Information Collection

Permit Application (State/Local/Tribal Govt)

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

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.