Information Collection

Depredation Annual Report (FWS Form 3-202-21-2143) - Government

IC 189515 under ICR 201707-1018-001 · OMB 1018-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-202-21-2143 Depredation Annual Report (FWS Form 3-202-21-2143) - Government	Form and Instruction
3-202-21-2143 Annual Report - Depredation Order for Blackbirds, Grackl FWS Form 3-202-21-2143 Rev 10302017.pdf www.fws.gov/forms/	Form and Instruction

IC Title:

Depredation Annual Report (FWS Form 3-202-21-2143) - 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 21.43

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	3-202-21-2143	Annual Report - Depredation Order for Blackbirds, Grackles, Cowbirds, Magpies, and Crows	FWS Form 3-202-21-2143 Rev 10302017.pdf	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 SystemâInterior, FWSâ21

FR Citation: 68 FR 52610

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	20	0	20
Annual IC Time Burden (Hours)	80	30	50
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.