Federal Fish and Wildlife Permit Applications and Reports - Native Endangered and Threatened Species; 50 CFR 10, 13, and 17

Forms and Documents

Document Name	Status
Form 3-200-54 SHA/CCAA (Application Form 3-200-54) - Individuals Form and Instruction	Unchanged
Form 3-200-60 Interstate Commerce Permit Application (Form 3-200-59) - Government Form and Instruction	New
Form 3-200-60 (ePermits) Interstate Commerce Permit Application (Form 3-200-60) - Private Sector Form and Instruction	New
Form 3-200-60 (ePermits) Interstate Commerce Permit Application (Form 3-200-60) - Individuals Form and Instruction	New
Form 3-200-60 Interstate Commerce Permit Application (Form 3-200-59) - Government Form and Instruction	New
Form 3-200-60 Interstate Commerce Permit Application (Form 3-200-60) - Private Sector Form and Instruction	New
Form 3-200-60 Interstate Commerce Permit Application (Form 3-200-60) - Individuals Form and Instruction	New
Form 3-200-59 (ePermits) Recovery Permit Application (Form 3-200-59) - Government Form and Instruction	New
Form 3-200-59 (ePermits) Recovery Permit Application (Form 3-200-59) - Private Sector Form and Instruction	New
Form 3-200-59 (ePermits) Recovery Permit Application (Form 3-200-59) - Individuals Form and Instruction	New
Form 3-200-59 Recovery Permit Application (Form 3-200-59) - Government Form and Instruction	New
Form 3-200-59 Recovery Permit Application (Form 3-200-59) - Private Sector Form and Instruction	New
Form 3-200-59 Recovery Permit Application (Form 3-200-59) - Individuals Form and Instruction	New
Form 3-202-55g Quarterly Report (Form 3-202-55g Turtle Rehabilitation) - Private Sector Form and Instruction	Unchanged
Form 3-202-55f Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Government Form and Instruction	Unchanged
Form 3-202-55f Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Private Sector Form and Instruction	Unchanged
Form 3-202-55e Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Government Form and Instruction	Unchanged
Form 3-202-55e Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Private Sector Form and Instruction	Unchanged
Form 3-202-55e Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Individuals Form and Instruction	Unchanged
Form 3-202-55d Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Government Form and Instruction	Unchanged
Form 3202-55d Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Private Sector Form and Instruction	Unchanged
Form 3-202-55d Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Individuals Form and Instruction	Unchanged
Form 3-202-55c Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Government Form and Instruction	Unchanged
Form 3-202-55c Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Private Sector Form and Instruction	Unchanged
Form 3-202-55c Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Individuals Form and Instruction	Unchanged
Form 3-202-55b Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Government Form and Instruction	Unchanged
Form 3-202-55b Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Private Sector Form and Instruction	Unchanged
Form 3-202-55b Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Individuals Form and Instruction	Unchanged
Form 3-200-56 Habitat Conservation Plan (Application Form 300-200-56) - Government Form and Instruction	Unchanged
Form 3-200-56 Habitat Conservation Plan (Application Form 300-200-56) - Private Sector Form and Instruction	Unchanged
Form 3-200-56 Habitat Conservation Plan (Application Form 300-200-56) - Individuals Form and Instruction	Unchanged
Form 3-200-55 Recovery/Interstate Commerce (Application Form 3-200-55) - Government Form and Instruction	Removed
Form 3-200-55 Recovery/Interstate Commerce (Application Form 3-200-55) - Private Sector Form and Instruction	Removed
Form 3-200-55 Recovery/Interstate Commerce (Application Form 3-200-55) - Individuals Form and Instruction	Removed
Form 3-200-54 SHA/CCAA (Application Form 3-200-54) - Government Form and Instruction	Unchanged
Form 3-200-54 SHA/CCAA (Application Form 3-200-54) - Private Sector Form and Instruction	Unchanged
1018-0094 Justification for de minimus nonsubstantive change 05212020.docx Justification for No Material/Nonsubstantive Change	2020-05-22
Combined HCP Instruction Files ver 08292018.pdf Supplementary Document	2019-03-25
How to Apply for ES Permits 03192019.pdf Supplementary Document	2019-03-25
HCP Incidental Take Dec 2005.pdf Supplementary Document	2019-03-25
HCP FAQs ver 08292018.pdf Supplementary Document	2019-03-25
50 CFR Part 10.pdf Supplementary Document	2018-01-12
Permits SORN FWS-21 73 FR 31877.pdf Supplementary Document	2019-03-25
FWS Process and Conditions for Telemetry Attachments Sea Turtles Final.pdf Supplementary Document	2017-10-31
FWS Sea Turtle Permit FAQs and Standard Permit Conditions.pdf Supplementary Document	2017-10-31
1018-0094 Habitat Conservation Planning and Incidental Take Permit Processing Handbook.pdf Supplementary Document	2017-10-31
SPITS PIA Information Collection 1018-0094 ESsigned.pdf Supplementary Document	2017-11-16
Instructions 2017 Electronic Submittal Bat Survey Data.pdf Supplementary Document	2017-08-15
FAQ Bat Electronic Reporting Spreadsheet 07132016.pdf Supplementary Document	2017-08-15
2017 INBA Summer Survey Guidelines 05092017.pdf Supplementary Document	2017-08-15
1018-0094 30-day FRN Published 01312017 82019 8840 2017-02110.pdf Supplementary Document	2017-01-31
1018-0094 SSA Response to OMB's Terms of Clearance 03252019.docx Supporting Statement A	2019-03-25
FRN60Day.1018.0094.pdf Supplementary Document	2016-12-19
ESA.pdf Supplementary Document	2010-10-05
50 CFR 17.pdf Supplementary Document	2010-10-05
50 CFR 13.pdf Supplementary Document	2010-10-05

