ePermits Application - Letter of Authorization for Marine Mammals Rescue/Rehabilitation Purposes (MMPA/ESA) (Form 3-200-43d) - Individuals

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

Documents and Forms

Document Name Document Type
Form 3-200-43d ePermits Application - Letter of Authorization for Marine Mammals Rescue/Rehabilitation Purposes (MMPA/ESA) (Form 3-200-43d) - Individuals Form and Instruction
3-200-43d Application - Letter of Authorization for Marine Mammals 3-200-43d App - LOA for Marine Mammal Rescue Rehabilitation Purposes 02242023.pdf fwsepermits.servicenowservices.com/fws/?id=fws_permit_search Form and Instruction

Information Collection (IC) Details

IC Title:	ePermits Application - Letter of Authorization for Marine Mammals Rescue/Rehabilitation Purposes (MMPA/ESA) (Form 3-200-43d) - Individuals	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 17.21, 17.22, 17.31, 17.32 50 CFR 23.11, 23.12, 23.13, 23.15 50 CFR 18.11, 18.22, 18.31

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-43d	Application - Letter of Authorization for Marine Mammals Rescue/Rehabilitation Purposes (MMPA/ESA)	3-200-43d App - LOA for Marine Mammal Rescue Rehabilitation Purposes 02242023.pdf	https://fwsepermits.servicenowservices.com/fws/?id=fws_permit_search	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: INTERIOR/FWS–21, 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: 100 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1	0	1
Annual IC Time Burden (Hours)	10	8	2
Annual IC Cost Burden (Dollars)	132	0	132

Documents for IC

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.