Information Collection

ePermits Amendment - General Special Use Application (Form 3-1383-G) - Private Sector

IC 250035 under ICR 202411-1018-004 · OMB 1018-0102.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 3-1383-G ePermits Amendment - General Special Use Application (Form 3-1383-G) - Private Sector	Form and Instruction
3-1383-G Special Use Application - General Activities 3-1383-G Updated Rev 11-2025.pdf fwsepermits.servicenowservices.com/fws/	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:

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	3-1383-G	Special Use Application - General Activities	3-1383-G Updated Rev 11-2025.pdf	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: National Wildlife Refuge System Special Use Permits, FWS-5

FR Citation: 88 FR 16277

Number of Respondents: 55

Number of Respondents for Small Entity: 55

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	55	-6	61
Annual IC Time Burden (Hours)	11	-1	12
Annual IC Cost Burden (Dollars)	0	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.