Information Collection

Annual Report - ESA Museum Permit (Form 3-200-40A) - Government

IC 180541 under ICR 201702-1018-005 · OMB 1018-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-40A Annual Report - ESA Museum Permit (Form 3-200-40A) - Government	Form and Instruction
3-200-40A Annual Report - ESA Museum Permit 3-200-40A ESA Museum Permit Rev 05022017.doc www.fws.gov/forms	Form and Instruction

IC Title:

Annual Report - ESA Museum Permit (Form 3-200-40A) - Government

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 17.61, 17.62, 17.71, 17.72 50 CFR 17.21, 17.22, 17.31, 17.32

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-40A	Annual Report - ESA Museum Permit	3-200-40A ESA Museum Permit Rev 05022017.doc	http://www.fws.gov/forms	Yes	No	Fillable Printable

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: 5

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	4	1
Annual IC Time Burden (Hours)	3	2	1
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.