Conservation Agreement (Non-form Format) - Individuals

Federal Fish and Wildlife Permit Applications and Reports - Native Endangered and Threatened Species; 50 CFR 10, 13, and 17

Documents and Forms

Document Name Document Type
Neighboring Landowner Agreement Template.docx Neighboring Landowner Agreement Template IC Document
Neighboring Landowner Agreement Template.docx Neighboring Landowner Agreement Template IC Document

Information Collection (IC) Details

IC Title:	Conservation Agreement (Non-form Format) - Individuals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 13 50 CFR 17

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Natural Resources

Subfunction: Water Resource Management

Privacy Act System of Records
Title: Permits System--Interior, FWS-21	FR Citation: 88 FR 16277

Number of Respondents: 5	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 50 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	6,500	6,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Neighboring Landowner Agreement Template	Neighboring Landowner Agreement Template.docx	04/10/2024

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