The following instructions pertain to the standard License/Permit Form 3-200 that must be completed as an application for a U.S. Fish and Wildlife Service permit. Please read the General Permit Procedures (50 CFR 13) sent with this package.
- Complete all appropriate blocks/lines. Print clearly or type in the information. A complete application prevents delays!
- Sign the application in ink and send an original to the address on the top of the application. Faxed copies will not be accepted.
- Applications will be processed in the order they are received.
Most of the application form is self-explanatory, but the following provides some further assistance for completing the form.
COMPLETE EITHER BLOCK A OR BLOCK B:
Block A.
"Complete if applying as an individual" - Enter the complete name of the responsible party who will be the permittee if a permit is issued. Enter personal information that identifies the applicant. All blocks must be completed. If you are applying on behalf of a client, the personal information must pertain to the client. A notarized document stating power of attorney must be included with the application.
Block B.
"Complete if applying as a business, corporation, public agency or institution" - Enter the complete name and address of the business, agency or institution who will be the permittee if a permit is issued. Give a brief description of the type of business the applicant is engaged in, the name and phone number of the person in charge, and if the company is incorporated, the state in which it was incorporated.
ALL APPLICANTS COMPLETE BLOCK C:
Block C.1
"Do you currently have or have had any Federal Fish and Wildlife license or permits?" - List the number of any FWS or CITES permits.
Block C.2
"Have you obtained any required state or foreign government approval to conduct the activity you propose?" - If the proposed activity is regulated, check the appropriate box. If "yes", list the State or foreign countries involved and type of document required. Include a copy of these documents with the application. If "no" indicate what steps you have taken to secure approval (use attachment if necessary). If the proposed activity is not regulated check "not required".
Block C.3
"Enclose check or money order" - There is a permit processing fee unless you are fee exempt. Consult the enclosed Application Processing Fee section or 50 CFR 13.11. Make the check or money order payable to the U.S. Fish and Wildlife Service and attach it to the application form. If fee exempt, write "exempt" in this space.
Block C.4
"Attachments" - Consult the regulation. Provide any required additional information outlined on the supplemental page of the application form. Be as complete and descriptive as possible. If there is any doubt as to the information's relevance, include it with the application. An incomplete or unclear application may cause delays in processing.
Block C.5
"CERTIFICATION" - The individual applicant in Block A, the person named in Block B, or person with power of attorney must sign and date the application in ink. This signature binds that person to the statement of certification. This means that you certify that you read and understood the regulations that apply to the permit. You also certify that everything included in the application is true to the best of your knowledge. Be sure to read the statement and re-read the application before signing.
Privacy Act and Paperwork Reduction Act -- Notice
In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) and the Privacy Act of 1974 (5 U.S.C. 552a) please be advised that:
- The gathering of information on fish and wildlife is authorized by: (a) Bald and Golden Eagle Act (16 U.S.C. 668a); (b) Endangered Species Act of 1973 (16 U.S.C. 1539); (c) Migratory Bird Treaty Act (16 U.S.C. 703-711); (d) Marine Mammal Protection Act of 1972 (16 U.S.C. 1371-1383); (e) Wild Bird Conservation Act (16 U.S.C. 4901-4916); (f) Lacey Act (18 U.S.C. 42 & 44); and, (g) Title 50, Part 13, of the Code of Federal Regulations.
- Information requested in this form is purely voluntary; however, submission of information is required in order to process applications for licenses or permits authorized under the above acts. With the exception of your social security number, failure to provide all requested information is sufficient cause for the U.S. Fish and Wildlife Service to deny a permit. Response is not required unless a currently valid Office of Management and Budget (OMB) control number is displayed.
- Applications for permits authorized under the Endangered Species Act of 1973 (16 U.S.C. 1539) and the Marine Mammal Protection Act of 1972 (16 U.S.C. 1371-1383) will be published in the Federal Register as required by the two acts.
- Routine use disclosures may also be made:
- To the U.S. Department of Justice when related to litigation or anticipated litigation;
- Of information indicating a violation or potential violation of a statute, regulation, rule, order or license to appropriate Federal, State, local or foreign agencies responsible for investigation or prosecuting the violation or for enforcing or implementing the statute, rule, regulations, order or license;
- From the record of an individual in response to an inquiry from a Congressional office made at the request of that individual (42 FR 19083; April 11, 1977);
- To subject matter experts, and State and other Federal agencies, for the sole purpose of obtaining advice relevant to issuance of the permit.
- For individuals, personal information such as home address and telephone number, financial data, and personal identifiers (social security number, birth date, etc.) will be removed prior to any release of the application.
- For applications for permits under the Migratory Bird Treaty Act and Bald and Golden Eagle Protection Act: The public reporting burden for this information collection varies based on the specific activity use being requested. With the exception of applications for scientific collecting, special Canada goose, special purpose, and take of golden eagle nest permits, we estimate it will take you about an hour to read the instructions and complete the application form. We estimate applications for special purpose permits will take you about 2.5 hours to read and complete, and scientific collecting and golden eagle nest permits will take about 4 hours. This burden estimate includes time for reviewing instructions, gathering and maintaining data and completing and reviewing the form. You may direct any comments concerning the burden estimate or any other aspect of the form, the accuracy of this burden and suggestions for reducing this burden to the Information Collection Clearance Officer, Mail Stop 222, Arlington Square, U.S. Fish and Wildlife Service, 1849 C Street, N.W., Washington, D.C. 20240, and to the Office of Information and Regulatory Affairs, OMB, Attention: Desk Officer for the Interior Department (1018-0022), Washington, D.C. 20240.
Freedom of Information Act -- Notice
For organizations, businesses, or individuals operating as a business (i.e., permittees not covered by the Privacy Act), we request that you identify any information that should be considered privileged and confidential business information to allow the Service to meet its responsibilities under FOIA. Confidential business information must be clearly marked "Business Confidential" at the top of the letter or page and each succeeding page, and must be accompanied by a non-confidential summary of the confidential information. The non-confidential summary and remaining documents may be made available to the public under FOIA [43 CFR 2.13(c)(4), 43 CFR 2.15(d)(1)(i)].
Application Processing Fee
The fee to process a permit application is $ 25.00. Checks are to be made payable to "U.S. Fish and Wildlife Service". The fee applies to permit applications and renewals. The processing fee will not be refunded if the permit is issued, denied or abandoned. There is no fee for eagle permits issued under 50 CFR part 22.
The fee schedule does not apply to any Federal, State, or local government agency or individual or institution under contract to such agency for the proposed activities. Until further notice, the fee will be waived for public institutions. As defined in 50 CFR 10.12 B - "Public" as used in referring to museums, zoological parks, and scientific or educational institutions, refers to such as are open to the general public and are either established, maintained, and operated as a governmental service or are privately endowed and organized, but not operated for a profit". Proof of such status must accompany the application (50 CFR 13.11(d)). Currently the fee is waived for rehabilitation permits.
