Forms
Division of Information Resources and Technology Management (IRTM)
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Form No. Format OPR Title Date Reference
3-200-2  PDF-F OLE  License/Permit Application Form: Designated Port Exception Permit
1018-0092
12/13         
3-200-3  PDF-F OLE  License/Permit Application Form: Import/Export License
1018-0092
12/13         
3-200-6  PDF-F MBMO  License/Permit Application Form: Migratory Bird Import/Export
1018-0022
12/13         
3-200-7  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Scientific Collecting
1018-0022
12/13         
3-200-8  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Taxidermy
1018-0022
12/13         
3-200-9  PDF-F MBMO  License/Permit Application Form: Waterfowl Sale and Disposal
1018-0022
12/13         
3-200-10a  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Special Purpose - Salvage
1018-0022
12/13         
3-200-10b  PDF-F MBMO  License/Permit Application Form: Migratory Bird Rehabilitation
1018-0022
12/13         
3-200-10c  PDF-F MBMO  License/Permit Application Form: Possession of Live Migratory Birds for Educational Purpose
1018-0022
12/13         
3-200-10d  PDF-F MBMO  License/Permit Application Form: Possession of Dead Migratory Birds for Educational Purpose
1018-0022
12/13         
3-200-10e  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Special Purpose - Game Propagation
1018-0022
12/13         
3-200-10f  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Special Purpose - (Miscellaneous)
1018-0022
12/13         
3-200-12  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Raptor Propagation
1018-0022
12/13         
3-200-13  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Depredation
1018-0022
12/13         
3-200-14  PDF-F MBMO  License/Permit Application Form: Eagle Exhibition
1018-0022
12/13         
3-200-15a  PDF-F MBMO  Permit Application and Shipping Request: Eagle Parts for Native American Religious Purposes / Certification of Enrollment in a Federally Recognized Tribe
1018-0022
12/13         
3-200-15b  PDF-F MBMO  Permit Application and Shipping Request: Eagle Parts for Native American Religious Purposes - Reorder Request
1018-0022
12/13         
3-200-16  PDF-F MBMO  License/Permit Application Form: Take of Depredating Eagles
1018-0022
12/13         
3-200-18  PDF-F MBMO  License/Permit Application Form: Migratory Bird - Take of Golden Eagle Nests
1018-0022
12/13         
3-200-19  PDF-F DMA  Permit Application Form: Import of Sport-Hunted Trophies of Southern African Leopard, African Elephant, and Namibian Southern White Rhinoceros
1018-0093
02/14 Part 13 Certification      
3-200-19e  ePermits DMA  Permit Application Form: Electronic Application for Import of Sport-Hunted Trophies of Southern African Leopard, African Elephant, and Namibian Southern White Rhinoceros
1018-0093
02/11 Part 13 Certification      
3-200-20  PDF-F DMA  Permit Application Form: Import of Sport-Hunted Trophies
1018-0093
02/14 Part 13 Certification      
3-200-21  PDF-F DMA  Permit Application Form: Import of Sport-Hunted Trophies of Argali
1018-0093
02/14 Part 13 Certification      
3-200-22  PDF-F DMA  Permit Application Form: Import of Sport-Hunted Bontebok Trophies
1018-0093
02/14 Part 13 Certification      
3-200-23  PDF-F DMA  Permit Application Form: Export or Re-Export of Pre-Convention, Pre-Act, or Antiques Specimens(CITES,MMPA and/or ESA)
1018-0093
02/14 Part 13 Certification      
3-200-24  PDF-F DMA  Permit Application Form: Export of Live Captive Born Animals (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-25  PDF-F DMA  Permit Application Form: Export of Live Raptors (MBTA and/or CITES)
1018-0093
02/14 Part 13 Certification      
