SPUT Form Template Excel_2017

SPUTFormTemplateExcel_2017.xlsx

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

SPUT Form Template Excel_2017

OMB: 1018-0022

Document [xlsx]
Download: xlsx | pdf

Overview

1. READ BEFORE DATA ENTRY
2. ENTER CORE INFORMATION
3. ENTER MORT-INJ DATA
PERMIT OFFICES
GLOSSARY OF TERMS
PRIVACY ACT PAPERWORK REDUCTION


Sheet 1: 1. READ BEFORE DATA ENTRY

USFWS Bird and Bat Injury and Mortality Reporting System (Excel Version)
Data Sheet Instructions and Information
*Please e-mail or call your regional Migratory Bird Permit Office (see Tab 4) with any questions about this report. OMB Control No. 1018-0022, Expires 5/31/2017
Form 3-202-17, Rev. 4/2017
ABOUT THIS SPREADSHEET: IF YOU DISCOVER AN EAGLE OR A THREATENED OR ENDANGERED (T&E) SPECIES
1. REQUIRED FIELDS are indicated by orange column headers. These are fields that should be filled in at a minimum for each record.
2. REQUESTED FIELDS (fields with information we would like if you have it) are indicated by light grey column headers. At the very least, please try to populate all these fields, and any other applicable fields where possible, if that information is available.

Please complete the following steps:
If the animal is alive, step 1 is call your local migratory bird rehabilitation facility or a licensed veterinarian for instructions before handling the animal. Then follow steps 1-3 below.
1. If you have a permit, please follow the instructions in your permit conditions on how to proceed before collecting or moving the carcass or its parts. If you do not have a permit, please call the USFWS employee who is working with you on your monitoring process. If you do not know the appropriate USFWS contact, please call the OLE Office in your USFWS Region (see contact information at: http://www.fws.gov/le/regional-law-enforcement-offices.html) for instructions. You must contact OLE immediately, if possible, but not later than 48 hours after discovery, or at the beginning of the next business day to notify them of the mortality.
IMPORTANT NOTE ABOUT REQUIRED AND REQUESTED FIELDS: If you have a permit with the USFWS, your permit conditions may require you to fill in more than just the required and requested fields, or the fields that are required and requested may differ slightly than indicated in this spreadsheet. Please check your permit conditions to make sure you are providing all the information required for compliance with your permit.
-DROP DOWN BOXES are provided with several of the fields for your convenience, and to support greater consistency of data for these fields. Please try to use one of the options provided within the drop down boxes for these fields. However, if you can not find the appropriate match in the drop down (or your selection is "Other - describe", you may enter your own text in the field as well. To enter your own text, click on the cell once and start to type your own text. To clear a field, click on the cell once and hit the Delete button.
2. Fill out as many of the fields as possible on tab 3 of this workbook regarding the incident, have an official representative sign the signature block and enter the signature date in tab 2 (signatory does not have to be the Principal Officer, can also be the Primary Contact or other official company representative), and e-mail a copy of this entire workbook (all tabs included) to the individuals specified in your permit conditions (which may be a Migratory Bird Permit Office, and Ecological Services Field Office, or both). You must report eagle mortalities and injuries no later than 48 hours after discovery, or at the beginning of the next business day. T&E mortalities should be reported no later than 24 hourse after discovery, or at the beginning of the next business day. IN THE SUBJECT LINE OF THE E-MAIL, if you are reporting an eagle write "EAGLE REPORT - [Permittee Name]". If you are reporting a T&E species write "T&E REPORT - [Permittee Name]" e.g. Eagle Report - Windy Hill Wind Farm (if eagle) or T&E Report - Wind Hill Wind Farm (if T&E). If you do not have a permit, reports should be e-mailed to the USFWS contact who is working with you on your monitoring process. Please ALSO COPY the following e-mail address: [email protected].


