Form 3-200-7 (Rev. 07/2019 OMB Control No. 1018-0022 U.S ...FWS Form 3-200-7 (Rev. 07/2019) U.S....

OMB Control No. 1018-0022 Expires 04/30/2021

Form 3-200-7 (Rev. 07/2019) U.S. Department of the Interior

FEDERAL FISH AND WILDLIFE PERMIT APPLICATION FORM Migratory Bird and Eagle Scientific Collecting

(Migratory Bird Treaty Act, 50 CFR 21.21, 21.23; Eagle Act, 50 CFR 22.21) U.S. Fish and Wildlife Service

Division of Migratory Bird Management

TYPE OF REQUEST New Application

Renewal

BEFORE FILLING OUT THIS FORM, please access the Return Addresses (to obtain the email/postal mail addresses where this form can be returned), review the Frequently Asked Questions, and read the form Instructions. Please retain the "NOTICES" page for your records.

Amendment If requesting a renewal or amendment, provide Permit #

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. See instruction page(s) for information on how to make your application complete and help avoid unnecessary delays. A. Complete if applying as an individual 1.a. Last name 1.b. First name 1.c. Middle name or initial 1.d. Suffix

2. Date of birth (mm/dd/yyyy) 3.a. Telephone number 3.b. Alternate telephone number 3.d. E-mail address

B. Complete if applying on behalf of a business, corporation, public agency, Tribe, or institution1.a. Name of business, agency, Tribe, or institution 1.b. Doing business as (dba)

2. Tax identification no. 3. Description of business, agency, or institution

4.a. Principal officer Last name 4.b. Principal officer First name 4.c. Principal officer Middle name/ initial 4.d. Suffix

5. Principal officer title 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

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.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: 2.e. County/Province 2.f. Country

D. All applicants MUST complete 1. A nonrefundable processing fee is required to process this permit, please attach check or money order payable to the U.S. FISH AND WILDLIFESERVICE. Federal, Tribal, State, and local government agencies, and those acting on behalf of such agencies, are exempt from the processing fee –Please see link for processing fee cost and fee exempt status as outlined in 50 CFR 13.11(d). Click here for Processing Fees 2. Do you currently have or have you ever had any Federal Fish and Wildlife permits?

No Yes If yes, list the number of the most current permit you have held or that you are applying to renew/re-issue:

3. 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 andthe 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 andaccurate 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 (No stamped signatures. Electronic signatures accepted.) Date of signature (mm/dd/yyyy)

Please continue to next page

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https://www.fws.gov/birds/policies-and-regulations/permits/regional-permit-contacts.phphttps://www.fws.gov/migratorybirds/pdf/policies-and-regulations/3-200-7FAQ.pdfhttps://www.fws.gov/migratorybirds/pdf/policies-and-regulations/3-200-7Instructions.pdfhttps://www.fws.gov/migratorybirds/pdf/policies-and-regulations/MBpermitprocessingfees.pdfmsadlowskiHighlight

FWS Form 3-200-7 (Rev. 07/2019) U.S. Department of the Interior


FEDERAL FISH AND WILDLIFE PERMIT APPLICATION FORM Migratory Bird and Eagle Scientific Collecting

(Migratory Bird Treaty Act, 50 CFR 21.21, 21.23; Eagle Act, 50 CFR 22.21) U.S. Fish and Wildlife Service

Division of Migratory Bird Management

NOTE: A Federal Migratory Bird Scientific Collecting permit can authorize you to collect, transport or possess migratory birds, their parts, nests, or eggs for scientific research or educational purposes. A scientific collecting permit may be valid for up to 3 years. You must be at least 18 years old to apply. You must be at least 18 years old to apply for a migratory bird permit. Please read “Frequently Asked Questions” and the pertinent regulations before you sign and submit your application.

Please provide the information requested below. If additional information needs to be provided that does not fit in the designated spaces, add additional sheets to your application submission. You may use as many additional sheets as needed. Please number pages accordingly using the page number box provided at the bottom of the sheet, and the corresponding question number.

