Information Collection

Application Process (Form 3-2573) (Individuals/Households)

IC 261318 under ICR 202307-1018-003 · OMB unassigned.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-2573 Application Process (Form 3-2573) (Individuals/Households)	Form
3-2573 Easement Acquisition – Initial Landowner Inquiry Form FWS Form 3-2573 Application w-PRA Rev 08-2023.pdf	Form

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: 41 CFR 101 41 CFR 102

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	3-2573	Easement Acquisition â Initial Landowner Inquiry Form	FWS Form 3-2573 Application w-PRA Rev 08-2023.pdf		Yes	Yes	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: INTERIOR/FWSâ5, National Wildlife Refuge Special Use Permits

FR Citation: 88 FR 16277

Number of Respondents: 525

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	525	525
Annual IC Time Burden (Hours)	1,050	1,050
Annual IC Cost Burden (Dollars)	1,050,000	1,050,000

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.