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

U.S. Fish and Wildlife Service Grassland Easements

Documents and Forms

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

Information Collection (IC) Details

IC Title:	Application Process (Form 3-2573) (Individuals/Households)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3-2573	Easement Acquisition – 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/FWS–5, 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 %

	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

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.