents the use of a pre-existing human-engineered structure; or (d) the activity or
mitigation for the activity will provide a net benefit to eagles. Only inactive nests may be taken, except in
the case of safety emergencies. Inactive nests are defined by the continuous absence of any adult, egg, or
dependent young at the nest for at least 10 consecutive days leading up to the time of take.
2. If one of the four situations described above applies, will the Service automatically issue a nest
removal permit?
No. Other criteria also must be met, including the following: the removal must be compatible with the
preservation of bald and golden eagles; there is no practicable alternative to removing the nest; and for
take that is not necessary to alleviate an immediate threat to human safety or eagles, we additionally must
find that suitable nesting and foraging habitat is available to the area nesting population of eagles to
accommodate any eagles displaced by the nest removal.
3. Does the permit allow people to take nests that have eggs or nestlings in them?
The only situation in which the permit may authorize removal of an active nest is in the case of a safety
emergency, meaning a situation that necessitates immediate action to alleviate a threat of bodily harm to
humans or eagles. Otherwise, only inactive nests may be removed with this permit. For purposes of this
permit, an inactive nest is “a bald eagle or golden eagle nest that is not currently being used by eagles as
determined by the continuing absence of any adult, egg, or dependent young at the nest for at least 10
consecutive days immediately prior to, and including, at present.”
4. If an emergency necessitates the removal of a nest with eggs or dependent young, what should the
permittee do about the eggs or young eagles?
Emergency nest-take permits may authorize the take of eggs or young if they are present. Any take of
nestlings or eggs must be conducted by a Service-approved, qualified, and permitted agent, and all
nestlings and viable eggs must be immediately transported to foster/recipient nests or a rehabilitation
facility permitted to care for eagles, as directed by the Service.
5. Can a permittee keep an eagle nest taken under this permit?
No. A separate permit is required to possess an eagle nest and it can be issued only to specific types of
organizations. The Bald and Golden Eagle Protection Act (16 U.S.C 668—668d) allows only public
museums, public scientific societies, and public zoological parks to obtain permits to possess eagle nests
for scientific or educational purposes.

Fact Sheet Page 1 of 3

3-200-72
2/20/2014

6. Are post-activity monitoring and reporting required?
Permittees may be required to monitor the area and report whether eagles attempt to build or occupy
another nest at another site in the vicinity for the duration specified in the permit. Permittees must submit
a report to the Regional Migratory Bird Permit Office within 30 days after the permitted nest removal
(except for programmatic permittees who must report each nest removal within 10 days after the take and
submit an annual report by January 31 of the calendar year). The report must include all the information
required by Service Form 3-202-16.
7. What is a programmatic permit and when is it required?
Programmatic take is generally defined as take that is recurring and not in a specific, identifiable time
frame and/or location. The specific regulatory definition is “take that (a) is recurring, but not caused
solely by indirect effects, and (b) occurs over the long term and/or in a location or locations that cannot be
specifically identified.”
Programmatic take permits may be issued to entities, such as electric utilities or airports that cannot
entirely avoid the need to remove eagle nests during the course of their routine operations. In order to
qualify for programmatic permits, applicants must work with the Service to develop and implement
additional, exceptionally comprehensive measures (“advanced conservation practices” or “ACPs”) to
reduce take to the level where any remaining take is essentially unavoidable.
8. Will mitigation measures be required?
All permittees will be required to avoid and minimize the potential for take to the degree practicable, and
for programmatic permits, to the point where take is unavoidable. Where feasible, if suitable conditions
are present, the permittee may be required to relocate the nest, construct an alternate nest, or improve
conditions at alternate nest sites in the territory. Compensatory mitigation may be appropriate depending
on the biological value of the nest and the type of circumstances necessitating its removal. In general,
little or no compensatory mitigation will be required for emergency nest-take if the permittee could not
foresee or prevent the eagles from nesting.
9. How long does it take to get a permit to remove an eagle nest?
The time needed by the Service to process a permit application depends on the complexity and scope of
the activity and associated take, whether tribal consultation is warranted, what additional environmental
analyses may be required, and other factors. In general, applicants may expect the following approximate
permit processing times from the time we receive a complete application:
Emergency nest-take permit
Standard permit
Standard or programmatic permit requiring an environmental assessment
Standard or programmatic permit with EIS

