Information Collection

Conservation Agreement (Non-form Format) - Private Sector

IC 255392 under ICR 202208-1018-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Neighboring Landowner Agreement Template.docx Neighboring Landowner Agreement Template IC Document
Neighboring Landowner Agreement Template.docx Neighboring Landowner Agreement Template IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Conservation Agreement (Non-form Format) - 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: 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

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: 15	Number of Respondents for Small Entity: 4

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15	15
Annual IC Time Burden (Hours)	19,500	19,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Neighboring Landowner Agreement Template	Neighboring Landowner Agreement Template.docx	09/09/2022

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