IC Document Collections

IC ID	Document Title	Status
38235	SHA/CCAA (Application Form 3-200-54) - Individuals Form and Instruction	Unchanged
241962	Interstate Commerce Permit Application (Form 3-200-59) - Government Form and Instruction	New
241961	(ePermits) Interstate Commerce Permit Application (Form 3-200-60) - Private Sector Form and Instruction	New
241959	(ePermits) Interstate Commerce Permit Application (Form 3-200-60) - Individuals Form and Instruction	New
241958	Interstate Commerce Permit Application (Form 3-200-59) - Government Form and Instruction	New
241957	Interstate Commerce Permit Application (Form 3-200-60) - Private Sector Form and Instruction	New
241956	Interstate Commerce Permit Application (Form 3-200-60) - Individuals Form and Instruction	New
241955	(ePermits) Recovery Permit Application (Form 3-200-59) - Government Form and Instruction	New
241954	(ePermits) Recovery Permit Application (Form 3-200-59) - Private Sector Form and Instruction	New
241953	(ePermits) Recovery Permit Application (Form 3-200-59) - Individuals Form and Instruction	New
241949	Recovery Permit Application (Form 3-200-59) - Government Form and Instruction	New
241948	Recovery Permit Application (Form 3-200-59) - Private Sector Form and Instruction	New
241947	Recovery Permit Application (Form 3-200-59) - Individuals Form and Instruction	New
225267	Habitat Conservation Plan (Plan) - Government	Unchanged
225265	Habitat Conservation Plan (Plan) - Private Sector	Unchanged
225264	Habitat Conservation Plan (Plan) - Individuals	Unchanged
225263	Quarterly Report (Form 3-202-55g Turtle Rehabilitation) - Private Sector Form and Instruction	Unchanged
225262	Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Government Form and Instruction	Unchanged
225261	Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Private Sector Form and Instruction	Unchanged
225260	Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Government Form and Instruction	Unchanged
225259	Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Private Sector Form and Instruction	Unchanged
225258	Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Individuals Form and Instruction	Unchanged
225257	Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Government Form and Instruction	Unchanged
225256	Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Private Sector Form and Instruction	Unchanged
225255	Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Individuals Form and Instruction	Unchanged
225254	Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Government Form and Instruction	Unchanged
225253	Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Private Sector Form and Instruction	Unchanged
225252	Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Individuals Form and Instruction	Unchanged
225250	Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Government Form and Instruction	Unchanged
225248	Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Private Sector Form and Instruction	Unchanged
225247	Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Individuals Form and Instruction	Unchanged
225246	Recovery/Interstate Commerce (Request to Revise List of Authorized Individuals) - Private Sector	Unchanged
225245	SHA/CCAA (Individual SHA Template) - Government Instruction	Unchanged
225243	SHA/CCAA (Individual CCAA Template) - Government Instruction	Unchanged
225171	SHA/CCAA (Individual SHA Template) - Private Sector Instruction	Unchanged
225170	SHA/CCAA (Individual CCAA Template) - Private Sector Instruction	Unchanged
225169	SHA/CCAA (Individual SHA Template) - Individuals Instruction	Unchanged
225168	SHA/CCAA (Individual CCAA Template) - Individuals Instruction	Unchanged
182003	Habitat Conservation Plan (Annual Report) - Government	Unchanged
182002	Habitat Conservation Plan (Annual Report) - Private Sector	Unchanged
182001	Habitat Conservation Plan (Annual Report) - Individuals	Unchanged
182000	Habitat Conservation Plan (Application Form 300-200-56) - Government Form and Instruction	Unchanged
181999	Habitat Conservation Plan (Application Form 300-200-56) - Private Sector Form and Instruction	Unchanged
181998	Habitat Conservation Plan (Application Form 300-200-56) - Individuals Form and Instruction	Unchanged
181997	Recovery/Interstate Commerce (Notification of Wildlife Escape) - Private Sector	Unchanged
181996	Recovery/Interstate Commerce (Annual Report) - Government	Unchanged
181995	Recovery/Interstate Commerce (Annual Report) - Private Sector	Unchanged
181994	Recovery/Interstate Commerce (Annual Report) - Individuals	Unchanged
181950	Recovery/Interstate Commerce (Application Form 3-200-55) - Government Form and Instruction	Removed
181949	Recovery/Interstate Commerce (Application Form 3-200-55) - Private Sector Form and Instruction	Removed
181933	Recovery/Interstate Commerce (Application Form 3-200-55) - Individuals Form and Instruction	Removed
181932	SHA/CCAA (Notifications - Change in Landowner) - Individuals	Unchanged
181931	SHA/CCAA (Notifications - Incidental Take) - Individuals	Unchanged
181930	SHA/CCAA (Annual Report) - Government	Unchanged
181929	SHA/CCAA (Annual Report) - Private Sector	Unchanged
181928	SHA/CCAA (Annual Report) - Individuals	Unchanged
181911	SHA/CCAA (Application Form 3-200-54) - Government Form and Instruction	Unchanged
181910	SHA/CCAA (Application Form 3-200-54) - Private Sector Form and Instruction	Unchanged

