Information Collection

Amendment - Research and Monitoring Special Use Application (Form 3-1383-R) - Individuals

IC 250093 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-R Amendment - Research and Monitoring Special Use Application (Form 3-1383-R) - Individuals	Form and Instruction
Form 3-1383-R Special Use Application - Research and Monitoring Activities Amendment - Research and Monitoring Special Use Application (Form 3-1383-R) - Individuals	Form and Instruction
3-1383-R Special Use Application - Research and Monitoring Activi 3-1383-R Updated Rev 11-2025.pdf www.fws.gov/forms	Form and Instruction
3-1383-R Special Use Application - Research and Monitoring Activi 3-1383-R Corrected 05302025.pdf www.fws.gov/forms	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-R			http://www.fws.gov/forms	Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records

Title: National Wildlife Refuge Special Use Permits, FWS-5

FR Citation: 88 FR 16277

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].