Federal Fish and Wildlife Permit Applications and Reports - Native Endangered and Threatened Species; 50 CFR 10, 13, and 17

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 3-200-54 Enhancement of Survival Permits Associated with Safe Harbor Agreements and Candidate Conservation Agreements with Assurances	Form and Instruction	Unchanged	Available
Form 3-200-60 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce	Form and Instruction	New	Available
Form 3-200-60 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce	Form and Instruction	New	Repair queued
Form 3-200-60 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce	Form and Instruction	New	Repair queued
Form 3-200-59 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)	Form and Instruction	New	Available
Form 3-200-59 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)	Form and Instruction	New	Repair queued
Form 3-200-59 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)	Form and Instruction	New	Available
Form 3-202-55g USFWS Sea Turtle Rehabilitation Quarterly Report Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55f USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55f USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55e USFWS R6 Bat Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55e USFWS R6 Bat Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55e USFWS R6 Bat Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55d USFWS R5 Bat Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3202-55d USFWS R5 Bat Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55d USFWS R5 Bat Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55c USFWS R4 Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55c USFWS R4 Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55c USFWS R4 Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55b USFWS R3 Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55b USFWS R3 Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-202-55b USFWS R3 Bat Reporting Form Rev 01-2017	Form and Instruction	Unchanged	Available
Form 3-200-56 Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)	Form and Instruction	Unchanged	Available
Form 3-200-56 Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)	Form and Instruction	Unchanged	Repair queued
Form 3-200-56 Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)	Form and Instruction	Unchanged	Available
Form 3-200-55 Scientific Purposes, Enhancement of Propagation or Survival Permits and Interstate Commerce Permits	Form and Instruction	Removed	Available
Form 3-200-55 Scientific Purposes, Enhancement of Propagation or Survival Permits - Application	Form and Instruction	Removed	Available
Form 3-200-55 Scientific Purpose, Enhancement of Propagation or Survival Permits - Application	Form and Instruction	Removed	Repair queued
Form 3-200-54 Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances	Form and Instruction	Unchanged	Available
Form 3-200-54 Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances	Form and Instruction	Unchanged	Available
1018-0094 Justification for NSC Request 06032020.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2020-06-03	Available
Combined HCP Instruction Files ver 08292018.pdf	Supplementary Document	Uploaded 2019-03-25	Available
How to Apply for ES Permits 03192019.pdf	Supplementary Document	Uploaded 2019-03-25	Available
HCP Incidental Take Dec 2005.pdf	Supplementary Document	Uploaded 2019-03-25	Available
HCP FAQs ver 08292018.pdf	Supplementary Document	Uploaded 2019-03-25	Available
50 CFR Part 10.pdf	Supplementary Document	Uploaded 2018-01-12	Available
Permits SORN FWS-21 73 FR 31877.pdf	Supplementary Document	Uploaded 2019-03-25	Available
FWS Process and Conditions for Telemetry Attachments Sea Turtles Final.pdf	Supplementary Document	Uploaded 2017-10-31	Available
FWS Sea Turtle Permit FAQs and Standard Permit Conditions.pdf	Supplementary Document	Uploaded 2017-10-31	Available
1018-0094 Habitat Conservation Planning and Incidental Take Permit Processing Handbook.pdf	Supplementary Document	Uploaded 2017-10-31	Available
SPITS PIA Information Collection 1018-0094 ESsigned.pdf	Supplementary Document	Uploaded 2017-11-16	Available
Instructions 2017 Electronic Submittal Bat Survey Data.pdf	Supplementary Document	Uploaded 2017-08-15	Available
FAQ Bat Electronic Reporting Spreadsheet 07132016.pdf	Supplementary Document	Uploaded 2017-08-15	Available
2017 INBA Summer Survey Guidelines 05092017.pdf	Supplementary Document	Uploaded 2017-08-15	Available
1018-0094 30-day FRN Published 01312017 82019 8840 2017-02110.pdf	Supplementary Document	Uploaded 2017-01-31	Available
1018-0094 SSA Response to OMB's Terms of Clearance 03252019.docx	Supporting Statement A	Uploaded 2019-03-25	Available
FRN60Day.1018.0094.pdf	Supplementary Document	Uploaded 2016-12-19	Available
ESA.pdf	Supplementary Document	Uploaded 2010-10-05	Available
50 CFR 17.pdf	Supplementary Document	Uploaded 2010-10-05	Available
50 CFR 13.pdf	Supplementary Document	Uploaded 2010-10-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
38235	SHA/CCAA (Application Form 3-200-54) - Individuals	Form and Instruction	Unchanged	Enhancement of Survival Permits Associated with Safe Harbor Agreements and Candidate Conservation Agreements with Assurances
242086	Interstate Commerce Permit Application Form (3-200-60) - Government	Form and Instruction	New	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
242085	Interstate Permit Application Form (3-200-60) - Private Sector	Form and Instruction	New	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
242084	Interstate Commerce Permit Application Form (3-200-60) - Individuals	Form and Instruction	New	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
