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General Activities Special Use Permit Simplified Application (Form 3–1383-EZ) - Individuals
National Wildlife Refuge Special Use Permit Applications and Reports, 50 CFR 25, 26, 27, 29, 30, 31, 32, 36 and 43 CFR 5
OMB: 1018-0102
IC ID: 272668
OMB.report
DOI/FWS
OMB 1018-0102
ICR 202411-1018-004
IC 272668
( )
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 3–1383-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
Federal Enterprise Architecture Business Reference Module
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 New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
751
0
751
0
0
0
Annual IC Time Burden (Hours)
188
0
188
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.