You should be as thorough and specific as possible in your responses. Incomplete applications will be returned.

As the permittee, you are legally responsible for ensuring that your subpermittees, staff, and volunteers adhere to the terms of your permit.

SECTION E.

Questions 1) What is the purpose of your activity? (check all that apply)

Scientific Research

Specimen Collection (museum or institutional)

Other (specify):

2) Attachments - In additions to this form, you should also attach the following to complete your application:

a) A statement of purpose and justification for the proposed research/collection. Include an outline of any research project(s).Describe how the research/collection will advance the science of (a) the species taken, (b) other wildlife species, (c) humans,or (d) archival collections.

b) Copies of any other permits related to the proposed activity (e.g. USGS Banding Permit, State Permit).

c) If required, state authorization for release to the wild.

d) Copies of any authorizations for access to state, federal, or tribal land.

e) Collecting Activity Table.

f) Institutional Animal Care and Use Committee (IACUC) approval.

g) If you are renewing your permit, include your current annual report with your renewal application. The annual report form maybe found at the following website: https://www.fws.gov/forms/3-202-1.pdf

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http://www.fws.gov/forms/3-202-1.pdfhttps://www.fws.gov/migratorybirds/pdf/policies-and-regulations/3-200-7FAQ.pdf



3) Any permit issued as a result of this application is not valid unless you also have any required State or tribal permits orapprovals associated with the activity. Have you obtained all required State or tribal permits or approvals to conduct this activity?

Yes, Have Attached

None Required

4) What is your requested start date (month/year) (Typical application processing time is a minimum of 60 days)

5) What is your anticipated completion date (month/year) including collection and holding of birds.

6) Provide the physical locations for all components of your research: where bird(s) will be collected, held in captivity,released to the wild, etc.

7) Describe your methods. Include the information below as applicable.

a) Trapping: explain your choice of trap, frequency of trap checks, and what, if any, lure you will useb) Lethal Collection: explain why nonlethal methods do not meet your objectivesc)Euthanasia: describe your euthanasia method. For more information see the American Veterinary Medical

Association (AVMA) Guidelines for the Euthanasia of Animalsd) Invasive Procedures: describe your methods and how you will minimize pain and stresse)Captivity: describe where and how long birds will be kept in captivity. Include a description, dimensions,

and/or photographs of permanent and transport enclosures. Include the diet and enrichment you willprovide.

f)Release to the Wild: describe your choice of release location(s). Provide state authorization, if required. Ifheld longer than 24 hours, describe how birds will be conditioned and evaluated for release.

g)Game Species: explain if collection will differ from hunting regulation(s)h) IACUC: provide approval

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https://www.avma.org/KB/Policies/Pages/Euthanasia-Guidelines.aspx

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7) (continued)

8) To assist us in complying with the National Environmental Policy Act (NEPA), as much as possible describe anyanticipated effects (positive or negative) to:

a) Breeding birds or other seasonality concernsb) Populations of Birds of Conservation Concern and bird species with small local

populationsc) Potential disease transmissiond) Non-target speciese) Threatened or endangered speciesf) Spread of invasive speciesg) Other natural resources including natural lands and watersh) Cultural resources including historical sitesi) Low income, minority and/or Native American populationsj) Public health and safety

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9) Describe in detail your experience in conducting the proposed activities. Include the source and duration of experience foreach of the proposed activities. If you do not currently have experience in a proposed activity, identify who will be serving as amentor. For example, if you are trapping, provide a copy of your USGS Bird Banding Lab permit or a letter of reference regardingyour trapping experience from a Master Bander or other experienced trapper.

10) The name and address of the public scientific or educational institution(s) to which all migratory bird specimens will bedonated upon completion of the study.

11) If you reside or are located outside of the United States: provide the name of a contact, address, and telephone numberwhere you can be reached in the United States.