2 to 5 days
90 days
4 to 6 months
18 to 24 months

10. Do I need additional authorization to take eagles from my State or tribal government?
State, tribal and local governments may have their own regulations protecting eagles and eagle nests.
Your federal permit is not valid unless you obtain and comply with all permits, licenses, or other
authorizations required by these jurisdictions that apply your activity with respect to eagles.
11. How do I renew my permit?
Except for programmatic permits, this type of permit should not typically be subject to renewal
considerations, because, in general, standard permits issued under these regulations authorize take of a
specific nest in an identifiable time-frame. However, a renewal letter or form and annual report form will
be sent to you at least 60 days prior to the expiration of your permit (partially as a reminder that your

Fact Sheet Page 2 of 3

3-200-72
2/20/2014

permit is due to expire). If you wish to renew your permit, you must return the completed renewal to your
Regional Migratory Bird Permit Office at least 30 days prior to the expiration of your permit and include
copies of any other permits required by your State, tribe, or other jurisdiction. If we receive your renewal
request at least 30 days prior to the expiration of your permit, your permit will remain valid beyond the
expiration date for the activity authorized on your permit until a decision on your renewal is made. If we
receive your renewal request fewer than 30 days prior to expiration of your permit and we are unable to
process your request before the expiration date, your permit will expire and you will no longer be covered
for your activity. If you allow your permit to expire before requesting renewal, you may be required to
submit a new application. (See 50 CFR 13.22 and 13.11(c)).

Page 3 of 3

3-200-72
2/20/2014

Type of Permit

*

*

*

*

*

*

CFR
Citation

Permit
Application
Fee

Amendment
Fee

50

*
Bald and Golden Eagle Protection Act

Eagle Scientific Collecting

50 CFR part 22

100

Eagle Exhibition

50 CFR part 22

75

Eagle Falconry

50 CFR part 22

100

Eagle—Native American Religion

50 CFR part 22

No fee

Eagle Take permits—Depredation and
Protection of Health and Safety

50 CFR part 22

100

Golden Eagle Nest Take

50 CFR part 22

100

Eagle Transport—Scientific or Exhibition

50 CFR part 22

75

Eagle Transport—Native American Religious
Purposes

50 CFR part 22

No fee

Eagle Incidental Take—Up to 5 years

50 CFR part 22

2,500

500

Eagle Incidental Take—Homeowner

50 CFR part 22

500

150

Eagle Incidental Take—5–30 years

50 CFR part 22

36,000

Eagle Incidental Take—Transfer of a permit

50 CFR part 22

1,000

Eagle Nest Take—Single nest

50 CFR part 22

2,500

500

Eagle Nest Take—Multiple nests

50 CFR part 22

5,000

500

Eagle Nest Take—Homeowner

50 CFR part 22

500

150

Eagle Take—Exempted under ESA

50 CFR part 22

No fee

*

*

*

*

*

*

*

50

Department of the Interior
U.S. Fish and Wildlife Service

OMB Control No. 1018 - 0022
Expires

Federal Fish and Wildlife Permit Application Form
Click here for addresses.

Return to: U.S. Fish and Wildlife Service (USFWS)

Type of Activity:

Eagle Nest Take

 New Application
 Requesting Renewal or Amendment of Permit # __________________
Complete Sections A or B, and C, D, and E of this application. U.S. address may be required in Section C, see instructions for details.
See attached instruction pages for information on how to make your application complete and help avoid unnecessary delays.

A.

Complete if applying as an individual

1.a. Last name

1.b. First name

1.c. Middle name or initial

1.d. Suffix

2. Date of birth (mm/dd/yyyy)

3. Social Security No.

4. Occupation

5. Affiliation/ Doing business as (see instructions)

6.a. Telephone number

6.b. Alternate telephone number

6.c. Fax number

6.d. E-mail address

B.

Complete if applying on behalf of a business, corporation, public agency, Tribe, or institution

1.a. Name of business, agency, Tribe, or institution

1.b. Doing business as (dba)

2. Tax identification no.

3. Description of business, agency, or institution

4.a. Principal officer Last name

4.b. Principal officer First name

5. Principal officer title

4.c. Principal officer Middle name/ initial

4.d. Suffix

6. Primary contact name

7.a. Business telephone number

7.b. Alternate telephone number

C.

7.c. Business fax number

7.d. Business e-mail address

All applicants complete address information

1.a. Physical address (Street address; Apartment #, Suite #, or Room #; no P.O. Boxes)

1.b. City

1.c. State

1.d. Zip code/Postal code:

1.e. County/Province

1.f. Country

2.a. Mailing Address (include if different than physical address; include name of contact person if applicable)

2.b. City

2.c. State

D.
1.

2.
3.

