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

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

Documents and Forms

Document Name Document Type
Form 3-202-17 Avian Injury/Mortality Report (Form 3-202-17) - Private Sector Form and Instruction
3-202-17 USFWS Bird and Bat Injury and Mortality Reporting System 3-202-17 Rpt - Avian Injury-Mortality_4_11_23Update.xlsm www.fws.gov/birds/management/project-assessment-tools-and-guidance/decision-support-tools/imr.php Form and Instruction
USFWS Injury and Mortality System Info Sheet.pdf USFWS Injury and Mortality System Info Sheet IC Document
imruserguideforpermitteesandindustry.pdf Injury and Mortality Reporting (IMR) System User Guide for Industry 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
Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities IC Document

Information Collection (IC) Details

IC Title:	Avian Injury/Mortality Report (Form 3-202-17) - Private Sector	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_4_11_23Update.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: INTERIOR/FWS–21, Permits System	FR Citation: 88 FR 16277

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

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	125	125
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
USFWS Injury and Mortality System Info Sheet	USFWS Injury and Mortality System Info Sheet.pdf	04/24/2017
Injury and Mortality Reporting (IMR) System User Guide for Industry Users	imruserguideforpermitteesandindustry.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
Answers to Questions Frequently Asked by Companies Reporting Bird Injuries Mortalities	Answers_to_questions_frequently_asked_by_companies_reporting_bird_injuries_mortalities.pdf	02/06/2020

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