3-200-26  PDF-F DMA  Permit Application Form: Commercial Export of skins/products of 6 native species: bobcat, lynx, river otter, Alaskan brown bear, Alaskan gray wolf, and American alligator (CITES)
1018-0093
02/14         
3-200-27  PDF-F DMA  Permit Application Form: Export of Wildlife Removed From the Wild (Live Animals / Samples / Parts / Products)(CITES)
1018-0093
02/14 Part 13 Certification      
3-200-28  PDF-F DMA  Permit Application Form: Export of Trophies by Hunters or Taxidermists (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-29  PDF-F DMA  Permit Application Form: Import/Export/Re-export of Wildlife Samples and/or Biomedical Samples (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-30  PDF-F DMA  Permit Application Form: Export/Re-export/Re-Import of Circuses and Traveling Animal Exhibitions (and Reissuance)
1018-0093
02/14 Part 13 Certification      
3-200-30a  PDF DMA  Annual Report for Exhibition Permittees
1018-0093
02/14         
3-200-31  PDF-F DMA  Permit Application Form: Introduction from the Sea (CITES/ESA)
1018-0093
02/14 Part 13 Certification      
3-200-32  PDF-F DMA  Permit Application Form: Export/Re-export of Plants (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-33  PDF-F DMA  Permit Application Form: Export of Artificially Propagated Plants (Multiple Commercial Shipments)
1018-0093
02/14 Part 13 Certification      
3-200-34  PDF-F DMA  Permit Application Form: Export of American Ginseng (CITES) (Multiple Commercial Shipments)
1018-0093
02/14 Part 13 Certification      
3-200-35  PDF-F DMA  Permit Application Form: Import of Appendix I Plants
1018-0093
02/14 Part 13 Certification      
3-200-36  PDF-F DMA  Permit Application Form: Export/Import/Interstate and Foreign Commerce of Plants ( ESA/CITES)
1018-0093
02/14 Part 13 Certification      
3-200-37  PDF-F DMA  Permit Application Form: Export/Import/Interstate & Foreign Commerce Take of Animals
1018-0093
02/14 Part 13 Certification      
3-200-39  PDF-F DMA  Permit Application Form: Certificate of Scientific Exchange (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-39a  PDF DMA  Certificate of Scientific Exchange (COSE) Special Reporting Conditions
1018-0093
02/14         
3-200-40  PDF-F DMA  Permit Application Form: Export and Re-Import of Museum Specimens (ESA)
1018-0093
02/14 Part 13 Certification      
3-200-40a  PDF DMA  ESA Museum Permittee Reporting Requirements
1018-0093
02/14         
3-200-41  PDF-F DMA  Permit Application Form: Captive-Bred Wildlife Registration (ESA)
1018-0093
02/14 Part 13 Certification      
3-200-41a  PDF-F DMA  Captive-Bred Wildlife Registration (Annual Report Form)
1018-0093
02/14 Part 13 Certification      
3-200-42  PDF-F DMA  Permit Application Form: Import/Transport of Injurious Wildlife
1018-0093
02/14 Part 13 Certification      
3-200-43  PDF-F DMA  Permit Application Form: Take/Import/Transport/Export of Marine Mammals or Amendment of Existing Permit (MMPA and/or ESA; CITES)
1018-0093
02/14 Part 13 Certification      
3-200-44  PDF-F DMA  Permit Application Form: Registration of an Agent/Tannery (MMPA)
1018-0093
02/14 Part 13 Certification      
3-200-44a  PDF-F DMA  Inventory List
1018-0093
02/14 Part 13 Certification      
3-200-46  PDF-F DMA  Permit Application Form: Import/Export/Re-export of Personal Pets (CITES/Wild Bird Conservation Act)
1018-0093
02/14 Part 13 Certification      
3-200-47  PDF-F DMA  Permit Application Form: Import of Birds for Scientific Research or Zoological Breeding & Display
1018-0093
02/14 Part 13 Certification      
3-200-48  PDF-F DMA  Permit Application Form: Import of Birds under an Approved Cooperative Breeding Program (WBCA)
1018-0093
02/14 Part 13 Certification      
3-200-49  PDF-F DMA  License/Permit Application Form: Approval of a Cooperative Breeding Program (WBCA)