2.d. Zip code/Postal code:

2.e. County/Province

2.f. Country

All applicants MUST complete
Attach check or money order payable to the U.S. FISH AND WILDLIFE SERVICE in the amount $500.00 (standard) or $1,000 (programmatic) nonrefundable
processing fee if you are applying for a new permit or $150.00 (standard) or $500 (programmatic) nonrefundable processing fee if you are requesting a substantive
amendment of your existing valid permit.. Federal, Tribal, State, and local government agencies, and those acting on behalf of such agencies, are exempt from the
processing fee – attach documentation of fee exempt status as outlined in instructions. (50 CFR 13.11(d))
Do you currently have or have you ever had any Federal Fish and Wildlife permits?
Yes  If yes, list the number of the most current permit you have held or that you are applying to renew/re-issue: _________________
No 
Certification: I hereby certify that I have read and am familiar with the regulations contained in Title 50, Part 13 of the Code of Federal Regulations and the other
applicable parts in subchapter B of Chapter I of Title 50, and I certify that the information submitted in this application for a permit is complete and accurate to the
best of my knowledge and belief. I understand that any false statement herein may subject me to the criminal penalties of 18 U.S.C. 1001.
______________________________________________________________________________________________________________________
Signature (in blue ink) of applicant/person responsible for permit (No photocopied or stamped signatures)
Date of signature (mm/dd/yyyy)

Please continue to next page
Form 3-200-72

Rev. 12/2013

Page 1of 5

SECTION E. Eagle Nest Take
(Bald and Golden Eagle Protection Act, 50 CFR 22.27)

Note: A Federal eagle nest take permit authorizes the removal of bald eagle or golden eagle nests for human safety, the safety of
eagles, or the public’s welfare. Permits are available to individuals, agencies, businesses, and other organizations. This permit
does not authorize possession of any eagle or eagle parts including nests or the lethal take of any eagle eggs. Please read “What
You Should Know About a Federal Permit for Eagle Nest Removal” and the regulations at 50 CFR 21.27 before you sign and
submit your application.
Please provide the information requested below on a separate sheet of paper with your responses numbered according to the application
questions. You should be as thorough and specific as possible in your responses. Incomplete applications will be returned, delayed
or abandoned. Processing time depends on the complexity of the request and completeness of the application.
Although you may submit supplemental documents that contain the required information, you must respond to each application
requirement below specifically in a single attachment that includes all and only the information required by the application.
Enumerate each response in accordance with the question numbers below. Please do not send pages that are over 8.5” x 11” or
DVDs.
1.

Provide the name and contact information for any U.S. Fish and Wildlife Service employee(s) who has provided technical
assistance or worked with you on this project.

2.

Describe the situation that necessitates removal of the eagle nest(s), including:
(a) The number of nests proposed to be taken
(b) Whether the nest is a bald eagle or golden eagle nest
(c) Whether the nest is active or inactive and how this was determined. (An active nest may only be taken to alleviate an
immediate safety emergency. A “safety emergency” means “a situation that necessitates immediate action to alleviate a
threat of bodily harm to humans or eagles.” An inactive nest is one that is not currently used by eagles as determined by the
absence of any adult, egg, or dependent young at the nest during the 10 days before the nest is taken.)
(d) When you propose to take the nest

3.

State whether the nest take necessary to alleviate a safety emergency.
(a) If it is, provide the following:
(1) Describe the safety emergency and why the situation was not foreseeable
(2) Explain why removal of the nest is necessary to alleviate it
(b)

4.

5.

If it is not, provide the following:
(1) Explain why removal of the nest(s) is necessary)
(2) A calculation of the bald eagle or golden eagle area nesting population, including an appropriately scaled map or plat
showing the location of each eagle nest used to calculate the area nesting population unless the Service has sufficient
data to independently calculate the area nesting population
(3) A description of the avoidance, minimization, and mitigation measures you have used to reduce the need to take the
nest, to offset the take, or in some situations (see 50 CFR 22.27(b)(7)) to provide a net benefit to eagles

If the nest is built on a human-engineered structure, provide the following:
(a)
a detailed description of the structure and how the nest renders the structure inoperable for its intended use
(b)
maps, digital photographs and detailed description of the situation

6.

Provide a description of the property, including maps and digital photographs that show the location of the nest in relation to
buildings, infrastructure, and human activities.
Provide the location of the property, including city, county and latitude and longitude geographic coordinates.

7.

If the nest will be removed, how will you prevent future nesting on the same structure/in the area?

(Continued)

Form 3-200-72

Rev. 12/2013

Page 2 of 5

8.

Provide the length of time for which the permit is requested, including beginning and ending dates.

9.

