Avian Injury/Mortality Report (Form 3-202-17) - Private Sector

Federal Fish and Wildlife Permit Applications and Reports--Migratory Birds and Eagles; 50 CFR 10, 13, 21, 22

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0022 can be found here:

Documents and Forms

Document Name Document Type
Form 3-202-17 Avian Injury/Mortality Report (Form 3-202-17) - Private Sector Form and Instruction
3-202-17 Bird and Bat Injury and Mortality Report 3-202-17 Bird and Bat Injury and Mortality Report.xlsx www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php Form and Instruction
USFWS Injury and Mortality System Info Sheet.pdf USFWS Injury and Mortality System Info Sheet IC Document
Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities IC Document
IMR_Injury_And_Mortality_Import_Example.xlsx IMR_Injury_And_Mortality_Import_Example IC Document
IMR_User_Guide_For_Industry.docx IMR_User_Guide_For_Industry IC Document
IMR_User_Guide_For_NonFederal.docx IMR_User_Guide_For_NonFederal IC Document
Nest_reporting_instructions.pdf Nest_reporting_instructions IC Document
SPUTFormTemplateExcel_2017.xlsx SPUT Form Template Excel_2017 IC Document
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species IC Document
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species IC Document

Information Collection (IC) Details

IC Title:	Avian Injury/Mortality Report (Form 3-202-17) - Private Sector	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-202-17	Bird and Bat Injury and Mortality Report	3-202-17 Bird and Bat Injury and Mortality Report.xlsx	https://www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php	Yes	Yes	Fillable Fileable

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: 250	Number of Respondents for Small Entity: 250

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	250	250
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
USFWS Injury and Mortality System Info Sheet	USFWS Injury and Mortality System Info Sheet.pdf	04/24/2017
Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities	Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf	11/08/2017
IMR_Injury_And_Mortality_Import_Example	IMR_Injury_And_Mortality_Import_Example.xlsx	11/08/2017
IMR_User_Guide_For_Industry	IMR_User_Guide_For_Industry.docx	11/08/2017
IMR_User_Guide_For_NonFederal	IMR_User_Guide_For_NonFederal.docx	11/08/2017
Nest_reporting_instructions	Nest_reporting_instructions.pdf	11/08/2017
SPUT Form Template Excel_2017	SPUTFormTemplateExcel_2017.xlsx	11/08/2017
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.