Forms
Division of Information Resources and Technology Management (IRTM)
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Form No. Format OPR Title Date Reference
3-2400  PDF-F DVSC  Condition of Employment Statement
08/10         
3-2401  PDF-F OLE  FWS Discharge of Firearms/Use of Force
01/10 442 FW 2      
3-2402  PDF-F DSH  Explosives And Blasting Authorization
01/12 244 FW 2      
3-2403  PDF-F DSH  Explosives And Rocket Net Authorization
09/16 244 FW 3      
3-2404  PDF-F NCTC  Fish and Wildlife Service Fallen Comrades Memorial Nomination Form
03/10 029 FW 5      
3-2405     R4  Visitor Check-In Permit and Report - Issued by refuge
1018-0153
08/12         
3-2406      R7  Registration of Certain Dead Marine Mammal Hard Parts
Pending OMB Approval
           
3-2407  PDF-F HC  FLSA Determination Worksheet
07/10 225 FW 6      
3-2408  PDF-F CFM  Designation of Accountable, Custodial, and Receiving Officer(s)
02/11 310 FW 1
Designation Letter   
3-2409  PDF-F CFM  Accountability Transfer Certification
08/10 310 FW 1
Designation Letter   
3-2410  PDF-F DSH  Explosives and Blasting Shot Record
09/10 244 FW 1-3      
3-2411  PDF-F CFM  Employee Certification of Appeal Rights for Required Occupancy
10/10 371 FW 3      
3-2412  PDF-F DSH  Chain Saw Operator Authorization Form (Non-Fire)
10/2016 241 FW 12      
3-2414      R7  Polar Bear Tagging Certificates
1018-0066
12/10         
3-2415      R7  Walrus Tagging Certificates
1018-0066
12/10         
3-2416      R7  Sea Otter Tagging Certificates
1018-0066
12/10         
3-2417  PDF-F NWRS  Physical Security Survey - Level 1
04/16 432 FW 1      
3-2418  PDF-F NWRS  Physical Security Survey - Level 2
04/16 432 FW 1      
3-2419  PDF-F NWRS  Physical Security Survey - Level 3
04/16 431 FW 1      
3-2420  PDF-F DSH  Collateral Duty Safety Officer Certification Form
08/11 240 FW 2      
3-2421  PDF-F IRTM  Statement of Radio Requirement
12/13 272 FW 2      
3-2422  PDF-F IRTM  Radio Programming Information Table
12/13 272 FW 2      
3-2423  PDF-F IRTM  MOU for FCC Licensee Access to Federal Agency Radio Frequencies
12/13 272 FW 2      
3-2424  PDF-F IRTM  MOU for Federal Agency Access to FCC Licensed Radio Frequencies
12/13 272 FW 2      
3-2425  PDF-F IRTM  MOU for Federal Agency Access to Other Federal Agency Radio Frequencies
12/13 272 FW 2      
3-2426  PDF-F IRTM  Additional Radio Frequencies Listing
12/13 272 FW 2      
3-2427  PDF-F IRTM  Telemetry Radio Frequency Request Form
12/13 272 FW 2      
3-2428  PDF-F CFM  Program Purchase Request (New Requirement)
11/11         
3-2429  PDF-F CFM  Program Purchase Request (Modification to Existing Requirement)
11/11         
3-2430  PDF-F ENG  Asbestos Inspection Form
03/12 561 FW 8      
3-2431  PDF-F ENG  Asbestos Awareness Training Record
03/12 561 FW 8      
3-2432  PDF-F DEN  Contractor Notification Form for Asbestos
03/12 561 FW 8      
3-2433  PDF-F Ethics  DISCLOSURE - Serving as a Board Member/Officer on a Non-Federal Organization in a Personal Capacity
04/12 212 FW 4      
3-2434     IRTM  INTERNAL USE ONLY: Remote VPN Access (Juniper & Netscaler)
           
3-2435     IRTM  INTERNAL USE ONLY: Unix/Linux Access
           
3-2436     IRTM  INTERNAL USE ONLY: Windows Access
           
3-2437     IRTM  INTERNAL USE ONLY: Database Access
           
3-2438      IRTM  INTERNAL USE ONLY: Control-M Access
           
3-2439      IRTM  INTERNAL USE ONLY: TSM Back-up Access (Tivoli Storage Manager)
           
3-2440      IRTM  FOR INTERNAL USE ONLY: Request to Install Additional Software (FWS IT Servicedesk)
           
