Request for Drain Tile Setback (Private Sector)

Requests for Drain Tile Setback (50 CFR 25)

Documents and Forms

Document Name Document Type
Form 3-2554 Request for Drain Tile Setback (Private Sector) Form
3-2554 Request for Drain Tile Setback FWS Form 3-2554 Request for Drain Tile Setback updated 05112022.docx legacy-www.fws.doi.net/forms/index.cfm Form

Information Collection (IC) Details

IC Title:	Request for Drain Tile Setback (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:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3-2554	Request for Drain Tile Setback	FWS Form 3-2554 Request for Drain Tile Setback updated 05112022.docx	https://legacy-www.fws.doi.net/forms/index.cfm	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: FWS-5, National Wildlife Refuge Special Use Permits	FR Citation: 73 FR 31877

Number of Respondents: 2	Number of Respondents for Small Entity: 1

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

Percentage of Respondents Reporting Electronically: 95 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2	2
Annual IC Time Burden (Hours)	1	1
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.