Information Collection

Application - Raptor Propagation Permit (Form 3-200-12) - Individuals

IC 180870 under ICR 201702-1018-004 · OMB 1018-0022.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0022 can be found here:

Documents and Forms

Document Name Document Type
Form 3-200-12 Application - Raptor Propagation Permit (Form 3-200-12) - Individuals Form and Instruction
3-200-12 Raptor Propagation Permit Application Form 3-200-12 Application - Raptor Propagation Permit Rev 02-2018.pdf www.fws.gov/forms Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application - Raptor Propagation Permit (Form 3-200-12) - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 21

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-200-12	Raptor Propagation Permit Application Form	3-200-12 Application - Raptor Propagation Permit Rev 02-2018.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: Permits System - Interior, FWS-21	FR Citation: 68 FR 52610

Number of Respondents: 25	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	25	20	5
Annual IC Time Burden (Hours)	100	80	20
Annual IC Cost Burden (Dollars)	2,500	2,000	500

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.