Information Collection

Request for Drain Tile Setback (Individuals)

IC 254392 under ICR 202311-1018-010 · OMB 1018-0198.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-2554 Request for Drain Tile Setback (Individuals)	Form
3-2554 Request for Drain Tile Setback DRAFT FWS Form 3-2554 Request for Drain Tile Setback Final Rule Updated 11272023.docx legacy-www.fws.doi.net/forms/index.cfm	Form
3-2554 Request for Drain Tile Setback DRAFT FWS Form 3-2554 Request for Drain Tile Setback Final Rule Updated 11272023.docx legacy-www.fws.doi.net/forms/index.cfm	Form

IC Title:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3-2554	Request for Drain Tile Setback	DRAFT FWS Form 3-2554 Request for Drain Tile Setback Final Rule Updated 11272023.docx	https://legacy-www.fws.doi.net/forms/index.cfm	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: FWS-5, National Wildlife Refuge Special Use Permits

FR Citation: 88 FR 16277

Number of Respondents: 146

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	146	146
Annual IC Time Burden (Hours)	61	61
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.