Information Collection

Application - Rehabilitation (Form 3-200-10b) - Private Sector

IC 180839 under ICR 201806-1018-006 · OMB 1018-0022.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-10b Application - Rehabilitation (Form 3-200-10b) - Private Sector	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

IC Title:

Application - Rehabilitation (Form 3-200-10b) - Private Sector

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:

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	3-200-10b	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: 380

Number of Respondents for Small Entity: 380

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	380	380
Annual IC Time Burden (Hours)	4,560	4,560
Annual IC Cost Burden (Dollars)	19,000	19,000

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.