Information Collection

Application - Special Purpose - Abatement Permit (Form 3-200-79) - Private Sector

IC 180893 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⚠️ Notice: This information collection may be referencing outdated material.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 3-200-79 Application - Special Purpose - Abatement Permit (Form 3-200-79) - Private Sector	Form and Instruction
3-200-79 Special Purpose - Abatement Permit Application Form 3-200-79 Application - Special Purpose - Abatement Rev 02-2018.pdf www.fws.gov/forms	Form and Instruction

IC Title:

Application - Special Purpose - Abatement Permit (Form 3-200-79) - 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	3-200-79	Special Purpose - Abatement Permit Application Form	3-200-79 Application - Special Purpose - Abatement 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: 58

Number of Respondents for Small Entity: 58

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	58	58
Annual IC Time Burden (Hours)	145	145
Annual IC Cost Burden (Dollars)	5,800	5,800

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.