Request for Approval – Other Improvements/Alterations (Individuals/Households)

U.S. Fish and Wildlife Service Grassland Easements

Documents and Forms

Document Name Document Type
Sample Permit Conditions for Improvements or Alterations w-PRA 07312023.docx Sample Permit Conditions for Improvements or Alterations IC Document

Information Collection (IC) Details

IC Title:	Request for Approval – Other Improvements/Alterations (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

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: 175	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	175	175
Annual IC Time Burden (Hours)	525	525
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sample Permit Conditions for Improvements or Alterations	Sample Permit Conditions for Improvements or Alterations w-PRA 07312023.docx	07/31/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.