Avian Injury/Mortality Report (Form 3-202-17) - Government

Federal Fish and Wildlife Permit Applications and Reports--Migratory Birds; 50 CFR 10, 13, 20, 21

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1018-0022 can be found here:

Documents and Forms

Document Name Document Type
Form 3-202-17 Avian Injury/Mortality Report (Form 3-202-17) - Government Form and Instruction
3-202-17 USFWS Bird and Bat Injury and Mortality Reporting System 3-202-17 Rpt - Avian Injury-Mortality 03122020.xlsm www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php Form and Instruction
imruserguideforfederalandstate.pdf Injury and Mortality Reporting (IMR) System User Guide for Federal and State Users IC Document
IMR_Injury_And_Mortality_Import_Example.xlsx IMR_Injury_And_Mortality_Import_Example IC Document
IMR_User_Guide_For_NonFederal.docx IMR_User_Guide_For_NonFederal IC Document
Nest_reporting_instructions.pdf Nest_reporting_instructions IC Document
SPUTFormTemplateExcel_2017.xlsx SPUT Form Template Excel_2017 IC Document
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species IC Document
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species IC Document
USFWS Injury and Mortality System Info Sheet.pdf USFWS Injury and Mortality System Info Sheet IC Document

Information Collection (IC) Details

IC Title:	Avian Injury/Mortality Report (Form 3-202-17) - Government	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	3-202-17	USFWS Bird and Bat Injury and Mortality Reporting System (Excel Version)	3-202-17 Rpt - Avian Injury-Mortality 03122020.xlsm	https://www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php	Yes	Yes	Fillable Fileable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: Permits System - Interior - FWS 21	FR Citation: 68 FR 52610

Number of Respondents: 125	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	125	-125	250
Annual IC Time Burden (Hours)	750	-750	1,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Injury and Mortality Reporting (IMR) System User Guide for Federal and State Users	imruserguideforfederalandstate.pdf	02/06/2020
IMR_Injury_And_Mortality_Import_Example	IMR_Injury_And_Mortality_Import_Example.xlsx	11/08/2017
IMR_User_Guide_For_NonFederal	IMR_User_Guide_For_NonFederal.docx	11/08/2017
Nest_reporting_instructions	Nest_reporting_instructions.pdf	11/08/2017
SPUT Form Template Excel_2017	SPUTFormTemplateExcel_2017.xlsx	11/08/2017
What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_a_bird_that_is_not_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species	What_to_do_if_you_discover_an_eagle_or_a_threatened_or_endangered_species.pdf	11/08/2017
USFWS Injury and Mortality System Info Sheet	USFWS Injury and Mortality System Info Sheet.pdf	02/06/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.