12) Are you requesting authorization to import/export?If “yes”, include the following:

a) anticipated import/export dates and shipment(s),b) species, number, and type of specimen per shipmentc) to and from whom the specimens will likely be shipped

Yes No

d) the U.S. port(s) of entry/exit you will use (see https://www.fws.gov/le/designated-ports.html).

(Note: You must use a Designated Port (see http://www.fws.gov/le/ports-contact-information.html) unless you obtain a Port Exception Permit from FWS Office of Law Enforcement. You may require additional permits for species protected by the Convention on International Trade in Endangered Species (CITES), the U.S. Endangered Species Act, or the Wild Bird Conservation Act. Live Bald or golden eagles or live eggs of those birds may not be imported or exported.

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https://www.fws.gov/le/designated-ports.html



13) Anyone who will be assisting you with the permitted activities or acting as your agent must either have their own Federalmigratory bird permit for the activity or be identified by you, in writing, as a subpermittee under your permit. They may alsorequire a State permit. Subpermittees must be at least 18 years old. As the primary permittee, you will be responsible forensuring that your subpermittees are properly trained and adhere to the terms of your permit. Provide the name of anysubpermittees who will be conducting activities under your permit.

14) You must retain records legibly written or reproducible in English relating to the activities conducted under yourpermit for at least 5 years after the date of expiration of your permit. Is the physical address you provided in Section Con page 1 of this application the address where your records will be kept?

Yes

No If “no,” provide the physical address.

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Form 3-200-7 (Rev. 07/2019) U.S. Department of the Interior


15) Disqualification factor. Have you, the permittee, or your client (if a broker on behalf of your client):

• Been assessed a civil penalty or convicted of any criminal provision of any statue or regulation relating to the activity forwhich the application is filed (50 CFR 13.21(b) (1);

• Been convicted, or entered a plea of guilty or nolo contendere, for a felony violation of the Lacey Act, the Migratory BirdTreaty Act, or the Bald and Golden Eagle Protection Act. (50 CFR 13.21 (c)(1)):

• Had a permit revoked within the last five years for willfully violating any Federal or State statute or regulation, or any Indiantribal law or regulation, or any law or regulation of any foreign country, which involves a violation of the conditions of thepermit or of the laws or regulations governing the permitted activity (50 CFR 13.28 (a)(1)) or failing to correct deficienciesthat were the cause of a permit suspension within 60 days (50 CFR 13.28 (a)(2)).

Answer "yes" if ANY of the events listed immediately above have occurred. Answer "no" if none of the events listed immediately above have occurred.

Yes

No

If you answered “Yes”, provide: a) the individual’s name; b) date of conviction, civil penalty assessment or revocation; c) charge(s), or reason(s) for revocation; d) location of the incident; e) court (if applicable, ticket, federal/state/tribal court etc.);and f) legal action taken for each violation (i.e. fine, incarceration, probation…). Please be aware that a “Yes” response does notautomatically disqualify you from getting a permit.

16) Are you eligible for Fee Exempt Status? Fee exempt status applies to government agencies (Federal, State, Tribal,and municipal governments). Applicants acting on behalf of such agencies must submit a letter on agency letterheadand signed by the head of the unit of government for which the applicant is acting on behalf, confirming that theapplicant will be carrying out the permitted activity for the agency, or the agencies tax exempt form.

Yes - Government Agency

Yes - Acting on behalf of Government Agency Documentation Included

No - not eligible for Fee Exempt Status

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17) I acknowledge that I have read the form Instructions and Frequently Asked Questions, and have accessed the page with theReturn Addresses to obtain the address where I should return this form. I have also filled out all fields and questions in thisapplication. Check this box to acknowledge:

https://www.fws.gov/migratorybirds/pdf/policies-and-regulations/3-200-7Instructions.pdfhttps://www.fws.gov/migratorybirds/pdf/policies-and-regulations/3-200-7FAQ.pdfhttps://www.fws.gov/birds/policies-and-regulations/permits/regional-permit-contacts.php



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 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 that affect protected species. The information the individual provides helps the 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.

