Information Collection

Amendment - Recovery Permit Application Form (3-200-59) - Individuals

IC 266771 under ICR 202404-1018-003 · OMB 1018-0094.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-59 Amendment - Recovery Permit Application Form (3-200-59) - Individuals	Form and Instruction
Form 3-200-59 Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery) Amendment - Recovery Permit Application Form (3-200-59) - Individuals	Form and Instruction
3-200-59 Federal Fish and Wildlife Permit Application Form - Nati FWS Form 3-200-59 Purposeful Take for Recovery 10112023.docx fwsepermits.servicenowservices.com/fws?id=fws_permit_search	Form and Instruction
3-200-59 Federal Fish and Wildlife Permit Application Form - Nati FWS Form 3-200-59 Purposeful Take for Recovery 10112023.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: New

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	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)	FWS Form 3-200-59 Purposeful Take for Recovery 10112023.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: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	1,500	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.