Information Collection

General Activities Special Use Permit Simplified Application (Form 3–1383-EZ) - Individuals

IC 272668 under ICR 202411-1018-004 · OMB 1018-0102.

Documents and Forms

Document Name Document Type
Form 3-1383-EZ General Activities Special Use Permit Simplified Application (Form 3–1383-EZ) - Individuals Form and Instruction
3-1383-EZ General Activities Special Use Permit Simplified Applica 3-1383-EZ Updated Rev 11-2025.pdf www.fws.gov/forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	General Activities Special Use Permit Simplified Application (Form 3â1383-EZ) - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-1383-EZ	General Activities Special Use Permit Simplified Application	3-1383-EZ Updated Rev 11-2025.pdf	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 System Special Use Permits, FWS-5	FR Citation: 88 FR 16277

Number of Respondents: 751	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 20 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	751	751
Annual IC Time Burden (Hours)	188	188
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.