3. IF YOU SELECT THE OPTION "OTHER" or contains the word "OTHER" or you have additional details about your choice: please try to provide additional details with your selection in the other details column provided next to it.
4. ON TAB 3, PLEASE SCROLL RIGHT TO VIEW ADDITIONAL DATA ENTRY FIELDS. There are more fields than are immediately viewable in tab 3. Please use the scroll bar at the bottom right hand side of the spreadsheet to view all fields.
5. TO SUBMIT YOUR INTERIM (ANNUAL) REPORT: Please e-mail this entire workbook (including all tabs) as an e-mail attachment to your Regional Migratory Bird Permit Office using the Directory on tab 4 of this workbook, AND copy the following e-mail addresss: [email protected]. Your interim (annual )report should include all injuries/mortalities logged at your facility site during the reporting period (including any eagle or T&E reports). IN THE SUBJECT LINE OF THE E-MAIL write "ANNUAL REPORT - [Permittee Name]". e.g. ANNUAL REPORT - Windy Hill Wind Farm.
3. Please assign a Local Specimen Number in Column B of Tab 3 to ANY birds you hand off to a responding OLE agent or any other party that might receive the bird once it is transferred (rehabber, vet, lab, etc.). Make sure to give this Local Specimen Number to individual you hand the bird off to. If you can not assign your own unique specimen ID, please use the Source Record ID in Column A as your Local Specimen ID. If you do this, make sure you also put the Source Record ID in Column B to indicate to us you have used this as your local specimen number.








Sheet 2: 2. ENTER CORE INFORMATION

CORE INFORMATION Required Fields
Report Year (yyyy)

Permittee Name

FWS Permit Number (MB followed by up to 6 numbers and an optional upper case character [e.g., MB13456B])

Project Type

If Project Type selected is "Other", please enter more details

Principal Officer Name, Phone, and E-mail Address

Primary Contact Name

Primary Contact Title

Primary Contact Business Phone Number (xxx-xxx-xxxx)




Form 3-202-17, Rev. 4/2017

OMB Control No. 1018-0022, Expires 5/31/2018




If you do not have any mortality/injury information to report for the current reporting cycle, please indicate this by checking the box in the cell to the right.




I certify that the information in this report is true and correct to the best of my knowledge. I understand that any false statement herein may subject me to the criminal penalties of 18 U.S. C. 1001.

Official Representative Signature : X


Please type name in box above
Date of Signature:


