Information Collection

Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Individuals)

IC 240176 under ICR 202407-1018-006 · OMB 1018-0167.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0167 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-200-71 Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Individuals)	Form and Instruction
3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl Form 3-200-71 Application updated 01292024.docx fwsepermits.servicenowservices.com/fws/	Form and Instruction
3-200-71 Federal Fish and Wildlife Permit Application Form - Eagl Form 3-200-71 Application updated 01292024.docx fwsepermits.servicenowservices.com/fws/	Form and Instruction
Form 3-200-71 FAQ draft 05-2022.pdf Form 3-200-71 FAQ	IC Document
Form 3-200-71 FAQ draft 05-2022.pdf Form 3-200-71 FAQ	IC Document

IC Title:

Application - Eagle Incidental Take - Specific (Form 3-200-71) 50 CFR 22.250 (Individuals)

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
Form and Instruction	3-200-71	Federal Fish and Wildlife Permit Application Form - Eagle Incidental Take	Form 3-200-71 Application updated 01292024.docx	https://fwsepermits.servicenowservices.com/fws/	Yes	Yes	Fillable Fileable Signable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: INTERIOR/FWSâ21, Permits System

FR Citation: 88 FR 16277

Number of Respondents: 1

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	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	36,000	36,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Form 3-200-71 FAQ	Form 3-200-71 FAQ draft 05-2022.pdf	09/26/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.