ICR Details

OMB Control No: 1018-0094	ICR Reference No: 202005-1018-002
Status: Historical Inactive	Previous ICR Reference No: 201903-1018-003
Agency/Subagency: DOI/FWS	Agency Tracking No:
Title: Federal Fish and Wildlife Permit Applications and Reports - Native Endangered and Threatened Species; 50 CFR 10, 13, and 17
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted and continue	Conclusion Date: 06/01/2020
	Date Received in OIRA: 05/22/2020
Terms of Clearance: The agency is requested to submit the requested changes as part of an information collection request revision package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	03/31/2021	03/31/2021
Responses	4,051	0	4,051
Time Burden (Hours)	114,075	0	114,075
Cost Burden (Dollars)	59,750	0	59,750

---

Abstract: The Fish and Wildlife Service collects information on application forms and in reports to determine the eligibility of applicants for permits requested in accordance with the criteria in various Federal wildlife conservation laws. The requirements associated with this information collection implement the prohibitions and exceptions of the Endangered Species Act, except those concerning the Convention on International Trade in Endangered Species of Flora and Fauna (CITES).

---

Authorizing Statute(s): US Code: 16 USC 1531 et seq Name of Law: Endangered Species Act
   US Code: 16 USC 703 et seq Name of Law: Migratory Bird Treaty Act
   US Code: 16 USC 3371 et seq Name of Law: Lacey Act
   US Code: 16 USC 668 Name of Law: Bald and Golden Eagle Protection Act
   US Code: 16 USC 1374 Name of Law: Marine Mammal Protection Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 68029	12/02/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 8840	01/31/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 55

