Application - Supplemental Application for a Retrospectively Issued Document (CITES) (Form 3-200-58) - Individuals

Federal Fish and Wildlife Permit Applications and Reports--Management Authority; 50 CFR 13, 15, 16, 17, 18, 22, 23

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 3-200-58 Application - Supplemental Application for a Retrospectively Issued Document (CITES) (Form 3-200-58) - Individuals Form and Instruction
3-200-58 Application - Supplemental Application for a Retrospecti 3-200-58 Supplemental Application for a Retrospectively Issued Document - CITES Rev 05022017.doc www.fws.gov/forms Form and Instruction

Information Collection (IC) Details

IC Title:	Application - Supplemental Application for a Retrospectively Issued Document (CITES) (Form 3-200-58) - Individuals	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 23.11, 23.15

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-58	Application - Supplemental Application for a Retrospectively Issued Document (CITES)	3-200-58 Supplemental Application for a Retrospectively Issued Document - CITES 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: 1	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1	-49	50
Annual IC Time Burden (Hours)	1	-49	50
Annual IC Cost Burden (Dollars)	0	0	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.