Information Collection

Permit Application (State/Local/Tribal Govt)

IC 189286 under ICR 202310-1028-004 · OMB 1028-0082.

Documents and Forms

Document Name Document Type
1028-0082 BB Permit Application form 2015-12.pdf www.pwrc.usgs.gov/bbl/forms/application.pdf Other-Permit Application
1028-0082 BB Permit Application form 2015-12.pdf www.pwrc.usgs.gov/bbl/forms/application.pdf Other-Permit Application

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Permit Application (State/Local/Tribal Govt)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

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
Other-Permit Application			1028-0082 BB Permit Application form 2015-12.pdf	http://www.pwrc.usgs.gov/bbl/forms/application.pdf	Yes	No	Printable Only

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: United States Fish and Wildlife North American Breeding Bird Survey â Interior, FWSâ13 system of records	FR Citation: 73 FR 31877

Number of Respondents: 10	Number of Respondents for Small Entity: 2

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

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.