Information Collection

SHA/CCAA (Application Form 3-200-54) - Government

IC 181911 under ICR 202005-1018-002 · OMB 1018-0094.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0094 can be found here:

Documents and Forms

Document Name Document Type
Form 3-200-54 SHA/CCAA (Application Form 3-200-54) - Government Form and Instruction
3-200-54 Enhancement of Survival Permits Associated with Safe Har 3-200-54 Rev 12-2016.docx www.fws.gov/forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	SHA/CCAA (Application Form 3-200-54) - Government	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 13 and 17

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances	3-200-54 Rev 12-2016.docx	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: 7	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	7	7
Annual IC Time Burden (Hours)	21	21
Annual IC Cost Burden (Dollars)	0	0

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.