3-2441  PDF-F Ethics  Request for Approval to Engage in Outside Employment or Activity with a "Prohibited Source"
11/16 212 FW 5      
3-2442  PDF CFM  Annual Personal Property Inventory Certification
07/12 310 FW 3      
3-2443  PDF-F IRTM  Information Security Control Policy Waiver
07/12         
3-2444  PDF-F HC  NBC HR Systems Access Request Form
05/13 270 FW 7      
3-2445  PDF-F NWRS  Section 106 National Historic Preservation Act Evaluation
08/12         
3-2446  Word NWRS  GETS/WPS Request Form
11/12 Government Emergency Telecommunications Service
Wireless Priority Service
IRTM GETS and WPS
3-2447  PDF-F HR  Supervisor's Approval - Serving in an Adjunct or Affiliate Status at a University or Research Institute in an Official Capacity
02/13 212 FW 11      
3-2448  PDF-F ES  Section 6 HCP Grant Evaluation Form
02/13         
3-2449  Word IRTM  FOR INTERNAL USE ONLY: EES Audit Request Form (AFR)
01/13         
3-2450  PDF-F IRTM  Radio Frequency List Acceptance Memorandum
12/13 272 FW 2      
3-2451  PDF-F FASO  Financial Assistance Recipient DUNS/SAM Registration Waiver
08/13 516 FW 5      
3-2452  PDF-F FASO  Determination for Issuing a Single Source Financial Assistance Award
11/13 516 FW 6      
3-2453  PDF DEN  Hazardous Waste Container Storage Area Inspection Check List
09/13 561 FW 6      
3-2460  PDF-F FASO  Checklist for a New Financial Assistance Award
02/15         
3-2462  PDF-F FASO  Financial Assistance Recipient Risk Assessment
3/14         
3-2463  PDF-F ABMO  Certification of Seismic Compliance - Building Retrofit
02/15 363 FW 1      
3-2464  PDF-F ABMO  Certification of Seismic Compliance - New Building
02/15 363 FW 1      
3-2465      DIV OF RFG LE  Activity Log
           
3-2466  PDF-F R5 HR  Leave Bank Election Form - Region 5
12/14 VLBP Policy      
3-2467  PDF-F R5 HR  Application to Become a Leave Recipient Under the FWS Region 5 Voluntary Leave Bank Program - Region 5 HR
12/14 VLBP Policy      
3-2468      Realty  Cadastral Survey Services Request
   343 FW 1-4      
3-2469  PDF-F NWRS  Oil and Gas Operations Special Use Permit Application
1018-0162
12/16         
3-2470  PDF-F Realty  Request Form for Director’s Concurrence to Pursue High Value Projects
06/15         
3-2471      Realty  Permission to Appraise
Pending OMB Approval
           
3-2472  PDF-F Safety  Off Road Utility Vehicle (ORUV) Safety Training - Student Performance
04/15 243 FW 6
321 FW 1   
3-2473  PDF-F CLE  Firearms Training Record
04/15         
3-2474  PDF-F CLE  Remedial Firearms Training and Qualification Record
05/15         
3-2475  PDF-F CLE  Duty Weapon Accessory or Modification Request Worksheet
05/15         
3-2476  Sharepoint CGS  Fleet Justification Form
01/16         
3-2477  PDF-F DFM  Concur User Access Form
10/15 TDY Handbook      
3-2478      IRTM  Documentation of Records Destruction for On-Site and Federal Records Center (FRC) Destruction
           
3-2479  PDF-F DSH  Forklift Operater 3 Year Evaluation
02/16 321 FW 1
243 FW 4   
3-2480   Printed DMBM  Eagle Recovery Tag
03/16         
3-2481  PDF-F OLE  Office of Law Enforcement Short Survey on Discoveries of Non-Investigative Eagles not Being Sent to a Lab
03/16 720 FW 6      
3-2482      OLE  Vehicle/Vessel Inventory
   471 FW 5      
3-2483        Inventory of Temporary Records Eligible for Destruction
           
3-2484      MBMO  Certificate for Sale of Alaska Native Handcrafts Including Migratory Bird Parts
07/16         
3-2485  PDF-F DFM  PCS Lump Sum Pilot – Advance of Funds Application
08/16         
3-2486  Word DFM  Justification for Purchase of Promotional Items
08/16         
3-2487      IRTM  Software Procurement Review
           
3-2488      IRTM  IT Concept Description Form
           

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