3-200-44a Registered Agent/Tannery Bi-Annual Inventory Report

FWS Form 3-200-44a (Rev. 12/2021)
U.S. Department of the Interior

OMB Control No. 1018-0092
Expires ##/##/####

REGISTERED AGENT/TANNERY BI-ANNUAL INVENTORY REPORT

Permit number________________ Name__________________________________ Time-period _________________________ Signature _________________________
Address (If location/address has changed, indicate new location and date of change):

This information details activities of a registered agent or registered tannery. This form may be copied. Please include the following information for EACH ITEM:
Transferred to, Returned to, or Sold to
Amount and Description
US
Animal
Weight of
Received from: Name and Address Date
(applicable only to Registered Agents):
of Item (only one item
FWS
1
2
Species
Walrus Ivory
Tag# 3
Name and Address
per line)
Example:
Walrus

1 Tusk

5 lbs.

#8787

John Littlesmith
16 Main St., Anchorage, AK 99999

1/1/2007

Jane Featherstone
20 Main St., Anchorage, AK 99999

Date

5/1/2007

SUBMIT REPORT: Biannually (twice a year) on or before the 10th day of January and July, the permittee must submit this form containing records of each transaction by either e-mail to: ak_le@fws.gov
OR by mail to: Regional Investigative Analyst, U.S. Fish and Wildlife Service, Office of Law Enforcement, 1011 East Tudor Road, Mail Stop 151, Anchorage, AK 99503-6199. If no transactions have
occurred, a negative report is required.
1 Animal Species: Polar bear, Walrus, Alaskan sea otter
2 Applicable only to Registered Agents in Alaska. Provide weight of walrus ivory in pounds.
3 U.S. Fish & Wildlife Service Tag number assigned by Service personnel or Service’s authorized representative.

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FWS Form 3-200-44a (Rev. 12/2021)
U.S. Department of the Interior

OMB Control No. 1018-0092
Expires ##/##/####

NOTICES
PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the following: the Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22; the Endangered
Species Act (16 U.S.C. 1531-1544), 50 CFR 17; the Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21; the Marine Mammal Protection Act (16 U.S.C.
1361, et seq.), 50 CFR 18; the Wild Bird Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15; the Lacey Act: Injurious Wildlife (18 U.S.C. 42), 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.
Purpose: The collection of contact information is to verify the individual has an eligible permit to conduct activities which affect protected species. This helps FWS
monitor and report on protected species and assess the impact of permitted activities on the conservation and management of species and their habitats.
Routine Uses: The collected information may be used to verify an applicant’s eligibility for a permit to conduct activities with protected wildlife; to provide the
public and the permittees with permit related information; to monitor activities under a permit; to analyze data and produce reports to monitor the use of protected
wildlife; to assess the impact of permitted activities on the conservation and management of protected species and their habitats; and to evaluate the effectiveness
of the permit programs. More information about routine uses can be found in the System of Records Notice, Permits System, FWS-21 and Case Investigative
Files, FWS-20.
Disclosure: The information requested in this form is voluntary. However, submission of requested information is required to process applications for permits
authorized under the listed authorities. Failure to provide the requested information may be sufficient cause for the U.S. Fish & Wildlife Service to deny the request.
PAPERWORK REDUCTION ACT STATEMENT
We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) in order provide the U.S. Fish and Wildlife Service the information
necessary, under the applicable laws governing the requested activity, for which a permit is requested. 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 applicable laws. Failure to provide all
requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request. According to the Paperwork Reduction Act of 1995, an
agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
OMB has approved this collection of information and assigned Control No. 1018-0092.
ESTIMATED BURDEN STATEMENT
We estimate public reporting for this collection of information averages:
Original submission - paper-based: 1 hour (reporting and recordkeeping)
Original submission - electronic: 45 minutes (reporting and recordkeeping)
These estimates include time for reviewing instructions, gathering and maintaining data and completing and reviewing the form. Direct comments regarding the
burden estimate or any other aspect of the form to the Service Information Clearance Officer, Fish and Wildlife Service, U.S. Department of the Interior, 5275
Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803 or via email at Info_Coll@fws.gov. Please do not send your completed application to this
address.

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