Information Collection

Renewal Form (Public)

IC 204708 under ICR 201808-1028-004 · OMB 1028-0082.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1028-0082 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Renewal Form (Public)	Form
Permit Renewal Form 1028-0082 BB Permit Renewal 2016.docx www.pwrc.usgs.gov/bbl/homepage/renewalform.cfm	Form

IC Title:

Renewal Form (Public)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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
Form	None	Permit Renewal Form	1028-0082 BB Permit Renewal 2016.docx	http://www.pwrc.usgs.gov/bbl/homepage/renewalform.cfm	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: United States Fish and Wildlife North American Breeding Bird Survey â Interior, FWSâ13 system of records

FR Citation: 73 FR 31877

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	400	-100	500
Annual IC Time Burden (Hours)	13	-4	17
Annual IC Cost Burden (Dollars)	0	0	0

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.