Information Collection

Application - Enhancement of Survival Permits (Form 3-200-54) - Private Sector

IC 181910 under ICR 202404-1018-003 · OMB 1018-0094.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-54 Application - Enhancement of Survival Permits (Form 3-200-54) - Private Sector	Form and Instruction
Form 3-200-54 Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances Application - Enhancement of Survival Permits (Form 3-200-54) - Private Sector	Form and Instruction
3-200-54 Enhancement of Survival Permits Associated with Safe Har FWS Form 3-200-54 Enhancement of Survival Permits CBA 09092022.docx fwsepermits.servicenowservices.com/fws?id=fws_permit_search	Form and Instruction
3-200-54 Enhancement of Survival Permits Associated with Safe Har FWS Form 3-200-54 Enhancement of Survival Permits CBA 09092022.docx fwsepermits.servicenowservices.com/fws?id=fws_permit_search	Form and Instruction

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: 50 CFR 13 and 17

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 and Instruction	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances	FWS Form 3-200-54 Enhancement of Survival Permits CBA 09092022.docx	https://fwsepermits.servicenowservices.com/fws?id=fws_permit_search	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: Permits System--Inteior, FWS-21

FR Citation: 88 FR 16277

Number of Respondents: 15

Number of Respondents for Small Entity: 2

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	15	4	11
Annual IC Time Burden (Hours)	45	12	33
Annual IC Cost Burden (Dollars)	750	200	550

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.