Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Private Sector)

Eagle Take Permits and Fees, 50 CFR 10, 13, and 22

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0167 can be found here:

Documents and Forms

Document Name Document Type
Form 3-200-71 Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Private Sector) Form and Instruction
3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl Form 3-200-71 Application updated 01292024.docx fwsepermits.servicenowservices.com/fws/ Form and Instruction
3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl Form 3-200-71 Application updated 01292024.docx fwsepermits.servicenowservices.com/fws/ Form and Instruction
Form 3-200-71 FAQ draft 05-2022.pdf Form 3-200-71 FAQ IC Document
Form 3-200-71 FAQ draft 05-2022.pdf Form 3-200-71 FAQ IC Document

Information Collection (IC) Details

IC Title:	Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Private Sector)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-71	Federal Fish and Wildlife Permit Application Form - Eagle Incidental Take	Form 3-200-71 Application updated 01292024.docx	https://fwsepermits.servicenowservices.com/fws/	Yes	Yes	Fillable Fileable Signable

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: 3	Number of Respondents for Small Entity: 1

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3	-9	12
Annual IC Time Burden (Hours)	600	-1,800	2,400
Annual IC Cost Burden (Dollars)	108,000	-324,000	432,000

Documents for IC

Title	Document	Date Uploaded
Form 3-200-71 FAQ	Form 3-200-71 FAQ draft 05-2022.pdf	09/26/2023

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