3-200-44 Registration of an Agent/Tannery Under the Marine Mammal

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

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

FEDERAL FISH AND WILDLIFE PERMIT APPLICATION FORM

U.S. Fish and Wildlife Service
Division of Law Enforcement
1101 E. Tudor Rd., MS 151, Room 155
Anchorage, AK 99503
(907) 786-3311
Email: AK_LE@fws.gov

Type of Activity

REGISTRATION OF AN AGENT/TANNERY under the Marine
Mammal Protection Act (MMPA)

Complete Sections A or B, and C, D, and E of this application. U.S. address may be required in Section C, see
instructions for details. Instructions on how to make your application complete and help avoid
unnecessary delays are attached.
Section A: Complete if applying as an individual
1.a. Last Name

2. Date of Birth (mm/dd/yyyy)

3. Telephone Number

1.b. First Name

1.c. Middle Name/Initial

3.a. Alternate Telephone Number

4. E-mail address

1.d. Suffix

Section B: Complete if applying on behalf of a business, corporation, public agency, Tribe, or institution
1.a. Name of business, agency, Tribe, or institution

1.b. Doing business as (DBA)

2. Tax identification no.

3. Description of business, agency, Tribe, or institution

4.a. Principal officer Last name

4.b. Principal officer First Name

5. Principal officer title

4.c. Principal officer Middle name/initial

4.d. Suffix

6. Primary contact name

7.a. Business telephone number

7.b. Alternate telephone number

7.c. Business fax number

7.d. Business e-mail address

Section C: All applicants complete address information
1.a. Physical address (Street address; Apartment #, Suite #, or Room #; no P.O. Boxes)

1.b. City

1.c. State

1.d. Zip code/Postal code

1.e. County/Province

1.f. Country

2.e. County/Province

2.f.Country

2.a. Mailing address (include if different than physical address; include name of contact person if applicable)

2.b. City

2.c. State

2.d. Zip code/Postal code

Section D: All applicants MUST complete
1.

2.

Attach the nonrefundable application processing fee in the form of a check or money order payable to the U.S. FISH AND WILDLIFE SERVICE in the
amount of $150. Federal, Tribal,State, and local government agencies, and those acting on behalf of such agencies, are exempt from the processing fee
– attach documentation of fee exempt status as outlined in instructions [50 CFR 13.11(d)].
Certification: I hereby certify that I have read and am familiar with the regulations contained in Title 50 Part 13 of the Code of Federal Regulations and the
other applicable parts in subchapter B of Chapter I of Title 50, and I certify that the information submitted in this application for a permit is complete and
accurate to the best of my knowledge and belief. I understand that any false statement herein may subject me to the criminal penalties of 18 U.S.C. 1001.

Signature of applicant/Principal Officer for permit (No photocopied or stamped signatures) Date of signature (mm/dd/yyyy)

Please continue to next page
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FWS Form 3-200-44 (Rev. 12/2021)
U.S. Department of the Interior

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

E. REGISTRATION OF AN AGENT/TANNERY (Marine Mammal Protection Act/MMPA)
This application is only for registration of agents and tanneries for polar bear (Ursus maritimus), walrus (Odobenus
rosmarus), and Alaskan sea otter (Enhydra lutris kenyoni).
This registration facilitates the transfer of marine
mammal specimens taken by Alaskan Natives for the purposes of subsistence or creation of authentic Native handicraft
articles and clothing. If you are interested in obtaining an agent/tannery permit for cetaceans and other pinnipeds, you
must contact the National Marine Fisheries Service, Office for Law Enforcement, 8484 Georgia Ave, Room 415, Silver
Spring, Maryland 20910-5612 (phone: 301-427-2300 x131; fax: 301-427-2055).
Please provide the following information. Complete all questions on the application. Mark questions that are not
applicable with "N/A". If needed, use a separate sheet of paper. On all attachments or separate sheets you submit,
please indicate the application question number you are addressing.
This is a ____ New application. This is a ____ Renewal/Amendment of Permit #_______________
1. Name and address where you wish the permit to be mailed, if different from page 1 (All permits will
be mailed via the U.S. Postal Service, unless you identify an alternative means below). If you wish
expedited delivery, please provide a self-addressed, pre-paid, computer-generated courier service
airway bill.

2. Who should we contact if we have questions about the application? (Include name, phone number, and e-mail):

3. Disqualification factor. A conviction, or entry of a plea of guilty or nolo contendere, for a felony violation of the Lacey
Act, the Migratory Bird Treaty Act, or the Bald and Golden Eagle Protection Act disqualifies any such person from
receiving or exercising the privileges of a permit, unless such disqualification has been expressly waived by the Service
Director in response to a written petition. (50 CFR 13.21(c)) Have you or any of the owners of the business, if applying
as a business, been convicted, or entered a plea of guilty or nolo contendere, forfeited collateral, or are currently under
charges for any violations of the laws mentioned above?

No

Yes

If you answered “Yes” provide: a) the individual’s name; b) date of charge; c) charge(s); d) location of
incident; e) court, and f) action taken for each violation. Please be aware that a “Yes” answer does not
automatically disqualify you from getting a permit.

4. I am applying for registration under the MMPA as:
Agent
Tannery
Agent and Tannery

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

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

5. I would like to deal in parts and products of the following marine mammals (check appropriate boxes):
Polar bear (Ursus maritimus)
Walrus (Odobenus rosmarus)
Alaskan sea otter (Enhydra lutris kenyoni)
6. ATTACH THE FOLLOWING TO YOUR APPLICATION:
a. A written description of the procedures you will use to receive, store, process, and ship marine mammal
parts and products; and

b. A written description of your system of bookkeeping and inventory. (Note: If you are registered, you will
be required to submit a bi-annual report using Registered Agent/Tanner Annual Report form.)