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

In accordance with the Paperwork Reduction Act (44 U.S.C. 3501), the U.S. Fish and Wildlife Service collects information necessary to monitor take and disposition of migratory birds, under the applicable laws governing the requested activity, for which a permit is requested, and to respond to requests made under the Freedom of Information Act and the Privacy Act of 1974. 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 above 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. 1018-0022.

ESTIMATED BURDEN STATEMENT

We estimate public reporting for this collection of information to average 4 hours for the application and 1 hour for recordkeeping, including 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: BPHC, Falls Church, VA 22041-3803, or via email at [email protected]. Please do not send your completed form to this address.

FREEDOM OF INFORMATION ACT

For organizations, businesses, or individuals operating as a business (i.e., permittees not covered by the Privacy Act), we request that you identify any information that should be considered privileged and confidential business information to allow the Service to meet its responsibilities under FOIA. Confidential business information must be clearly marked "Business Confidential" at the top of the letter or page and each succeeding page and must be accompanied by a non-confidential summary of the confidential information. The non- confidential summary and remaining documents may be made available to the public under FOIA [43 CFR 2.26 – 2.33].

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mailto:[email protected]

OMB Control No.

Migratory Bird Scientific Collecting Permit Application Collecting Activity Table 1018-0022 Expires 4/30/2021

In the table below, list the species (scientific and common name listed in 50 CFR 10.13) and quantity of migratory birds and eggs you propose to collect; the location(s) where collecting is proposed (State and, if known, specific Counties or sites); and the type of collecting you propose (e.g., lethal collection, viable egg collection, trap and retain, trap and release, trap and relocate). If this will be a multi-year project, indicate the species and quantities to be collected each year or throughout the duration of the project. See the accompanying Instructions for Completing the Scientific Collecting Activity Table below. Use the categories provided below as much as possible but if your collecting request does not fit the categories below, provide further clarification in your written outline, study proposal, or justification. Attach the completed table to your Scientific Collecting Application.

APPLICANT NAME: DATE (mm/dd/yyyy):

SCIENTIFIC COLLECTING ACTIVITY TABLE

Species (Scientific and Common Name) State

County or Site (if known)

Collection Period

(Calendar Years)

Lethal

Collection Viable Egg Collection

Trap & Retain

Trap & Release

Trap & Relocate

Maximum Annual Total

Requested

Total Quantity

Requested

Example - 3 yr study, same quantity/year: Anas strepera (gadwall)

OR Harney (Malheur NWR)

Annually 5 5 0 100 0 110 330

Example - 2 yr study, different quantity/year: Anas crecca (green-winged teal)

VA Year 1 10 0 0 50 0 60 310

“ “ “ “ “ “ Year 2 50 0 0 200 0 250

OMB Control No.

SCIENTIFIC COLLECTING ACTIVITY TABLE – SUPPLEMENTAL SHEET 1018-0022 Expires

4/30/2021

Applicant Name: Supplemental Page Number:

Species (Scientific and Common Name) State

County or Site (if known)

Collection Period

(Calendar Years)

Lethal Collection Viable Egg

Collection Trap & Retain

Trap & Release Trap & Relocate

Maximum Annual Total

Requested

Total Quantity

Requested

INSTRUCTIONS FOR COMPLETING COLLECTING ACTIVITY TABLE

Species Identify the species you propose to collect. Use the scientific and common name(s) listed in 50 CFR 10.13. (See list at https://www.fws.gov/birds/management/managed-species/migratory-bird-treaty-act-protected-species.php State Specify the state where you propose to collect the species. Enter only one state per row.

County or Site (If Known) You may enter one or more counties, boroughs, or specific collection sites where the collection will occur per row. This block may be left blank.

