Information Collection

ePermits Avian Injury/Mortality Report (Form 3-202-17) - Private Sector

IC 239716 under ICR 202001-1018-001 · 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⚠️ Notice: This information collection may be referencing outdated material.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 3-202-17 ePermits Avian Injury/Mortality Report (Form 3-202-17) - Private Sector	Form and Instruction
3-202-17 USFWS Bird and Bat Injury and Mortality Reporting System 3-202-17 Rpt - Avian Injury-Mortality 03122020.xlsm www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php	Form and Instruction
USFWS Injury and Mortality System Info Sheet.pdf USFWS Injury and Mortality System Info Sheet	IC Document
Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities	IC Document
IMR_Injury_And_Mortality_Import_Example.xlsx IMR_Injury_And_Mortality_Import_Example	IC Document
IMR_User_Guide_For_NonFederal.docx IMR_User_Guide_For_NonFederal	IC Document
Nest_reporting_instructions.pdf Nest_reporting_instructions	IC Document
SPUTFormTemplateExcel_2017.xlsx SPUT Form Template Excel_2017	IC Document
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species	IC Document
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species	IC Document
imruserguideforpermitteesandindustry.pdf Injury and Mortality Reporting (IMR) System User Guide for Industry Users	IC Document

IC Title:

ePermits Avian Injury/Mortality Report (Form 3-202-17) - Private Sector

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 22

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	3-202-17	USFWS Bird and Bat Injury and Mortality Reporting System (Excel Version)	3-202-17 Rpt - Avian Injury-Mortality 03122020.xlsm	https://www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php	Yes	Yes	Fillable Fileable Signable

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: 125

Number of Respondents for Small Entity: 125

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USFWS Injury and Mortality System Info Sheet	USFWS Injury and Mortality System Info Sheet.pdf	04/24/2017
Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities	Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf	11/08/2017
IMR_Injury_And_Mortality_Import_Example	IMR_Injury_And_Mortality_Import_Example.xlsx	11/08/2017
IMR_User_Guide_For_NonFederal	IMR_User_Guide_For_NonFederal.docx	11/08/2017
Nest_reporting_instructions	Nest_reporting_instructions.pdf	11/08/2017
SPUT Form Template Excel_2017	SPUTFormTemplateExcel_2017.xlsx	11/08/2017
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
Injury and Mortality Reporting (IMR) System User Guide for Industry Users	imruserguideforpermitteesandindustry.pdf	02/06/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.