Form 3-200-51 Application - Approval of a Foreign Breeding Facility un

Federal Fish and Wildlife Permit Applications and Reports--Management Authority; 50 CFR 13, 15, 16, 17, 18, 22, 23

3-200-51 App - App Foreign Breeding Facility WBCA 02272023

Application - Approval of a Foreign Breeding Facility under WBCA (Form 3-200-51) - Private Sector

OMB: 1018-0093

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FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

Approval of A Foreign Breeding Facility Under WBCA
☐New ☐Reissue/Renew ☐Amendment
APPLICATION FORM INSTRUCTIONS
The following instructions pertain to U.S. Fish and Wildlife Service (FWS) permit applications. The General Permit Procedures in 50
CFR 13 address the permitting process. For simplicity, all licenses, permits, registrations, and certificates are referred to as a permit.
If you are an individual, who would be named on the face of the permit, you need to complete the Individual Applicant section of this
application.
If you are an individual seeking permits issued to yourself for activities not associated with your business or institution, you need to
complete the Individual Applicant section as an individual permittee.
If you are an individual associated with a business or institution, and the business or institution’s name would appear on the face of the
permit, you need to complete the Business Applicant section of this application.
If you are a business applying on behalf of an individual, you need to complete the Business Applicant section of this application and
include a limited power of attorney from the person for whom you represent.
A person/entity is qualified to obtain a U.S. Fish and Wildlife Service permit or license when they are "subject to the jurisdiction of the
United States", per 16 USC 1532(13). A foreign person/entity with no permanent physical presence in the United States only qualifies
for an import/export license when they physically enter or exit the U.S. with the wildlife items. The foreign entity is required to designate
a U.S. agent for purposes of record keeping.
GENERAL INSTRUCTIONS:
•

An incomplete application may cause delays in processing or may be returned to the applicant. Be sure you are filling in the
appropriate application form for the proposed activity. Items marked with an asterisk (*) are required fields.

•

Print clearly or type in the information. Illegible applications may cause delays.

•

Sign the application. Faxes or copies of the original signature will not be accepted.

•

If you choose to mail your submission, mail the original application to the address listed below or, if applicable, on the attached
address list. We encourage electronic filing in the ePermits system.

•

Keep a copy of your completed application.

•

Please plan ahead. Unless otherwise indicated, allow at least 60 days for your application to be processed, however, some
applications may take longer than 90 days to process (50 CFR 13.11). Longer processing times will be noted on those applications.

•

Applications are processed in the order they are received.

Individual or Business Applicants:
Individual Applicant. Complete if applying as an individual [do not complete this application if applying for Import/Export License (3200-3) or a Designated Port Exception Permit (3-200-2)]:
•

Enter the information requested. Required fields must be completed. This is used to create your profile and consumer information
in the ePermits system. If you do not have an email address, enter not applicable.

•

Doing business as (dba) / Affiliation: The Division of Management Authority (DMA) and the Office of Law Enforcement (OLE) do
not accept doing business as affiliations for individuals seeking permits on behalf of themselves. “Doing business as” affiliations
apply to individuals seeking permits for a business, agency, Tribe, organizational, or institutional affiliation directly related to the
activity requested in the application. For example, a taxidermist is an individual whose business can directly relate to the requested
activity of exporting taxidermy (dba relevant permit); however, said taxidermist should not apply as a business for permits to nonbusiness related travel with their pet exotic parrot (dba is not relevant to the permit; complete the Business Applicant section).

Page 1 of 9

FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

Business Applicant. Complete if applying as a business, corporation, public agency, Tribe, or institution:
•

Enter the information requested. Required fields must be completed. This is used to create your contact and account information in
the ePermits system. If you do not have an email address, enter not applicable.

•

If you are applying on behalf of a client, a document evidencing power of attorney must be included with the application.

•

Principal Officer is the person in charge of the listed business, corporation, public agency, Tribe, or institution. The principal
officer is the person responsible for the application and any permitted activities. Often the principal officer is a Director or President.

•

The Contact is the person at the business, corporation, public agency, or institution who will be available to answer questions
about the application or permitted activities. Often this is the preparer of the application. Each person that is associated with the
business that would need to access the business account needs to create their own contact in the ePermits system.