242083	Recovery Permit Application Form (3-200-59) - Government	Form and Instruction	New	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
242082	Recovery Permit Application Form (3-200-59) - Private Sector	Form and Instruction	New	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
242081	Recovery Permit Application Form (3-200-59) - Individuals	Form and Instruction	New	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
225267	Habitat Conservation Plan (Plan) - Government		Unchanged
225265	Habitat Conservation Plan (Plan) - Private Sector		Unchanged
225264	Habitat Conservation Plan (Plan) - Individuals		Unchanged
225263	Quarterly Report (Form 3-202-55g Turtle Rehabilitation) - Private Sector	Form and Instruction	Unchanged	USFWS Sea Turtle Rehabilitation Quarterly Report Rev 01-2017
225262	Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Government	Form and Instruction	Unchanged	USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017
225261	Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Private Sector	Form and Instruction	Unchanged	USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017
225260	Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Government	Form and Instruction	Unchanged	USFWS R6 Bat Bat Reporting Form Rev 01-2017
225259	Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Private Sector	Form and Instruction	Unchanged	USFWS R6 Bat Bat Reporting Form Rev 01-2017
225258	Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Individuals	Form and Instruction	Unchanged	USFWS R6 Bat Bat Reporting Form Rev 01-2017
225257	Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Government	Form and Instruction	Unchanged	USFWS R5 Bat Bat Reporting Form Rev 01-2017
225256	Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Private Sector	Form and Instruction	Unchanged	USFWS R5 Bat Bat Reporting Form Rev 01-2017
225255	Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Individuals	Form and Instruction	Unchanged	USFWS R5 Bat Bat Reporting Form Rev 01-2017
225254	Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Government	Form and Instruction	Unchanged	USFWS R4 Bat Reporting Form Rev 01-2017
225253	Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Private Sector	Form and Instruction	Unchanged	USFWS R4 Bat Reporting Form Rev 01-2017
225252	Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Individuals	Form and Instruction	Unchanged	USFWS R4 Bat Reporting Form Rev 01-2017
225250	Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Government	Form and Instruction	Unchanged	USFWS R3 Bat Reporting Form Rev 01-2017
225248	Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Private Sector	Form and Instruction	Unchanged	USFWS R3 Bat Reporting Form Rev 01-2017
225247	Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Individuals	Form and Instruction	Unchanged	USFWS R3 Bat Reporting Form Rev 01-2017
225246	Recovery/Interstate Commerce (Request to Revise List of Authorized Individuals) - Private Sector		Unchanged
225245	SHA/CCAA (Individual SHA Template) - Government	Instruction	Unchanged
225243	SHA/CCAA (Individual CCAA Template) - Government	Instruction	Unchanged
225171	SHA/CCAA (Individual SHA Template) - Private Sector	Instruction	Unchanged
225170	SHA/CCAA (Individual CCAA Template) - Private Sector	Instruction	Unchanged
225169	SHA/CCAA (Individual SHA Template) - Individuals	Instruction	Unchanged
225168	SHA/CCAA (Individual CCAA Template) - Individuals	Instruction	Unchanged
182003	Habitat Conservation Plan (Annual Report) - Government		Unchanged
182002	Habitat Conservation Plan (Annual Report) - Private Sector		Unchanged
182001	Habitat Conservation Plan (Annual Report) - Individuals		Unchanged
182000	Habitat Conservation Plan (Application Form 300-200-56) - Government	Form and Instruction	Unchanged	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
181999	Habitat Conservation Plan (Application Form 300-200-56) - Private Sector	Form and Instruction	Unchanged	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
181998	Habitat Conservation Plan (Application Form 300-200-56) - Individuals	Form and Instruction	Unchanged	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
181997	Recovery/Interstate Commerce (Notification of Wildlife Escape) - Private Sector		Unchanged
181996	Recovery/Interstate Commerce (Annual Report) - Government		Unchanged
181995	Recovery/Interstate Commerce (Annual Report) - Private Sector		Unchanged
181994	Recovery/Interstate Commerce (Annual Report) - Individuals		Unchanged
181950	Recovery/Interstate Commerce (Application Form 3-200-55) - Government	Form and Instruction	Removed	Scientific Purposes, Enhancement of Propagation or Survival Permits and Interstate Commerce Permits
181949	Recovery/Interstate Commerce (Application Form 3-200-55) - Private Sector	Form and Instruction	Removed	Scientific Purposes, Enhancement of Propagation or Survival Permits - Application
181933	Recovery/Interstate Commerce (Application Form 3-200-55) - Individuals	Form and Instruction	Removed	Scientific Purpose, Enhancement of Propagation or Survival Permits - Application
181932	SHA/CCAA (Notifications - Change in Landowner) - Individuals		Unchanged
181931	SHA/CCAA (Notifications - Incidental Take) - Individuals		Unchanged
181930	SHA/CCAA (Annual Report) - Government		Unchanged
181929	SHA/CCAA (Annual Report) - Private Sector		Unchanged
181928	SHA/CCAA (Annual Report) - Individuals		Unchanged
181911	SHA/CCAA (Application Form 3-200-54) - Government	Form and Instruction	Unchanged	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances
181910	SHA/CCAA (Application Form 3-200-54) - Private Sector	Form and Instruction	Unchanged	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances

