Information Collection

ePermits Avian Injury/Mortality Report (Form 3-202-17) - Private Sector

IC 239716 under ICR 202302-1018-005 · OMB 1018-0022.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-202-17 ePermits Avian Injury/Mortality Report (Form 3-202-17) - Private Sector	Form and Instruction
3-202-17 USFWS Bird and Bat Injury and Mortality Reporting System 3-202-17 Rpt - Avian Injury-Mortality_4_11_23Update.xlsm www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php	Form and Instruction
USFWS Injury and Mortality System Info Sheet.pdf USFWS Injury and Mortality System Info Sheet	IC Document
Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities	IC Document
IMR_Injury_And_Mortality_Import_Example.xlsx IMR_Injury_And_Mortality_Import_Example	IC Document
IMR_User_Guide_For_NonFederal.docx IMR_User_Guide_For_NonFederal	IC Document
Nest_reporting_instructions.pdf Nest_reporting_instructions	IC Document
SPUTFormTemplateExcel_2017.xlsx SPUT Form Template Excel_2017	IC Document
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species	IC Document
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species	IC Document
imruserguideforpermitteesandindustry.pdf Injury and Mortality Reporting (IMR) System User Guide for Industry Users	IC Document

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 22

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	3-202-17	USFWS Bird and Bat Injury and Mortality Reporting System (Excel Version)	3-202-17 Rpt - Avian Injury-Mortality_4_11_23Update.xlsm	https://www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php	Yes	Yes	Fillable Fileable Signable

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: 125

Number of Respondents for Small Entity: 125

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
USFWS Injury and Mortality System Info Sheet	USFWS Injury and Mortality System Info Sheet.pdf	04/24/2017
Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities	Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf	11/08/2017
IMR_Injury_And_Mortality_Import_Example	IMR_Injury_And_Mortality_Import_Example.xlsx	11/08/2017
IMR_User_Guide_For_NonFederal	IMR_User_Guide_For_NonFederal.docx	11/08/2017
Nest_reporting_instructions	Nest_reporting_instructions.pdf	11/08/2017
SPUT Form Template Excel_2017	SPUTFormTemplateExcel_2017.xlsx	11/08/2017
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
Injury and Mortality Reporting (IMR) System User Guide for Industry Users	imruserguideforpermitteesandindustry.pdf	02/06/2020

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