Application processing fee:
•

An application processing fee is required at the time of application, unless exempted under 50 CFR 13. The application processing
fee is assessed to partially cover the cost of processing a request. The fee does not guarantee the issuance of a permit, nor
will fees be refunded for applications for which processing has begun. Checks or money orders must be for the exact
amount for each application submitted. If you are making more than one request, you must submit a separate payment
for each request, otherwise your application will be returned.

•

Documentation of fee exempt status is not required for applications submitted by Federal, Tribal, State, or local
government agencies; but must be supplied by those applicants acting on behalf of such agencies. Such applications
must include a letter on agency letterhead and signed by the head of the unit of government for which the applicant is acting on
behalf, confirming that the applicant will be carrying out the permitted activity for the agency.

CERTIFICATION:
•

The individual identified in the Individual Applicant Section, the principal officer named in the Business Applicant Section, or person
with a valid power of attorney (documentation must be included in the application) must sign and date the application. This
signature legally binds the applicant to the statement of certification. You are certifying that you have read and understand the
regulations that apply to the permit. You are also certifying that all information included in the application is true to the best of your
knowledge. Be sure to read the statement and re-read the application and your answers before signing.

ALL APPLICANTS COMPLETE THE QUESTIONS ASSOCIATED WITH YOUR APPLICATION
Please continue to next page. DO NOT RETURN THIS PAGE WITH THE APPLICATION
Mail applications to: U.S. Fish and Wildlife Service; Division of Management Authority; Branch of Permits, MS:IA; 5275 Leesburg
Pike; Falls Church, Virginia 22041-3803 or as directed by specific applications.
If you would like expedited mailing, please enclose a self-addressed, pre-paid, computer-generated, courier service airway bill. If
unspecified, all documents will be mailed via the U.S. Postal Service.
Please refer to the fee schedule for the appropriate fees for the activity you are requesting.

If you are making more than one request, you must submit a separate payment
for each request, otherwise your application will be returned.

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FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

INDIVIDUAL APPLICANTS
*First Name

Middle Name

*Last Name

*Email Address

Telephone Number

*Street Address

*City

*State/Province

*Zip or Postal Code

*Country

If you wish to have your permit mailed to a different address, complete the following:
*Street Address

*State/Province

*City

*Zip or Postal Code

*Country

If you would like expedited mailing, please enclose a self-addressed, pre-paid, computer-generated, courier service
airway bill. If unspecified, all documents will be mailed via the U.S. Postal Service.

Have you or your client (if a broker applying on behalf of your client), been assessed a
civil penalty or convicted of any criminal provision of any statute or regulation relating to
the activity for which the application is filed; been convicted, or entered a plea of guilty or
nolo contendere, for a felony violation of the Lacey Act, the Migratory Bird Treaty Act, or
the Bald and Golden Eagle Protection Act; forfeited collateral; OR are currently under
charges for any violation of the laws mentioned above?
☐ No ☐ Yes
If you answered “Yes”, provide a) the individual’s name; b) date of charge; c) charge(s); d)
location of incident; e) court and f) action taken for each violation. Please be aware that a
“Yes” response does not automatically disqualify you from getting a permit.

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FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

Certification Statement
Certification: I hereby certify that I have read and am familiar with the regulations
contained in Title 50, Part 13 of the Code of Federal Regulations and the other applicable
parts in subchapter B of Chapter I of Title 50, and I certify that the information submitted in
this application for a permit is complete and accurate to the best of my knowledge and
belief. I understand that any false statement herein may subject me to the criminal
penalties of 18 U.S.C. 1001.

Signature and date

Include a check or money order, payable to the U.S. FISH AND WILDLIFE SERVICE, as
a nonrefundable processing fee [50 CFR 13.11(d)(4)] (see instructions above).
Federal, Tribal, State, and local government agencies, and those acting on behalf of such
agencies, are exempt from the processing fee – attach documentation of fee exempt
status as outlined in instructions. (50 CFR 13.11(d))
*Required fields. Applications without this information are subject to delays or returns.

