Information Collection

Depredation Order Report Form

IC 234883 under ICR 201805-1090-001 · OMB 1090-0011.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0011 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-2346 DO Report Form 02082019.docx	Other-Report Form
Depredation Order Report Form DI-4011 Signed 02081019.pdf Request for Approval	IC Document

IC Title:

Depredation Order Report Form

Agency IC Tracking Number:

2019-FWS-FT65

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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
Other-Report Form			Form 3-2346 DO Report Form 02082019.docx		Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Permits SystemâInterior, FWSâ21 (modification published June 4, 2008)

FR Citation: 73 FR 31877

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval	Depredation Order Report Form DI-4011 Signed 02081019.pdf	02/08/2019

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