Information Collection

ePermits Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Private Sector)

IC 240180 under ICR 202207-1018-002 · OMB 1018-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0167 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-71 ePermits Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Private Sector)	Form and Instruction
3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl 3-200-71 Application updated 05182022.pdf fwsepermits.servicenowservices.com/fws/	Form and Instruction
3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl 3-200-71 Application updated 05182022.pdf fwsepermits.servicenowservices.com/fws/	Form and Instruction
3-200-71 FAQ draft 05-2022.pdf 3-200-71 FAQs	IC Document
3-200-71 FAQ draft 05-2022.pdf 3-200-71 FAQs	IC Document

IC Title:

ePermits Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Private Sector)

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 and Instruction	3-200-71	Federal Fish and Wildlife Permit Application Form - Eagle Incidental Take	3-200-71 Application updated 05182022.pdf	https://fwsepermits.servicenowservices.com/fws/	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: 73 FR 31877

Number of Respondents: 5

Number of Respondents for Small Entity: 1

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	5	-7	12
Annual IC Time Burden (Hours)	900	-1,260	2,160
Annual IC Cost Burden (Dollars)	180,000	-252,000	432,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
3-200-71 FAQs	3-200-71 FAQ draft 05-2022.pdf	08/03/2022

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