ICR Details

OMB Control No: 1018-0094	ICR Reference No: 202006-1018-001
Status: Historical Active	Previous ICR Reference No: 201903-1018-003
Agency/Subagency: DOI/FWS	Agency Tracking No:
Title: Federal Fish and Wildlife Permit Applications and Reports - Native Endangered and Threatened Species; 50 CFR 10, 13, and 17
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/06/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 06/03/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	03/31/2021	03/31/2021
Responses	4,051	0	4,051
Time Burden (Hours)	114,075	0	114,075
Cost Burden (Dollars)	59,750	0	59,750

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Abstract: The Fish and Wildlife Service collects information on application forms and in reports to determine the eligibility of applicants for permits requested in accordance with the criteria in various Federal wildlife conservation laws. The requirements associated with this information collection implement the prohibitions and exceptions of the Endangered Species Act, except those concerning the Convention on International Trade in Endangered Species of Flora and Fauna (CITES).

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Authorizing Statute(s): US Code: 16 USC 668 Name of Law: Bald and Golden Eagle Protection Act
   US Code: 16 USC 703 et seq Name of Law: Migratory Bird Treaty Act
   US Code: 16 USC 3371 et seq Name of Law: Lacey Act
   US Code: 16 USC 1531 et seq Name of Law: Endangered Species Act
   US Code: 16 USC 1374 Name of Law: Marine Mammal Protection Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68029	12/02/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 8840	01/31/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 49

