Application - Rehabilitation (Form 3-200-10b) - Individuals

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0022 can be found here:

Documents and Forms

Document Name Document Type
Form 3-200-10b Application - Rehabilitation (Form 3-200-10b) - Individuals Form and Instruction
3-200-10b Rehabilitation Permit Application Form 3-200-10b Application - Rehabilitation Permit Rev 02-2018.pdf www.fws.gov/forms Form and Instruction

Information Collection (IC) Details

IC Title:	Application - Rehabilitation (Form 3-200-10b) - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-10b	Rehabilitation Permit Application Form	3-200-10b Application - Rehabilitation Permit Rev 02-2018.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 System - Interior, FWS-21	FR Citation: 68 FR 52610

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	2,500	2,500

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.