Collection Period (Calendar Years) If your project is a single year project, the collection period is “Year 1.” If your project is a multiyear project and you intend to collect the same number of specimens annually, the collection period is “Annually.” If your project is a multiyear project, the quantity of specimens will vary each year, and you will be collecting opportunistically each year, the collection period is “Permit Duration (3 years).” If your project is multiyear and the number of specimens will vary each year but you intend to collect a specific quantity of specimens each year, the collection period is “Year 1,” “Year 2,” and “Year 3,” as needed; you will need to duplicate rows for that species.

Types of Collecting Activities Do not overlap quantities; the quantities entered in the various types of collecting activities across each row must be mutually exclusive.

Lethal Collection Enter the maximum quantity of specimens of that species that you propose to kill. This includes shooting or any other proposed method of lethal collection.

Viable Egg Collection Enter the maximum quantity of eggs (believed to be viable) you plan to collect. If you plan to collect nests with eggs, estimate the maximum number of eggs per nest. This also includes viable eggs that are collected, incubated, and the hatchlings retained or released. Collection of eggs known to be nonviable is considered salvage and should not be included here.

Trap & Retain Enter the maximum quantity of specimens of that species that you propose to live-trap and retain in captivity permanently (either life-long or euthanized upon completion of the study).

Trap & Release Enter the maximum quantity of specimens of that species that you propose to live-trap and release at the capture site (e.g., after collection of samples or data). This may include prolonged holding prior to release.

Trap & Relocate Enter the maximum quantity of specimens of that species that you propose to live-trap at the capture site and release at another location. This may include prolonged holding prior to release.

https://www.fws.gov/birds/management/managed-species/migratory-bird-treaty-act-protected-species.php

My Collecting Request Doesn’t Fit Your Collecting Categories Use the categories provided as much as possible; provide further clarification in your written outline, study proposal, or justification.

Maximum Annual Total Requested Add the quantities per species from all types of collecting that you have listed; enter the sum in this column (e.g. [Maximum Annual Total Requested] = [Lethal Collection] + [Viable Egg Collection] + [Trap & Retain] + [Trap & Release] + [Trap & Relocate]). If your project is a multiyear project, the quantity of specimens will vary each year, and you will be collecting opportunistically each year, you may leave the Maximum Annual Total Requested block blank.

Total Quantity Requested If your project is a single year project, the Total Quantity Requested is the same as the Maximum Annual Total Requested. If your project is a multiyear project and you intend to collect the same number of specimens annually, the Total Quantity Requested is three times the Maximum Annual Total Requested (e.g. [Total Quantity Requested] = 3 x [Maximum Annual Total Requested]). If your project is a multiyear project, the quantity of specimens will vary each year, and you will be collecting opportunistically each year, the Total Quantity Requested is the sum of all types of collecting that you have listed (e.g. [Maximum Annual Total Requested] = [Lethal Collection] + [Viable Egg Collection] + [Trap & Retain] + [Trap & Release] + [Trap & Relocate]). If your project is multiyear and the number of specimens will vary each year but you intend to collect a specific quantity of specimens each year, add the Maximum Annual Totals for Year 1, Year 2, and Year 3 (as applicable).

FEDERAL FISH AND WILDLIFE PERMIT APPLICATION FORMMigratory Bird and Eagle Scientific CollectingAmendment