When an active nest must be removed under this permit, any take of nestlings or eggs must be conducted by a Service-approved,
qualified, and permitted agent, and all nestlings and viable eggs must be immediately transported to foster/recipient nests or a
rehabilitation facility permitted to care for eagles, as directed by the Service. Provide a statement outlining how the eagle’s nest
will be removed, indicating the intended disposition of the nest, and if active, a description of how the nestlings or eggs will be
removed, including the recipient nest(s) or federally permitted rehabilitation facility that is authorized for the possession of live
eagle(s) or eggs, and/or eagle nest(s).

10.

If the nest will be removed or relocated (rather than destroyed in the course of an activity), provide the name, address, phone
number, and e-mail address of the qualified party conducting the removal and/or relocation.

11.

You must retain records relating to the activities conducted under your permit for at least 5 years from the date of expiration of
the permit. Please provide the address where these records will be kept.

12.

Any permit issued as a result of this application is not valid unless you also have any required State or Tribal permits or
approvals associated with the activity. Indicate whether you have obtained all required State or Tribal permits or approvals to
conduct this activity.
If you have obtained all required approvals, answer “Yes” and attach a copy of the approval(s).
If you have applied for any required approvals, answer “Have applied” and send copy when issued.
If no State or Tribal permits or approvals are required, answer “None required.”

13.

Disqualification factor. A conviction, or entry of a plea of guilty or nolo contendere, for a felony violation of the Lacey Act, the
Migratory Bird Treaty Act, or the Bald and Golden Eagle Protection Act disqualifies any such person from receiving or
exercising the privileges of a permit, unless such disqualification has been expressly waived by the Service Director in response
to a written petition. (50 CFR 13.21(c))
Have you or any of the owners of the business, if applying as a business, been convicted, or entered a plea of guilty or nolo
contendere, forfeited collateral, or are currently under charges for any violations of the laws mentioned above? Indicate “Yes” or
“No.” If you answered “Yes” provide: a) the individual’s name, b) date of charge, c) charge(s), d) location of incident, e) court,
and f) action taken for each violation.

Form 3-200-72

Rev. 12/2013

Page 3 of 5

PERMIT APPLICATION FORM INSTRUCTIONS
The following instructions pertain to an application for a U.S. Fish and Wildlife Service or CITES permit. The General Permit Procedures in 50
CFR 13 address the permitting process. For simplicity, all licenses, permits, registrations, and certificates are referred to as a permit.
GENERAL INSTRUCTIONS:
•
Complete all blocks/lines/questions in Sections A or B, and C, D, and E.
•
An incomplete application may cause delays in processing or may be returned to the applicant. Be sure you are filling in the
appropriate application form for the proposed activity.
•
Print clearly or type in the information. Illegible applications may cause delays.
•
Sign the application in blue ink. Faxes or copies of the original signature will not be accepted.
•
Mail the original application to the address at the top of page one of the application or if applicable on the attached address list.
•
Keep a copy of your completed application.
•
Please plan ahead. Allow at least 60 days for your application to be processed. Some applications may take longer than 90 days to
process. (50 CFR 13.11)
•
Applications are processed in the order they are received.
•
Additional forms and instructions are available from http://permits.fws.gov.
COMPLETE EITHER SECTION A OR SECTION B:
Section A. Complete if applying as an individual:
•
Enter the complete name of the responsible individual who will be the permittee if a permit is issued. Enter personal information that
identifies the applicant. Fax and e-mail are not required if not available.
•
If you are applying on behalf of a client, the personal information must pertain to the client, and a document evidencing power of attorney
must be included with the application.
•
Affiliation/ Doing business as (dba): business, agency, organizational, or institutional affiliation directly related to the activity requested
in the application (e.g., a taxidermist is an individual whose business can directly relate to the requested activity). The Division of
Management Authority (DMA) will not accept doing business as affiliations for individuals.
Section B. Complete if applying as a business, corporation, public agency, Tribe, or institution:
•
Enter the complete name of the business, agency, Tribe, or institution that will be the permittee if a permit is issued. Give a brief
description of the type of business the applicant is engaged in. Provide contact phone number(s) of the business.
•
Principal Officer is the person in charge of the listed business, corporation, public agency, Tribe, or institution. The principal officer is
the person responsible for the application and any permitted activities. Often the principal officer is a Director or President. Primary
Contact is the person at the business, corporation, public agency, Tribe, or institution who will be available to answer questions about the
application or permitted activities. Often this is the preparer of the application.
ALL APPLICANTS COMPLETE SECTION C:
•
For all applications submitted to the Division of Management Authority (DMA) a physical U.S. address is required. Province and
Country blocks are provided for those USFWS programs which use foreign addresses and are not required by DMA.
•
Mailing address is address where communications from USFWS should be mailed if different than applicant’s physical address.
ALL APPLICANTS COMPLETE SECTION D:
Section D.1 Application processing fee:
•
An application processing fee is required at the time of application; unless exempted under 50 CFR13.11(d)(3). The application
processing fee is assessed to partially cover the cost of processing a request. The fee does not guarantee the issuance of a permit. Fees
will not be refunded for applications that are approved, abandoned, or denied. We may return fees for withdrawn applications prior to
any significant processing occurring.
•
Documentation of fee exempt status is not required for Federal, Tribal, State, or local government agencies; but must be supplied by
those applicants acting on behalf of such agencies. Those applicants acting on behalf of such agencies must submit a letter on agency
letterhead and signed by the head of the unit of government for which the applicant is acting on behalf, confirming that the applicant will
be carrying out the permitted activity for the agency.
Section D.2 Federal Fish and Wildlife permits:
•
List the number(s) of your most current FWS or CITES permit or the number of the most recent permit if none are currently valid. If
applying for re-issuance of a CITES permit, the original permit must be returned with this application.
Section D.3 CERTIFICATION:
•
The individual identified in Section A, the principal officer named in Section B, or person with a valid power of attorney
(documentation must be included in the application) must sign and date the application in blue ink. This signature binds the applicant
to the statement of certification. This means that you certify that you have read and understand the regulations that apply to the permit.
You also certify that everything included in the application is true to the best of your knowledge. Be sure to read the statement and re-read
the application and your answers before signing.
ALL APPLICANTS COMPLETE SECTION E.