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FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

BUSINESS APPLICANTS
*Business Name

doing business as (dba)

*Indicate your business type:
__ Business or other for profit
__ Farm

__ Small business

__ Government (Federal/State/Local/Tribal)

__ Not-for-profit institution

Name that will appear on the permit if you are applying on behalf of an individual/business

*Primary Contact Name

*Primary Contact Email Address

*Business Email Address

*Preferred Contact Method (e.g. phone, email)

*Principal Officer Name

*Principal Officer Title

*Principal Officer Email

Tax ID Number

*Business Phone

Alternate Phone

*Street Address

*State/Province

*City

*Zip or Postal Code

*Country

If you wish to have your permit mailed to a different address, complete the following:
*Street Address

*State/Province

*City

*Zip or Postal Code

*Country

Page 5 of 9

FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

Signature and date

Page 6 of 9

FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

APPROVAL OF A FOREIGN BREEDING FACILITY UNDER WBCA
This application is to be completed by a non-US breeding facility currently breeding CITES-listed bird species that would
like to export live birds to the United States. All imports of live CITES-listed birds from non-approved facilities must be
accompanied by a U.S. Wild Bird Conservation Act (WBCA) import permit. Breeding facilities that have been approved by
the U.S. Fish and Wildlife Service can export birds into the United States with only the required CITES documents.
Complete all questions on the application. Mark questions that are not applicable with "N/A". Given the length of many of
your responses, please use separate sheets of paper. On all attachments or separate sheets you are submitting, indicate
the number of the application question you are addressing.
Background Information:
1. List of bird species being bred at the breeding facility, including the common and scientific names of the species.
2. The name and address of the foreign breeding facility.
3. A summary of the legislation implementing the Convention in the country in which the facility is located.
Breeding Facility—Please provide the following:
4. A statement of the facility's capability of producing captive-bred birds of the species identified in question 1 and the
number of birds they anticipate exporting to the United States on an annual basis.
5. Relevant experience of persons involved in the operation of the facility.
6. Current stock of the facility, including total number, ages, sexes, and numbers of breeding pairs.
7. Production levels that have been achieved at the facility for at least the past two complete calendar years, including
numbers of eggs produced, chicks hatched, and chicks reared to independence.
8. Anticipated future production.
9. Breeding protocol, including a genetic management plan and description of breeding methods. Breeding methods
should include whether breeding is continuous or seasonal (including descriptions of photoperiod manipulations used
to stimulate or control breeding, if any) and whether breeding birds are induced to produce multiple clutches by the
removal of eggs for artificial incubation.
10. Descriptions of incubation and rearing methods, as well as any other methods used to enhance production, including
artificial insemination when applicable.
11. A statement describing the facility and demonstrating that it is operated in a humane and healthful manner, including:
a. Diagrams and photographs of the facility;
b. Descriptions of enclosures, including dimensions, construction materials, substrates, availability of water,lighting,
ventilation, the need for supplemental heat or cooling and how these are provided, and shading(for outdoor
enclosures);
c.

Densities of birds in enclosures;

d. Internal features of enclosures, including perches, nest boxes, and plantings; and
e. A description of any facility features designed to satisfy unique requirements of the particular species.
12. A description of the care and maintenance practices of the facility, including:
a. Husbandry practices, feeding regimes (number of feedings per day), and diet;
b. Hygienic practices, including methods and frequency of cleaning and disinfection of equipment and facilities;
c.

A statement as to the availability of routine professional veterinary care, including annual flock inspection or
examination, and medication/vaccination schedules;
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FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

d. Records of mortality and disease outbreak for both adults and chicks for at least the past two years. Episodes of
high mortality or disease should be explained, and measures taken to prevent similar mortality or disease
outbreaks in the future should be described; and
e. Qualifications and experience of the personnel who will be responsible for the care of the exotic birds.
13. A statement that all birds exported or to be exported from the facility are bred at the facility and are marked with
closed leg bands or an electronic marking system.
14. Details on the system of record keeping and tracking of birds and their progeny hatched at the facility, including:
a. Documentation that the facility maintains records of hatch dates and band numbers of all birds produced at the
facility;
b. Documentation that the facility maintains records of all birds traded from the facility, including both within the
country in which the facility is located and internationally; and
c.

Copies of these production and trade data shall be included with the application for the past two calendar years.