FEDERAL FISH AND WILDLIFE PERMIT APPLICATION FORMSECTION E.1) What is the purpose of your activity? (check all that apply)2) Attachments - In additions to this form, you should also attach the following to complete your application:3) Any permit issued as a result of this application is not valid unless you also have any required State or tribal permits or approvals associated with the activity. Have you obtained all required State or tribal permits or approvals to conduct this ...4) What is your requested start date (month/year) (Typical application processing time is a minimum of 60 days)7) Continued..8) To assist us in complying with the National Environmental Policy Act (NEPA), as much as possible describe any anticipated effects (positive or negative) to:9) Describe in detail your experience in conducting the proposed activities. Include the source and duration of experience for each of the proposed activities. If you do not currently have experience in a proposed activity, identify who will be servin...13) Anyone who will be assisting you with the permitted activities or acting as your agent must either have their own Federal migratory bird permit for the activity or be identified by you, in writing, as a subpermittee under your permit. They may als...15) Disqualification factor. Have you, the permittee, or your client (if a broker on behalf of your client):If you answered “Yes”, provide: a) the individual’s name; b) date of conviction, civil penalty assessment or revocation;PRIVACY ACT STATEMENTPAPERWORK REDUCTION ACT STATEMENTESTIMATED BURDEN STATEMENTFREEDOM OF INFORMATION ACTMigratory Bird Scientific Collecting Permit Application Collecting Activity TableAPPLICANT NAME: DATE (mm/dd/yyyy):INSTRUCTIONS FOR COMPLETING COLLECTING ACTIVITY TABLEStateCounty or Site (If Known)Collection Period (Calendar Years)Types of Collecting ActivitiesLethal CollectionViable Egg CollectionTrap & RetainTrap & ReleaseTrap & RelocateMy Collecting Request Doesn’t Fit Your Collecting CategoriesMaximum Annual Total RequestedTotal Quantity Requested