Please continue to next page
Form 3-200-72

Rev. 12/2013

Page 4 of 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.) and 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:
(Authorizing statutes can be found at: http://www.gpoaccess.gov/cfr/index.html and http://www.fws.gov/permits/ltr/ltr.html.)
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22;
Endangered Species Act of 1973 (16 U.S.C. 1531-1544), 50CFR 17;
Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21;
Marine Mammal Protection Act of 1972 (16 U.S.C. 1361, et. seq.), 50 CFR 18;
Wild Bird Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15;
Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;
Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), http://www.cites.org/ , 50 CFR 23;
General Provisions, 50 CFR 10;
General Permit Procedures, 50 CFR 13; and
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. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently
valid OMB control number.

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, 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 for information collection varies depending on the activity for which a permit is requested. The relevant burden for an
Eagle Nest Take (standard) permit application is 16 hours and 6 hours for a (standard) permit amendment. For an Eagle Nest Take (programmatic)
permit application, the relevant burden is 40 hours and 20 hours for a programmatic permit amendment. 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].
Form 3-200-72

Rev. 12/2013

Page 5 of 5

Migratory Bird Regional Permit
Offices
FWS
REGION

AREA OF
RESPONSIBILITY

MAILING
ADDRESS

CONTACT
INFORMATION

Region 1

Hawaii, Idaho, Oregon,
Washington

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

Tel. (503) 872-2715
Fax (503) 231-2019
Email [email protected]

Region 2

Arizona, New Mexico,
Oklahoma, Texas

P.O. Box 709
Albuquerque, NM 87103

Tel. (505) 248-7882
Fax (505) 248-7885
Email [email protected]

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

5600 American Blvd. West
Suite 990
Bloomington, MN
55437-1458
(Effective 5/31/2011)

Tel. (612) 713-5436
Fax (612) 713-5393
Email [email protected]

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

P.O. Box 49208
Atlanta, GA 30359

Tel. (404) 679-7070
Fax (404) 679-4180
Email [email protected]

Region 3

Region 4

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

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

Tel. (413) 253-8643
Fax (413) 253-8424
Email [email protected]

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

P.O. Box 25486
DFC(60154)
Denver, CO 80225-0486

Tel. (303) 236-8171
Fax (303) 236-8017
Email [email protected]

Region 7

Alaska

1011 E. Tudor Road
(MS-201)
Anchorage, AK 99503

Tel. (907) 786-3693
Fax (907) 786-3641
Email [email protected]

Region 8

California, Nevada

2800 Cottage Way
Room W-2606
Sacramento, CA 95825

Tel. (916) 978-6183
Fax (916) 414-6486
[email protected]

Region 5

Region 6

Form 3-200-72

Rev. 12/2013


File Typeapplication/pdf
File TitleU.S. Fish and Wildlife Service Form 3-200-72
SubjectEagle Nest Take Permit Application
AuthorU.S. Fish and Wildlife Service
File Modified2016-05-04
File Created2014-07-08

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