Information Collection

Application - Incidental Take (Form 3-200-56) - Private Sector

IC 181999 under ICR 202404-1018-003 · OMB 1018-0094.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-56 Application - Incidental Take (Form 3-200-56) - Private Sector	Form and Instruction
3-200-56 Incidental Take Permits Associated with a Habitat Conser FWS Form 3-200-56 Incidental Take w-HCP 09092022.docx fwsepermits.servicenowservices.com/fws?id=fws_permit_search	Form and Instruction
3-200-56 Incidental Take Permits Associated with a Habitat Conser FWS Form 3-200-56 Incidental Take w-HCP 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 ans 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	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)	FWS Form 3-200-56 Incidental Take w-HCP 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--Interior, FWS-21

FR Citation: 88 FR 16277

Number of Respondents: 50

Number of Respondents for Small Entity: 12

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

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	50	30	20
Annual IC Time Burden (Hours)	150	90	60
Annual IC Cost Burden (Dollars)	3,750	2,250	1,500

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.