IC Title	Form No.	Form Name
(ePermits) Recovery Permit Application (Form 3-200-59) - Private Sector	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Interstate Commerce Permit Application (Form 3-200-59) - Government	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
SHA/CCAA (Application Form 3-200-54) - Individuals	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreements and Candidate Conservation Agreements with Assurances
SHA/CCAA (Application Form 3-200-54) - Private Sector	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances
SHA/CCAA (Application Form 3-200-54) - Government	3-200-54	Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances
SHA/CCAA (Individual CCAA Template) - Individuals
SHA/CCAA (Individual SHA Template) - Private Sector
SHA/CCAA (Annual Report) - Individuals
Recovery/Interstate Commerce (Annual Report) - Individuals
SHA/CCAA (Individual SHA Template) - Government
Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Private Sector	3-202-55b	USFWS R3 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Government	3-202-55b	USFWS R3 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Private Sector	3-202-55c	USFWS R4 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Individuals	3-202-55c	USFWS R4 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55c Region 4 Bat Reporting) - Government	3-202-55c	USFWS R4 Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Individuals	3-202-55d	USFWS R5 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Private Sector	3202-55d	USFWS R5 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55d Region 5 Bat Reporting) - Government	3-202-55d	USFWS R5 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Individuals	3-202-55e	USFWS R6 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Private Sector	3-202-55e	USFWS R6 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55e Region 6 Bat Reporting) - Government	3-202-55e	USFWS R6 Bat Bat Reporting Form Rev 01-2017
Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Private Sector	3-202-55f	USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017
Annual Report (Form 3-202-55f Non-Releasable Sea Turtles) - Government	3-202-55f	USFWS Non-Releasable Sea Turtle Annual Report Rev 01-2017
Quarterly Report (Form 3-202-55g Turtle Rehabilitation) - Private Sector	3-202-55g	USFWS Sea Turtle Rehabilitation Quarterly Report Rev 01-2017
Habitat Conservation Plan (Plan) - Individuals
Habitat Conservation Plan (Plan) - Private Sector
Habitat Conservation Plan (Plan) - Government
Recovery/Interstate Commerce (Annual Report) - Private Sector
Recovery/Interstate Commerce (Annual Report) - Government
Recovery/Interstate Commerce (Notification of Wildlife Escape) - Private Sector
Habitat Conservation Plan (Application Form 300-200-56) - Individuals	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
Habitat Conservation Plan (Application Form 300-200-56) - Private Sector	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
SHA/CCAA (Individual CCAA Template) - Government
SHA/CCAA (Individual SHA Template) - Individuals
SHA/CCAA (Individual CCAA Template) - Private Sector
Annual Report (Form 3-202-55b Region 3 Bat Reporting) - Individuals	3-202-55b	USFWS R3 Bat Reporting Form Rev 01-2017
Recovery/Interstate Commerce (Request to Revise List of Authorized Individuals) - Private Sector
Habitat Conservation Plan (Application Form 300-200-56) - Government	3-200-56	Incidental Take Permits Associated with a Habitat Conservation Plan (HCP)
Habitat Conservation Plan (Annual Report) - Individuals
Habitat Conservation Plan (Annual Report) - Private Sector
Habitat Conservation Plan (Annual Report) - Government
Recovery/Interstate Commerce (Application Form 3-200-55) - Government	3-200-55	Scientific Purposes, Enhancement of Propagation or Survival Permits and Interstate Commerce Permits
SHA/CCAA (Annual Report) - Government
SHA/CCAA (Annual Report) - Private Sector
SHA/CCAA (Notifications - Incidental Take) - Individuals
SHA/CCAA (Notifications - Change in Landowner) - Individuals
Recovery Permit Application (Form 3-200-59) - Individuals	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Recovery Permit Application (Form 3-200-59) - Private Sector	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Recovery Permit Application (Form 3-200-59) - Government	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Recovery/Interstate Commerce (Application Form 3-200-55) - Individuals	3-200-55	Scientific Purpose, Enhancement of Propagation or Survival Permits - Application
Recovery/Interstate Commerce (Application Form 3-200-55) - Private Sector	3-200-55	Scientific Purposes, Enhancement of Propagation or Survival Permits - Application
(ePermits) Recovery Permit Application (Form 3-200-59) - Individuals	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
(ePermits) Recovery Permit Application (Form 3-200-59) - Government	3-200-59	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Scientific, Enhancement of Propagation, or Survival (i.e., Purposeful Take for Recovery)
Interstate Commerce Permit Application (Form 3-200-60) - Individuals	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
Interstate Commerce Permit Application (Form 3-200-60) - Private Sector	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
(ePermits) Interstate Commerce Permit Application (Form 3-200-60) - Individuals	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
(ePermits) Interstate Commerce Permit Application (Form 3-200-60) - Private Sector	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce
Interstate Commerce Permit Application (Form 3-200-59) - Government	3-200-60	Federal Fish and Wildlife Permit Application Form - Native Endangered and Threatened Species Interstate Commerce

---

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: We are requesting OMB approval to split Form 3-200-55 into two forms: Form 3-200-59, "Recovery Permit Application" and Form 3-200-60, "Interstate Commerce Permit Application." We are also requesting OMB approval to automate both new forms in the Service's ePermits System expected to go live in September, 2020. The requested changes would result in a slight decrease of 160 hours in the approved hourly burden for this collection.

---

Annual Cost to Federal Government: $2,582,230

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/22/2020

---