Information Collection

Submission of Form 3-2555 (Government)

IC 257472 under ICR 202512-1018-001 · OMB 1018-0190.

Documents and Forms

Document Name Document Type
Form 3-2555 Bison Donation Request Form Submission of Form 3-2555 (Government) Form
3-2555 Bison Donation Request Form Form 3-2555 Bison Donations Request Form Final Rev 06-2022.docx www.fws.gov/forms Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Submission of Form 3-2555 (Government)	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	3-2555	Bison Donation Request Form	Form 3-2555 Bison Donations Request Form Final Rev 06-2022.docx	https://www.fws.gov/forms	Yes	Yes	Fillable Fileable

Line of Business: Environmental Management

Subfunction: Environmental Monitoring and Forecasting

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 50 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10	8	2
Annual IC Time Burden (Hours)	10	8	2
Annual IC Cost Burden (Dollars)	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.

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