1018-0093
02/14 Part 13 Certification      
3-200-50  PDF-F DMA  Permit Application Form: Approval of Sustainable Use Management Plan Under the Wild Bird Conservation Act
1018-0093
02/14 Part 13 Certification      
3-200-51  PDF-F DMA  License/Permit Application Form: Approval of a Foreign Breeding Facilities Under the WBCA
1018-0093
02/14 Part 13 Certification      
3-200-52  PDF-F DMA  License/Permit Application Form: Reissuance or Renewal of a Permit or Certificate
1018-0093
02/14 Part 13 Certification      
3-200-53  PDF-F DMA  Permit Application Form: Export / Re-Export of Captive Bred Marine Mammals (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-54  PDF-F ES  License/Permit Application Form: Native Endangered & Threatened Species - Enhancement of Survival Permits Associated with Safe Harbor Agreement & Candidate Conservation Agreement with Assurances
1018-0094
10/13 Part 13 Certification      
3-200-55  PDF-F ES  License/Permit Application Form: Native Endangered & Threatened Species - Scientific Purposes, Enhancement of Propagation or Survival Permits (i.e., Recovery Permits) and Interstate Commerce Permits
1018-0094
10/13 Part 13 Certification      
3-200-56  PDF-F ES  Incidental Take Permits Associated with a Habitat Conservation Plan
1018-0094
10/13 Part 13 Certification      
3-200-58  PDF-F DMA  Permit Application Form: Permit Issued Retrospectively - Supplemental Application (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-61  PDF-F DMA  Permit Application Form: American Ginseng Export Program
1018-0093
02/14         
3-200-64  PDF-F DMA  Permit Application Form: Certificate of Ownership for Personally Owned Wildlife "Pet passport" (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-65  PDF-F DMA  Permit Application Form: Registration of Appendix-I Commercial Breeding Operations
1018-0093
02/14 Part 13 Certification      
3-200-66  PDF-F DMA  Permit Application Form: Replacement Document - CITES/ESA/MMPA/WBCA/LACEY ACT)
1018-0093
02/14 Part 13 Certification      
3-200-67  PDF-F MBMO  License/Permit Application Special Canada Goose Permit
1018-0022
12/13         
3-200-68  PDF-F MBMO  License/Permit Application Form: Migratory Bird/Eagle - Permit Renewal
1018-0022
12/13         
3-200-69  PDF-F DMA  License/Permit Application Form: CITES Import/Export/Eagle Transport for Scientific or Exhibition Purposes
1018-0093
02/14         
3-200-70  PDF-F DMA  License/Permit Application Form: CITES Import/Export/Eagle Transport for Indian Religious Purposes
1018-0093
02/14         
3-200-71  PDF-F MBMO  Eagle Take – Necessary to Protect Interests in a Particular Locality
1018-0022
12/13         
3-200-72  PDF-F MBMO  Eagle Nest Take
1018-0022
12/13         
3-200-73  PDF-F DMA  Permit Application Form: Re-Export of Wildlife (CITES)
1018-0093
08/15 Part 13 Certification      
3-200-74  PDF-F DMA  Single-Use Export Permits Under a Master File or Annual Program File (CITES)
1018-0093
02/14 Part 13 Certification      
3-200-75  PDF-F DMA  Permit Application Form: Registration of a Production Facility for Export of Certain Native Species (Convention on International Trade in Endangered Species) Multiple Commercial Shipments
1018-0093
02/14         
3-200-76  PDF-F DMA  Permit Application Form: Export of Caviar or Meat of Paddlefish or Sturgeon Removed from the Wild (CITES)
1018-0093
02/14         
3-200-77  PDF-F MBMO  Native American Eagle Take
1018-0022
12/13         
3-200-78  PDF-F MBMO  Native American Eagle Aviary
1018-0022
12/13         
3-200-79  PDF-F MBMO  Permit Application and Shipping Request: Special Purpose-Abatement Activities Using Raptors
1018-0022
12/13         
3-200-80  PDF-F DMA  Permit Application Form: Export of Fertilized Live Eggs, Caviar or Meat of Paddlefish or Sturgeon from an Aquaculture Facility (CITES)
