Information Collection

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

IC 221312 under ICR 201701-1018-004 · OMB 1018-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0167 can be found here:

Documents and Forms

Document Name Document Type
Form 3-200-72 3-200-72 - application - Eagle Nest Take - multiple nests - individual - change in nonhour cost burden - indiv Form and Instruction
3-200-72_fact_sheet revised.final.docx Instruction
3-200-72 Federal Fish and Wildlife Permit Application Form - Eagl 3-200-72_revised Dec 16.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	3-200-72 - application - Eagle Nest Take - multiple nests - individual - change in nonhour cost burden - indiv	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-72	Federal Fish and Wildlife Permit Application Form - Eagle Nest Take	3-200-72_revised Dec 16.pdf		Yes	No	Fillable Printable
Instruction			3-200-72_fact_sheet revised.final.docx		Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Permits System - Interior, FWS-21	FR Citation: 68 FR 52610

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	500	500	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.