Form 3-200-15b - Re-Order Request Eagle Parts For Native American Religious Purposes Page 7

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APPLICATION FOR A FEDERAL FISH AND WILDLIFE PERMIT

Paperwork Reduction Act, Privacy Act, and Freedom of Information Act – Notices

In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) & the Privacy Act of 1974 (5 U.S.C. 552a), please be

advised:

The gathering of information on fish and wildlife is authorized by:

Bald and Golden Eagle Protection Act (16 U.S.C. 668),

Title 50, Code of Federal Regulations, Part 22 [50 CFR

22];

Endangered Species Act of 1973 (16 U.S.C. 1531-1544),

50 CFR 17.1 to 17.95(b)

50 CFR 17.95(c)

50 CFR 17.96 to 17.99

, and

50 CFR 17.99 to

end;

Migratory Bird Treaty Act (16 U.S.C. 703-712),

50 CFR

21;

Marine Mammal Protection Act of 1972 (16 U.S.C. 1361, et. seq.),

50 CFR

18;

Wild Bird Conservation Act (16 U.S.C. 4901-4916),

50 CFR

15;

Lacey Act (18 U.S.C. 42); Injurious Wildlife,

50 CFR

16;

Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249)

;

50 CFR

23;

General Provisions,

50 CFR

10;

General Permit Procedures,

50 CFR

13; and

Wildlife Provisions (Import/export/transport),

50 CFR

14.

Information requested in this form is purely voluntary. However, submission of requested information is required in order to process

applications for permits authorized under the above laws. Failure to provide all requested information may be sufficient cause for the U.S.

Fish and Wildlife Service to deny the request. Response is not required unless a currently valid Office of Management and Budget (OMB)

control number is displayed on the form.

Certain 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. 1374) will be published in the Federal Register as required by the two laws.

Disclosures outside the Department of the Interior may be made without the consent of an individual under the routine uses listed below, if the

disclosure is compatible with the purposes for which the record was collected. (Ref. 68 FR 52611, September 4, 2003)

Routine disclosure to subject matter experts, and federal, state, local, and foreign agencies, for the purpose of obtaining advice relevant to

making a decision on an application for a permit or when necessary to accomplish a FWS function related to this system of records.

Routine disclosure to the public as a result of publishing Federal Register notices announcing the receipt of permit applications for public

comment or notice of the decision on a permit application.

Routine disclosure to federal, state, local, or foreign wildlife and plant agencies for the exchange of information on permits granted or denied to

assure compliance with all applicable permitting requirements.

Routine disclosure to Captive-bred Wildlife registrants under the Endangered Species Act for the exchange of authorized species, and to share

information on the captive breeding of these species.

Routine disclosure to federal, state, and local authorities who need to know who is permitted to receive and rehabilitate sick, orphaned, and

injured birds under the Migratory Bird Treaty Act and the Bald and Golden Eagle Protection Act; federally permitted rehabilitators; individuals

seeking a permitted rehabilitator with whom to place a bird in need of care; and licensed veterinarians who receive, treat, or diagnose sick,

orphaned, and injured birds.

Routine disclosure to the Department of Justice, or a court, adjudicative, or other administrative body or to a party in litigation before a court or

adjudicative or administrative body, under certain circumstances.

Routine disclosure to the appropriate federal, state, tribal, local, or foreign governmental agency responsible for investigating, prosecuting,

enforcing, or implementing statutes, rules, or licenses, when we become aware of a violation or potential violation of such statutes, rules, or

licenses, or when we need to monitor activities associated with a permit or regulated use.

Routine disclosure to a congressional office in response to an inquiry to the office by the individual to whom the record pertains.

Routine disclosure to the General Accounting Office or Congress when the information is required for the evaluation of the permit programs.

Routine disclosure to provide addresses obtained from the Internal Revenue Service to debt collection agencies for purposes of locating a

debtor to collect or compromise a federal claim against the debtor or to consumer reporting agencies to prepare a commercial credit

report for use by the FWS.

5. 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.

6. The public reporting burden on the applicant for information collection varies depending on the activity for which a permit is requested. The

relevant burden for an Eagle Indian Religious – Reorder Request application is 30 minutes. This burden estimate includes time for reviewing

instructions, gathering and maintaining data and completing and reviewing the form. You may direct comments regarding the 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.

Department of the Interior, 1849 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 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)].