Please type date (mm/dd/yyyy) of signature in box above

Sheet 3: 3. ENTER MORT-INJ DATA



OMB Control No. 1018-0022, Expires 5/31/2017
Form 3-202-17, Rev. 4/2017


























Source Record ID Optional. The local specimen number, if one has been attached to the animal. Local Specimen Number A species common or scientific name. One of Specific Species, General Species Type or Other Species, or Species Type is required. Specific Species A species type, such as Eagle, Hawk or Bat. Follow the link above for a list of accepted values. One of Specific Species, General Species Type, or Other Species or Species Type is required. General Species Type A species name or species type name. If the species name you entered in the Specific Species column is not found upon import, you may re-import your file with the species name here instead. However, first be sure to check for misspellings and other common names for the species. All known bat species should go here. Similarly, if a species type you entered in the General Species Type column is not found, you can enter it here. One of Specific Species, General Species Type, or Other Species or Species Type is required. Other Species or Species Type Required. See the above link for accepted values. How Identified Optional. If you entered "Other" under How Identified, use this field to describe how you identified the animal. Other How Identified Required. The number of dead or injured individuals. Number of Individuals Required. See the above link for accepted values. How Found Required. The date the animal was found. Date Discovered Optional: The date the animal or parts were collected from the field. Date Collected Either Latitude and Longitude, or County and State must be provided. Latitude Either Latitude and Longitude, or County and State must be provided. Longitude Either Latitude and Longitude, or County and State must be provided. The County entry must be just the county name. E.g., "Larimer", not "Larimer County". County Either Latitude and Longitude, or County and State must be provided. State The accuracy of the specified incident location. See the link above for valid values. Location Accuracy Optional. If you specified "Other" under Location Accuracy, use this field to describe the location accuracy. Other Location Accuracy The animal's condition. Alive or Dead. Condition Optional. If alive, indicate if the animal is injured or sick. If dead, indicate if carcass is intact, freshly killed [eyes moist], semi-fresh [stiff], partially decomposed, feathers and/or bones, etc. If you specified "Other" under Condition, indicate the condition here. Condition Details Required: Your best guess at the cause of mortality or injury. Follow the link above for a list of valid values. Suspected Cause Optional. Additional suspected cause details, such as what led you to conclude the suspected cause. If you entered "Other" under Suspected Cause, enter the cause here. Suspected Cause Details Required. Whether someone saw the injury or mortality occur. Yes or No. Event Observed Required. Where the animal ended up after its discovery. Follow the link above for a list of valid values. Disposition Optional. If the Disposition is "Other", describe the disposition here. Other Disposition Optional. If the Disposition is "Rehab Center", enter the rehab center name here. Rehab Center Name Optional. If the Disposition is "Rehab Center", enter the USFWS permit number of the rehabilitation center and/or the name and phone number of a contact at the center. Rehab Center Info Optional. If the Disposition is "Transferred to Other Permittee", enter the the USFWS permit number, and/or the name and phone number, of the other permittee. Permittee Info Optional. If the Disposition is "Sent to National Eagle Repository", enter the date sent. Date Sent to National Eagle Repository Optional. If the Disposition is "Lab", enter the lab name here. Lab Name Optional. If the Disposition is "Law Enforcement", enter the name and agency of the law enforcement individual that recovered the specimen. Law Enforcement Info Optional. The age of the animal. Follow the link above for a list of valid values. A helpful resource for determining the age of a bird is The U.S. Fish and Wildlife Service Forensic Laboratory Feather Atlas: http://www.fws.gov/lab/featheratlas/index.php A helpful resource for determining the age of Golden Eagles is: Bloom, P. H. and W. S. Clark. 2001. Molt and sequence of plumages of Golden Eagles and a technique for in-hand ageing. N. Am. Bird Bander 26:97-116. Age Optional. Indicate how you determined the age of the animal. Follow the link above for a list of valid values. How Aged Optional. If you selected 'Other' for How Aged, use this field to specify how you determined the age of the animal. Other Aging Method Optional. The sex of the animal. One of Male, Female or Unknown. Sex Optional. The habitat type within the general area the animal was found. Follow the link above for a list of valid values. Surrounding Habitat Optional. If you chose 'Other' for Surrounding Habitat, specify the surrounding habitat here. Other Surrounding Habitat Optional. The USGS Band Number, if one was found on the animal. USGS Band Number Optional. The five digit number on the FWS toe tag, if one was found on the animal FWS Toe Tag ID Optional. Any other notes you want to provide. The values for any columns not explicitly supported by IMR will be placed in this field. Additional Notes
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Sheet 4: PERMIT OFFICES



Sheet 5: GLOSSARY OF TERMS

GLOSSARY OF TERMS
Brine Pond: A type of non-focusing solar collector consisting of a pool of salt water heated by the sun.
De-Oiled: A breakdown of the fine structure of a bird's feathers that makes them waterproof. This waterproof system works like a winter coat whose outer layer covers a thicker layer of material that traps air, keeping the wearer warm and dry. When this structure is disrupted, as can commonly occur when birds are oiled during an oil spill, the bird is no longer properly insulated from the cold air and water and can die from exposure to the elements.
Incidental Finding: is used to describe a bird was found any way other than a structured survey process (either a Mortality survey, Routine infrastructure survey, or Structured Research). Examples of incidental findings are: (1) the finding occurred as a result of a power outage; (2) an individual just happened upon a bird in the course of another activity; (3) an individual was out looking for birds, but not using any structure survey protocol or recording search time and effort (e.g. they may go out every day, but walk a different route and search for different periods of time and do not record either)
Mortality Survey: Refers to a structured survey designed to find dead/injured birds within a defined area and time. It includes a consistent and clearly defined search area, search times and intervals, and standardized search protocols.
Project Proponent: An entity with overall responsibility for the implementation and registration of projects. This is as opposed to the operating company who simply owns and finances these projects. For instance, project proponent Western Wind is a developer that is owned by the Terra-Gen Power LLC operating company.
Routine Infrastructure Survey: Refers to a routine and systematic facility or infrastructure survey (e.g., monitoring of buildings, electric utility lines, wind turbine pads, towers, oil pits, pipes, fences) that includes a consistent and clearly defined search area, search times and search intervals. For example, if maintenance staff goes out every week day (Mon-Fri) for 4 hours and walks the same route to systematically inspect each turbine pad in a wind energy facility, that qualifies as a Routine infrastructure survey. If consistent search areas, times and intervals such as these cannot be applied to the monitoring being conducted at the time of the finding, then the option Incidental finding should be used.
Structured Research: Refers to research activities such as field work, bird re-release and use of telemetry (satellite, VHF, PTT).
Sub-Adult: A bird that has some adult characteristics but is not yet sexually mature. The term Sub-Adult usually refers to larger birds such as gulls and raptors that may take several years to reach full maturity and recognizable adult plumage.

