Information Collection

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

IC 259104 under ICR 202302-1018-009 · OMB 1018-0093.

Documents and Forms

Documents and forms in this information collection
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) - Government	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

IC Title:

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 18.11, 18.22, 18.31 50 CFR 17.21, 17.22, 17.31, 17.32 50 CFR 23.11, 23.12, 23.13, 23.15

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	3-200-43d	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/FWSâ21, Permits System

FR Citation: 88 FR 16277

Number of Respondents: 2

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2	1	1
Annual IC Time Burden (Hours)	20	18	2
Annual IC Cost Burden (Dollars)	0	-132	132

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.