Additional Information
15. A statement demonstrating that the facility is operated in a manner that is not detrimental to the survival of thespecies
in the wild, including:
a. The number and origin of original breeding stock (founders);
b. If any parental breeding stock was wild-caught, a statement as to the country of origin, date of acquisition,and
certification by the Management Authority in the country in which the facility is located that theparental breeding
stock was legally acquired; and
16. Certification, in writing, from the Management Authority of the country in which the facility is located that:
a. The facility has the capability of breeding the species in captivity in the numbers to be traded withoutdetriment to
the wild population;
b. The operator of the facility has not been convicted of any violations of the country's laws governing tradeand
export of avian species; and
c.

Adequate controls on the breeding facility, including inspections, are in place to prevent the use of thefacility for
the export or re-export of wild-caught stock, including a statement on security at the facility andany prior losses
due to theft.

17. A statement from the Scientific Authority of the country in which the facility is located attesting that the parentalstock
was established in a manner that was not detrimental to the survival of the species in the wild.
18. A statement from the breeding facility operator of any anticipated need for augmentation of breeding stock with
specimens from other sources. If augmentation is to be from the wild, please provide an explanation as to why the
removal of additional specimens from the wild shall be included. This explanation must address whether other
captive-bred stock is available and describe breeding strategies employed at the facility to avoid deleterious
inbreeding so that the need for augmentation from the wild is minimized.
19. Any other information that the applicant considers appropriate for the evaluation of this plan.

Page 8 of 9

FWS Form 3-200-51 (Rev. 02/2023)
U.S. Department of the Interior

OMB Control No. 1018-0093
Expires xx/xx/xxxx

NOTICES

PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the following: the Bald and Golden Eagle Protection Act (16 U.S.C.
668), 50 CFR 22; the Endangered Species Act (16 U.S.C. 1531-1544), 50 CFR 17; the Migratory Bird Treaty Act (16
U.S.C. 703-712), 50 CFR 21; the Marine Mammal Protection Act (16 U.S.C. 1361, et seq.), 50 CFR 18; the Wild Bird
Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15; the Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;
Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), 50 CFR 23; General
Provisions, 50 CFR 10; General Permit Procedures, 50 CFR 13; and Wildlife Provisions (Import/export/transport), 50 CFR
14.
Purpose: The collection of contact information is to verify the individual has an eligible permit to conduct activities which
affect protected species. This helps FWS monitor and report on protected species and assess the impact of permitted
activities on the conservation and management of species and their habitats.
Routine Uses: The collected information may be used to verify an applicant’s eligibility for a permit to conduct activities
with protected wildlife; to provide the public and the permittees with permit related information; to monitor activities under
a permit; to analyze data and produce reports to monitor the use of protected wildlife; to assess the impact of permitted
activities on the conservation and management of protected species and their habitats; and to evaluate the effectiveness
of the permit programs. More information about routine uses can be found in the System of Records Notice, Permits
System, FWS-21.
Disclosure: The information requested in this form is voluntary. However, submission of requested information is required
to process applications for permits authorized under the listed authorities. Failure to provide the requested information
may be sufficient cause for the U.S. Fish & Wildlife Service to deny the request.
PAPERWORK REDUCTION ACT STATEMENT
We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) in order provide the U.S. Fish
and Wildlife Service the information necessary, under the applicable laws governing the requested activity, for which a
permit is requested. Information requested in this form is purely voluntary. However, submission of requested information
is required in order to process applications for permits authorized under the applicable laws. Failure to provide all
requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request. According to the
Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a
collection of information unless it displays a currently valid OMB control number. OMB has approved this collection of
information and assigned Control No. 1018-0093.
ESTIMATED BURDEN STATEMENT
We estimate public reporting for this collection of information to average 7 hours (electronically) to 8 hours (paper-based),
including time for reviewing instructions, gathering and maintaining data and completing and reviewing the form. Direct
comments regarding the burden estimate or any other aspect of the form to the Service Information Clearance Officer, Fish
and Wildlife Service, U.S. Department of the Interior, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA
22041-3803, or via email at [email protected]. Please do not send your completed form to this address.
Questions regarding permits from Management Authority should be sent to [email protected].

Page 9 of 9

File Type	application/pdf
Author	Harlow, Caroline I
File Modified	2023-02-27
File Created	2023-02-27