Sheet 6: PRIVACY ACT PAPERWORK REDUCTION

Paperwork Reduction Act and Privacy Act Notice:
In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) and the Privacy Act of 1974 (5 U.S.C. 552a), please be advised:
1. The gathering of information on fish and wildlife is authorized by:
(Authorizing statutes can be found at: http://www.gpoaccess.gov/cfr/index.html and http://www.fws.gov/permits/ltr/ltr.html.)
a. Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22;
b . Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21;
c. General Provisions, 50 CFR 10;
d . General Permit Procedures, 50 CFR 13; and
e . Wildlife Provisions (Import/export/transport), 50 CFR 14.
2. Information requested in this form is purely voluntary. However, submission of requested information is a condition of your permit under the above laws. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to revoke your permit. Response is not required unless a currently valid Office of Management and Budget (OMB) control number is displayed on form.




3. Disclosures outside the Department of the Interior may be made without the consent of an individual under the routine uses listed below, if the disclosure is compatible with the purposes for which the record was collected. (Ref. 68 FR 52611, September 4, 2003)
a. Routine disclosure to subject matter experts and Federal, Tribal, State, local, and foreign agencies, for the purpose of obtaining advice relevant to making a decision on an application for a permit or when necessary to accomplish an FWS function related to this system of records.
b. Routine disclosure to Federal, Tribal, State, local, or foreign wildlife and plant agencies for the exchange of information on permits granted or denied to assure compliance with all applicable permitting requirements.
c. Routine disclosure to Federal, Tribal, State, and local authorities who need to know who is permitted to receive and rehabilitate sick, orphaned, and injured birds under the Migratory Bird Treaty Act and the Bald and Golden Eagle Protection Act; federally permitted rehabilitators; individuals seeking a permitted rehabilitator with whom to place a bird in need of care; and licensed veterinarians who receive, treat, or diagnose sick, orphaned, and injured birds.
d. Routine disclosure to the Department of Justice, or a court, adjudicative, or other administrative body or to a party in litigation before a court or adjudicative or administrative body, under certain circumstances.
e. Routine disclosure to the appropriate Federal, Tribal, State, local, or foreign governmental agency responsible for investigating, prosecuting, enforcing, or implementing statutes, rules, or licenses, when we become aware of a violation or potential violation of such statutes, rules, or licenses, or when we need to monitor activities associated with a permit or regulated use.

f. Routine disclosure to a congressional office in response to an inquiry to the office by the individual to whom the record pertains.
g. Routine disclosure to the Government Accountability Office or Congress when the information is required for the evaluation of the permit programs.
h. Routine disclosure to provide addresses obtained from the Internal Revenue Service to debt collection agencies for purposes of locating a debtor to collect or compromise a Federal claim against the debtor or to consumer reporting agencies to prepare a commercial credit report for use by the FWS.
4. For individuals, personal information such as home address and telephone number, financial data, and personal identifiers (social security number, birth date, etc.) will be removed prior to any release of the application.





5. The public reporting burden for information collection varies depending on the type of permit held. The relevant annual burden for Special Purpose – Utility Permit reporting is 6 hours. This burden estimate includes time for reviewing instructions, gathering and maintaining data, recordkeeping, and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of the form to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, Mail Stop 222, Arlington Square, U.S. Department of the Interior, 1849 C Street, NW, Washington D.C. 20240.
Freedom of Information Act Notice:
For organizations, businesses, or individuals operating as a business (i.e., permittees not covered by the Privacy Act), we request that you identify any information that should be considered privileged and confidential business information to allow the Service to meet its responsibilities under FOIA. Confidential business information must be clearly marked "Business Confidential" at the top of the letter or page and each succeeding page and must be accompanied by a non-confidential summary of the confidential information. The non-confidential summary and remaining documents may be made available to the public under FOIA [43 CFR 2.26 – 2.33].
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© 2024 OMB.report | Privacy Policy