Information Collection

Application - Eagle Disturbance Take - Specific (Form 3-200-91) 50 CFR 22.280 (Government)

IC 255091 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⚠️ Notice: This information collection may be referencing outdated material.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 3-200-91 Application - Eagle Disturbance Take - Specific (Form 3-200-91) 50 CFR 22.280 (Government)	Form and Instruction
3-200-91 Federal Fish and Wildlife Permit Application Form - Eagl 3-200-91 Application NEW 05092022.pdf fwsepermits.servicenowservices.com/fws/	Form and Instruction
3-200-91 Federal Fish and Wildlife Permit Application Form - Eagl 3-200-91 Application NEW 05092022.pdf fwsepermits.servicenowservices.com/fws/	Form and Instruction

IC Title:

Application - Eagle Disturbance Take - Specific (Form 3-200-91) 50 CFR 22.280 (Government)

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:

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	3-200-91	Federal Fish and Wildlife Permit Application Form - Eagle Disturbance Take	3-200-91 Application NEW 05092022.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: 3

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3	3
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.