Information Collection

Amendment - Special Purpose - Miscellaneous (Form 3-200-10f) - Individuals

IC 239566 under ICR 202302-1018-005 · OMB 1018-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-10f Amendment - Special Purpose - Miscellaneous (Form 3-200-10f) - Individuals	Form and Instruction
3-200-10f Federal Fish and Wildlife Permit Application Form - Migr 3-200-10fApp - SpecPurpMisc 2212023.pdf fwsepermits.servicenowservices.com/fws/?id=fws_permit_search	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 21

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	3-200-10f	Federal Fish and Wildlife Permit Application Form - Migratory Bird Special Purpose - Miscellaneous	3-200-10fApp - SpecPurpMisc 2212023.pdf	https://fwsepermits.servicenowservices.com/fws/?id=fws_permit_search	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: INTERIOR/FWSâ21, Permits System

FR Citation: 88 FR 16277

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	2	2
Annual IC Cost Burden (Dollars)	100	100

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.