7. Certify the following by ENTERING YOUR INITIALS on each line, as applicable, below:
_____

I will keep records of each transaction with marine mammal parts separate from all other
records maintained during the ordinary course of business.

_____

I will maintain such records for a period of not less than three years.

_____

I understand that this information is submitted for the purpose of obtaining the benefit of
an exception under the Marine Mammal Protection Act of 1972, as amended (16 U.S.C.
1361 et seq., 50 CFR 18.23) and, if applicable, the Endangered Species Act of 1973, as
amended (16 U.S.C. 1531 et seq., 50 CFR 17.40) [www.access.gpo.gov]).

_____

I understand that as a registered agent I may buy or transfer marine mammal products
from a qualifying Alaskan Native for resale or transfer to a qualifying Alaskan Native. I
may transfer marine mammal products received from a qualifying Alaskan Native to a
registered tannery for processing, and I will return the processed product directly to the
qualifying Alaskan Native.

_____

I understand that as a registered tannery, I may accept, for processing, marine mammal
products directly from a qualifying Alaskan Native or through a registered agent, and I will
return the processed product directly or through a registered agent to the qualifying Alaskan
Native.

_____

I understand that as a registered agent/tannery I will be required to submit a bi-annual report
on form 3-200-44a containing records of each transaction. I understand that if no
transactions have occurred, a negative report is required. I will submit form 3-200-44a by
January 10 and July 10 of each year that I am registered by either e-mail to: ak_le@fws.gov
OR by mail to: U.S. Fish and Wildlife Service, Office of Law Enforcement, 1011 E. Tudor Rd,
MS 151, Rm. 155, Anchorage, Alaska 99503.

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

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

APPLICATION FORM INSTRUCTIONS
The following instructions pertain to U.S. Fish and Wildlife Service (FWS) permit applications. The General Permit Procedures in 50 CFR 13
address the permitting process. For simplicity, all licenses, permits, registrations, and certificates are referred to as a permit.

GENERAL INSTRUCTIONS:
•
•
•
•
•
•
•
•

Complete all relevant questions in Sections A or B, C, D, and E.
An incomplete application may cause delays in processing or may be returned to the applicant. Be sure you are filling in the
appropriate application form for the proposed activity.
Print clearly or type in the information. Illegible applications may cause delays.
Sign the application. Faxes or copies of the original signature will not be accepted.
Mail the original application to the address at the top of page one of the application or, if applicable, on the attached address list.
Keep a copy of your completed application.
Please plan ahead. Allow at least 60 days for your application to be processed, however, some applications may take longer
than 90 days to process (50 CFR 13.11).
Applications are processed in the order they are received.

SECTION A OR SECTION B:
Section A. Complete if applying as an individual [do not complete if importing/exporting under an Import/Export License.]:
•
•

•

Enter the complete name of the responsible individual who will be the permittee if a permit is issued. Enter personal information that
identifies the applicant. Fax and e-mail, while helpful in processing, are not required.
If you are applying on behalf of a client, the personal information must pertain to the client, and a document evidencing power of
attorney must be included with the application.
Affiliation/ Doing business as (dba): business, agency, Tribe, organizational, or institutional affiliation directly related to the activity
requested in the application (e.g., a taxidermist is an individual whose business can directly relate to the requested activity). The Division
of Management Authority (DMA) and the Office of Law Enforcement (OLE) do not accept doing business as affiliations for individuals
(complete Section B).

Section B. Complete if applying as a business, corporation, public agency, Tribe, or institution:
•

•

Enter the complete name of the business, agency, or institution that will be the permittee if a permit is issued. Give a brief description of
the type of business the applicant is engaged in. Provide contact phone number(s) of the business. If you are applying on behalf of a
client, a document evidencing power of attorney must be included with the application.
Principal Officer is the person in charge of the listed business, corporation, public agency, Tribe, or institution. The principal officer is the
person responsible for the application and any permitted activities. Often the principal officer is a Director or President. Primary Contact
is the person at the business, corporation, public agency, or institution who will be available to answer questions about the application or
permitted activities. Often this is the preparer of the application.

ALL APPLICANTS COMPLETE SECTION C:
•
•

For all applications submitted to the Division of Management Authority (DMA), a physical U.S. address is required.
Mailing address is the address to which communications from USFWS should be mailed if different from applicant’s physical address.

ALL APPLICANTS COMPLETE SECTION D:
Section D.1 Application processing fee:
•
•

An application processing fee is required at the time of application, unless exempted under 50 CFR13. The application processing fee is
assessed to partially cover the cost of processing a request. The fee does not guarantee the issuance of a permit, nor will fees be
refunded for applications for which processing has begun.
Documentation of fee exempt status is not required for applications submitted by Federal, Tribal, State, or local government
agencies; but must be supplied by those applicants acting on behalf of such agencies. Such applications must include a letter on
agency letterhead and signed by the head of the unit of government for which the applicant is acting on behalf, confirming that the
applicant will be carrying out the permitted activity for the agency.

Section D.2 CERTIFICATION:
•

The individual identified in Section A, the principal officer named in Section B, or person with a valid power of attorney
(documentation must be included in the application) must sign and date the application. This signature legally binds the applicant
to the statement of certification. You are certifying that you have read and understand the regulations that apply to the permit. You are
also certifying that all information included in the application is true to the best of your knowledge. Be sure to read the statement and reread the application and your answers before signing.

ALL APPLICANTS COMPLETE SECTION E
Please continue to next page. DO NOT RETURN THIS PAGE WITH THE APPLICATION
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FWS Form 3-200-44 (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, et seq.) 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: 20 minutes (reporting)
Original submission - electronic: 15 minutes (reporting)
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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