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li APPLICATTON FOR A FEDERAL FISH AND WII.DLIFE LICENSE/PERMIT Paperwork Reduction Act and the Privacy Act -Notices In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seg.) and the Privacy Act of 1974 (5 U.S.C. 552a), please be advised that: The gathering of information on fisfi and wildlife is authorized by: (a) Bald Eagle Protection Act (16 U.S.C. 668); (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 Ao[ of 1972 (16 U.S.C. 1371-1383); (e) Wild Bvd Conservation Act (16 U.S,C. 4901-4916); (f) Lacey Act (18 U.S.C. 42 & 44); (g) Convention on International Tmde in Endangered Species of Wild Flom and Fauna (TIAS 8249); (h) Title 50, Part 1 Q, of the Code of Fedem[ Regulations; (i) Title 50, Part 13, of the Code of Federal Regulations; (j) Title 50, Part 14, of the Code of Federa] Regulations; (k) Title 50, Part 15, of the Code of Fedeml Regulations; (1) Title 50, Part 16, of the Code of Federal Regulations; ' (m) Title SQ Part 17, of the Code of Fedeml Regulations; (n) Title 50, Part 18, of the Code of Federal Regulations; _ (o) Title 50, Part 21, of the Code of Federal Regulations; (p) Title 50, Part 22, of the Code of Fedeml Regulations; and (q) Title 50, Part 23, of the Code of Federal Regulations. 2. Information requested is this form is purely voluntary. However, submission of requested information is required in order to process applications for licenses orpermits authorized underthe above acts. Faitureto provide altreques[ed information may be 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. 3. Certain applications for permits audtorized 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. 4. Routine use disclosures may also be made: (a) To the U.S. Department of Iusdce when related ro litigation or anticipated litigation; (b) Of information indicating a violation or potential violation ofa statute, regulation, role, order or license to appropriate Federal, State, local or foreign agencies responsible for investigation orprosecuting the violation or for enforcing or implementing the statute, rule, regulations, order or license; (c) From the record ofan individual is response to an ivquiry from a Congressional office made at the request of that individual (42 FR 1903; April 11, 1977); (d) To subject matter experts, and State and other Federal agencies, for the sole purpose of obtaining advice relevant to issuance of the perttrit. 5. Fot individuals, personal informafion such as home address and telephone number, fmancial data, and personal idenfifiers (social security number, birth date, etc.) will be removed prior to nay release of the application. 6. The public burden for information collection varies depending on the activity for which a permit is requested. The relevant burden for a Depredation application is 1-1.5 hours and 1 hour for reporting. This burden estimate includes time for reviewing instmtions, gathering and maintaining data and completing and reviewing the form. You may direct comments regarding dre burden estimate or any other aspect of the form to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, Mail Stop 222, Arlington Square, U.S. Depamnent of the Interior, ] 849 C Street, NW, 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 drat should be considered privileged and confidential business information to allow the Service to meet its responsibilities under FOIA. Confidential business information must be clearly mazked "Business Confidential" at the top of [he letter or page and each succeeding page and must be accompanied by anon-confidential summary of the confidential information. The non- confidentialsummary andremainingdocuments may be made available to the public underFO]A [43 CFR 2.13(c)(4), 43 CFR2.15(d)(1)(i)]. APPLICATION PROCESSING FEE The fee to process a migmtory bird permit application is $25.00. Checks should be made payable to "U.S. Fish and Wildlife Service." The fee applies to new permit applications and renewals. The processing fee will not be refunded if the permit is issued or denied, or if the application is abandoned. 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. There is no fee for eagle permits issued under 50 CFR 22. Until further notice, the fee will be waived for migratory bird rehabilitation permits and for permits for public institutions, As defined in 50 CFR 10.12 - "Public as used in referring to museums, zoological parks, and scientific or educational institutions, refers to such as are open to the geaeml public and are either established, maintained, and operated as a governmental service or are privately endowed and organized but not operated for profit " Form 3-200.13