1018-0093
02/14         
3-200-81  PDF-F MBMO  Permit Application Form - Special Purpose - Utilities
1018-0022
01/14         
3-200-82  PDF-F MBMO  Permit Application Form - Eagle Transport Into and Out of the United States
1018-0022
12/13         
3-200-85  PDF-F DMA  Permit Application Form: Establishment of a Master File for the Export of Live Animals Bred in Captivity (CITES) (Multiple Commercial Shipments)
1018-0093
02/14         
3-200-86  PDF-F DMA  Permit Application Form: Photography of Marine Mammals for Educational or Commercial Purposes (MMPA)
1018-0093
02/14         
3-200-87  PDF-F DMA  Permit Application Form: Transfer / Transport of Captive-held Marine Mammals (MMPA)
1018-0093
02/14         
3-200-88  PDF-F DMA  Musical Instrument (CITES)
1018-0093
02/14         
3-200-89      MBMO  Migratory Bird Take – Associated With But Not the Purpose of an Activity (Individual Incidental Take
Pending OMB Approval
           
3-202-1  PDF-F MBMO  Scientific Collecting - Annual Report
1018-0022
12/13         
3-202-2  PDF-F MBMO  Waterfowl Sale and Disposal - Annual Report
1018-0022
12/13         
3-202-3  PDF-F MBMO  Special Purpose - Salvage - Annual Report
1018-0022
12/13         
3-202-4  PDF-F MBMO  Special Purpose Permit - Rehabilitation Annual Report
1018-0022
12/13         
3-202-5  PDF-F MBMO  Possession for Education/Exhibition - Annual Report
1018-0022
12/13         
3-202-6  PDF-F MBMO  Special Purpose - Game Bird - Annual Report
1018-0022
12/13         
3-202-7  PDF-F MBMO  Special Purpose / Miscellaneous - Annual Report
1018-0022
12/13         
3-202-8  PDF-F MBMO  Raptor Propagation - Annual Report
1018-0022
12/13         
3-202-9  PDF-F MBMO  Depredation - Annual Report
1018-0022
12/13         
3-202-10  PDF-F MBMO  Special Canada Goose Permit - Annual Report
1018-0022
12/13         
3-202-11  PDF-F MBMO  Eagle Depredation - Annual Report
1018-0022
12/13         
3-202-12  PDF-F MBMO  Migratory Bird and Eagle Acquisition and Transfer Request
1018-0022
09/13         
3-202-13  PDF-F MBMO  Eagle Exhibition Annual Report
1018-0022
12/13         
3-202-14  PDF-F MBMO  Native American Eagle Aviary - Annual Report
1018-0022
12/13         
3-202-15  PDF-F MBMO  Eagle Take - Annual Report
1018-0022
12/13         
3-202-16  PDF-F MBMO  Eagle Nest Take Report
1018-0022
12/13         
3-202-17  Excel MBMO  Special Purpose-Utilities Annual Report
1018-0022
04/15         
3-202-18-2147  PDF-F MBMO  Depredation Order for Double-crested Cormorants at Aquaculture Facilities
1018-0121
08/13 68 FR 58022      
3-202-19-2148  PDF-F MBMO  Depredation Order for Double-crested Cormorants to Protect Public Resources
1018-0121
08/13 68 FR 58022      
3-202-20-2144      MBMO  Annual Report - 50 CFR 21.44 - Bird Depredation in California Counties
           
3-202-21-2143  Word MBMO  Annual Report - 50 CFR 21.43 Depredation Order for Blackbirds,Grackles, Cowbirds, Magpies, and Crows
1018-0146
09/13         
3-206  PDF-F NIFC  Report of Taxable Benefit (Firefighter Boot Stipend Reimbursement)
11/11         
3-212  PDF-F HR  Hazardous Duty/Environment Claim
06/02         
3-219      ALE  Violation Notice
7/97         
3-219W      OLE  Warning Notice
11/14         
3-225      FHS  Aquatic Animal Health Inspection Request
02/04 713 FW 4      
3-226  PDF-F FAC  Fish Health Inspection Report
08/82 713 FW 4      
3-227      FH  Fish Disease Inspection Certificate
3/97         
3-260  PDF-F HR  Authorization to Pay or Terminate Annual Premium Pay for AUO for Short Term Coverage Involving Survey and Banding Crews
5/95 225 FW 8      
3-261  PDF-F HR  Documentation of Unusual Tour of Duty
12/08         

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