table that charts list of burden

IC Title	Form No.	Form Name
Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Government	3-202-55b	USFWS R3 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Individuals	3-202-55b	USFWS R3 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Private Sector	3-202-55b	USFWS R3 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Government	3-202-55c	USFWS R4 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Individuals	3-202-55c	USFWS R4 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Private Sector	3-202-55c	USFWS R4 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Government	3-202-55d	USFWS R5 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Individuals	3-202-55d	USFWS R5 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Private Sector	3202-55d	USFWS R5 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Government	3-202-55e	USFWS R6 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Individuals	3-202-55e	USFWS R6 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Private Sector	3-202-55e	USFWS R6 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Government	3-202-55f	USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017
Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Private Sector	3-202-55f	USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017
Habitat Conservation Plan (Annual Report) - Government
Habitat Conservation Plan (Annual Report) - Individuals
Habitat Conservation Plan (Annual Report) - Private Sector
Habitat Conservation Plan (Application Form 300-200-56) - Government	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
Habitat Conservation Plan (Application Form 300-200-56) - Individuals	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
Habitat Conservation Plan (Application Form 300-200-56) - Private Sector	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
Habitat Conservation Plan (Plan) - Government
Habitat Conservation Plan (Plan) - Individuals
Habitat Conservation Plan (Plan) - Private Sector
Interstate Commerce Permit Application Form (3-200-60) - Government	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
Interstate Commerce Permit Application Form (3-200-60) - Individuals	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
Interstate Permit Application Form (3-200-60) - Private Sector	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
Quarterly Report (Form 3-202-55g Turtle Rehabilitation) - Private Sector	3-202-55g	USFWS Sea Turtle Rehabilitation Quarterly Report Rev 01-2017
Recovery Permit Application Form (3-200-59) - Government	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Recovery Permit Application Form (3-200-59) - Individuals	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Recovery Permit Application Form (3-200-59) - Private Sector	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Recovery/Interstate Commerce (Annual Report) - Government
Recovery/Interstate Commerce (Annual Report) - Individuals
Recovery/Interstate Commerce (Annual Report) - Private Sector
Recovery/Interstate Commerce (Application Form 3-200-55) - Government	3-200-55	Scientific Purposes, Enhancement of Propagation or Survival Permits and Interstate Commerce Permits
Recovery/Interstate Commerce (Application Form 3-200-55) - Individuals	3-200-55	Scientific Purpose, Enhancement of Propagation or Survival Permits - Application
Recovery/Interstate Commerce (Application Form 3-200-55) - Private Sector	3-200-55	Scientific Purposes, Enhancement of Propagation or Survival Permits - Application
Recovery/Interstate Commerce (Notification of Wildlife Escape) - Private Sector
Recovery/Interstate Commerce (Request to Revise List of Authorized Individuals) - Private Sector
SHA/CCAA (Annual Report) - Government
SHA/CCAA (Annual Report) - Individuals
SHA/CCAA (Annual Report) - Private Sector
SHA/CCAA (Application Form 3-200-54) - Government	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances
SHA/CCAA (Application Form 3-200-54) - Individuals	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreements and Candidate Conservation Agreements with Assurances
SHA/CCAA (Application Form 3-200-54) - Private Sector	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances
SHA/CCAA (Individual CCAA Template) - Government
SHA/CCAA (Individual CCAA Template) - Individuals
SHA/CCAA (Individual CCAA Template) - Private Sector
SHA/CCAA (Individual SHA Template) - Government
SHA/CCAA (Individual SHA Template) - Individuals
SHA/CCAA (Individual SHA Template) - Private Sector
SHA/CCAA (Notifications - Change in Landowner) - Individuals
SHA/CCAA (Notifications - Incidental Take) - Individuals

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	4,051	4,051	0	0	0	0
Annual Time Burden (Hours)	114,075	114,075	0	0	0	0
Annual Cost Burden (Dollars)	59,750	59,750	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: The Service is proposing to separate the existing approved FWS Form 3-200-55 into the following two separate forms: • Form 3-200-59, Recovery Permit Application Form • Form 3-200-60, Interstate Commerce Application Form The previously approved form 3-200-55 included text detailing the application for two different permit types (asking the applicant to select either Recovery Permit or Interstate Commerce). Because of this, the original permit application form was lengthy and confusing. By splitting this into two forms (3-200-59 for Recovery Permits and 3-200-59 for Interstate Commerce), this reduces the overall form length and reduces confusion. The new form fields match the original fields with no new instructions added; however, the text accompanying the fields on the new forms is not identical to the old form due to the clarifying nature of the split. We do not anticipate a burden change in conjunction with this change.

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Annual Cost to Federal Government: $2,582,230

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/03/2020

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