If requesting a renewal or amendment provide Permit: 1a Last name: 1b First name: 1c Middle name or initial: 1d Suffix: 2 Date of birth mmddyyyy: 3a Telephone number: 3b Alternate telephone number: 3d Email address: 1a Name of business agency Tribe or institution: 1b Doing business as dba: 2 Tax identification no: 3 Description of business agency or institution: 4a Principal officer Last name: 4b Principal officer First name: 4c Principal officer Middle name initial: 4d Suffix: 5 Principal officer title: 6 Primary contact name: 7a Business telephone number: 7b Alternate telephone number: 7c Business fax number: 7d Business email address: 1a Physical address Street address Apartment Suite or Room no PO Boxes: 1b City: 1c State: 1d Zip codePostal code: 1e CountyProvince: 1f Country: 2a Mailing Address include if different than physical address include name of contact person if applicable: 2b City: 2c State: 2d Zip codePostal code: 2e CountyProvince: 2f Country: D All applicants MUST complete: If yes list the number of the most current permit you have held or that you are applying to renewreissue: Date of signature mmddyyyy: Row1: Row1: Harney Malheur NWRRow3: Year 2Row1: 50Row1: 0Row1: 0Row1_2: 200Row1: 0Row1_3: 250Row1: 310Row2: Row2: Row2: Harney Malheur NWRRow4: Year 2Row2: 50Row2: 0Row2: 0Row2_2: 200Row2: 0Row2_3: 250Row2: 310Row3: Row3: Row3: Harney Malheur NWRRow5: Year 2Row3: 50Row3: 0Row3: 0Row3_2: 200Row3: 0Row3_3: 250Row3: 310Row4: Row4: Row4: Harney Malheur NWRRow6: Year 2Row4: 50Row4: 0Row4: 0Row4_2: 200Row4: 0Row4_3: 250Row4: 310Row5: Row5: Row5: Harney Malheur NWRRow7: Year 2Row5: 50Row5: 0Row5: 0Row5_2: 200Row5: 0Row5_3: 250Row5: 310Row6: Row6: Row6: Harney Malheur NWRRow8: Year 2Row6: 50Row6: 0Row6: 0Row6_2: 200Row6: 0Row6_3: 250Row6: 310Row7: Row7: Row7: Harney Malheur NWRRow9: Year 2Row7: 50Row7: 0Row7: 0Row7_2: 200Row7: 0Row7_3: 250Row7: 310Row8: Row8: Row8: Harney Malheur NWRRow10: Year 2Row8: 50Row8: 0Row8: 0Row8_2: 200Row8: 0Row8_3: 250Row8: 310Row9: Row9: Row9: Harney Malheur NWRRow11: Year 2Row9: 50Row9: 0Row9: 0Row9_2: 200Row9: 0Row9_3: 250Row9: 310Row10: Row10: Row10: Harney Malheur NWRRow12: Year 2Row10: 50Row10: 0Row10: 0Row10_2: 200Row10: 0Row10_3: 250Row10: 310Row11: Row11: Row11: Harney Malheur NWRRow13: Year 2Row11: 50Row11: 0Row11: 0Row11_2: 200Row11: 0Row11_3: 250Row11: 310Row12: Row12: Row12: Harney Malheur NWRRow14: Year 2Row12: 50Row12: 0Row12: 0Row12_2: 200Row12: 0Row12_3: 250Row12: 310Row13: Row13: Row13: Harney Malheur NWRRow15: Year 2Row13: 50Row13: 0Row13: 0Row13_2: 200Row13: 0Row13_3: 250Row13: 310Row14: Species Scientific and Common NameRow1: StateRow1: County or Site if knownRow1: Collection Period Calendar YearsRow1: Lethal CollectionRow1: Viable Egg CollectionRow1: Trap RetainRow1: Trap ReleaseRow1: Trap RelocateRow1: Maximum Annual Total RequestedRow1: Total Quantity RequestedRow1: Species Scientific and Common NameRow2: StateRow2: County or Site if knownRow2: Collection Period Calendar YearsRow2: Lethal CollectionRow2: Viable Egg CollectionRow2: Trap RetainRow2: Trap ReleaseRow2: Trap RelocateRow2: Maximum Annual Total RequestedRow2: Total Quantity RequestedRow2: Species Scientific and Common NameRow3: StateRow3: County or Site if knownRow3: Collection Period Calendar YearsRow3: Lethal CollectionRow3: Viable Egg CollectionRow3: Trap RetainRow3: Trap ReleaseRow3: Trap RelocateRow3: Maximum Annual Total RequestedRow3: Total Quantity RequestedRow3: Species Scientific and Common NameRow4: StateRow4: County or Site if knownRow4: Collection Period Calendar YearsRow4: Lethal CollectionRow4: Viable Egg CollectionRow4: Trap RetainRow4: Trap ReleaseRow4: Trap RelocateRow4: Maximum Annual Total RequestedRow4: Total Quantity RequestedRow4: Species Scientific and Common NameRow5: StateRow5: County or Site if knownRow5: Collection Period Calendar YearsRow5: Lethal CollectionRow5: Viable Egg CollectionRow5: Trap RetainRow5: Trap ReleaseRow5: Trap RelocateRow5: Maximum Annual Total RequestedRow5: Total Quantity RequestedRow5: Species Scientific and Common NameRow6: StateRow6: County or Site if knownRow6: Collection Period Calendar YearsRow6: Lethal CollectionRow6: Viable Egg CollectionRow6: Trap RetainRow6: Trap ReleaseRow6: Trap RelocateRow6: Maximum Annual Total RequestedRow6: Total Quantity RequestedRow6: Species Scientific and Common NameRow7: StateRow7: County or Site if knownRow7: Collection Period Calendar YearsRow7: Lethal CollectionRow7: Viable Egg CollectionRow7: Trap RetainRow7: Trap ReleaseRow7: Trap RelocateRow7: Maximum Annual Total RequestedRow7: Total Quantity RequestedRow7: Species Scientific and Common NameRow8: StateRow8: County or Site if knownRow8: Collection Period Calendar YearsRow8: Lethal CollectionRow8: Viable Egg CollectionRow8: Trap RetainRow8: Trap ReleaseRow8: Trap RelocateRow8: Maximum Annual Total RequestedRow8: Total Quantity RequestedRow8: Species Scientific and Common NameRow9: StateRow9: County or Site if knownRow9: Collection Period Calendar YearsRow9: Lethal CollectionRow9: Viable Egg CollectionRow9: Trap RetainRow9: Trap ReleaseRow9: Trap RelocateRow9: Maximum Annual Total RequestedRow9: Total Quantity RequestedRow9: Species Scientific and Common NameRow10: StateRow10: County or Site if knownRow10: Collection Period Calendar YearsRow10: Lethal CollectionRow10: Viable Egg CollectionRow10: Trap RetainRow10: Trap ReleaseRow10: Trap RelocateRow10: Maximum Annual Total RequestedRow10: Total Quantity RequestedRow10: Species Scientific and Common NameRow11: StateRow11: County or Site if knownRow11: Collection Period Calendar YearsRow11: Lethal CollectionRow11: Viable Egg CollectionRow11: Trap RetainRow11: Trap ReleaseRow11: Trap RelocateRow11: Maximum Annual Total RequestedRow11: Total Quantity RequestedRow11: Species Scientific and Common NameRow12: StateRow12: County or Site if knownRow12: Collection Period Calendar YearsRow12: Lethal CollectionRow12: Viable Egg CollectionRow12: Trap RetainRow12: Trap ReleaseRow12: Trap RelocateRow12: Maximum Annual Total RequestedRow12: Total Quantity RequestedRow12: Species Scientific and Common NameRow13: StateRow13: County or Site if knownRow13: Collection Period Calendar YearsRow13: Lethal CollectionRow13: Viable Egg CollectionRow13: Trap RetainRow13: Trap ReleaseRow13: Trap RelocateRow13: Maximum Annual Total RequestedRow13: Total Quantity RequestedRow13: Species Scientific and Common NameRow14: StateRow14: County or Site if knownRow14: Collection Period Calendar YearsRow14: Lethal CollectionRow14: Viable Egg CollectionRow14: Trap RetainRow14: Trap ReleaseRow14: Trap RelocateRow14: Maximum Annual Total RequestedRow14: Total Quantity RequestedRow14: Species Scientific and Common NameRow15: StateRow15: County or Site if knownRow15: Collection Period Calendar YearsRow15: Lethal CollectionRow15: Viable Egg CollectionRow15: Trap RetainRow15: Trap ReleaseRow15: Trap RelocateRow15: Maximum Annual Total RequestedRow15: Total Quantity RequestedRow15: Species Scientific and Common NameRow16: StateRow16: County or Site if knownRow16: Collection Period Calendar YearsRow16: Lethal CollectionRow16: Viable Egg CollectionRow16: Trap RetainRow16: Trap ReleaseRow16: Trap RelocateRow16: Maximum Annual Total RequestedRow16: Total Quantity RequestedRow16: Species Scientific and Common NameRow17: StateRow17: County or Site if knownRow17: Collection Period Calendar YearsRow17: Lethal CollectionRow17: Viable Egg CollectionRow17: Trap RetainRow17: Trap ReleaseRow17: Trap RelocateRow17: Maximum Annual Total RequestedRow17: Total Quantity RequestedRow17: Species Scientific and Common NameRow18: StateRow18: County or Site if knownRow18: Collection Period Calendar YearsRow18: Lethal CollectionRow18: Viable Egg CollectionRow18: Trap RetainRow18: Trap ReleaseRow18: Trap RelocateRow18: Maximum Annual Total RequestedRow18: Total Quantity RequestedRow18: Species Scientific and Common NameRow19: StateRow19: County or Site if knownRow19: Collection Period Calendar YearsRow19: Lethal CollectionRow19: Viable Egg CollectionRow19: Trap RetainRow19: Trap ReleaseRow19: Trap RelocateRow19: Maximum Annual Total RequestedRow19: Total Quantity RequestedRow19: Check Box1: OffCheck Box4: OffCheck Box7: OffText10: Text9: Text11: Text12: Text13: Text15: Text16: Text17: Check Box16: OffText18: Text19: Check Box18: OffText20: Check Box20: OffText21: Text22: Check Box25: OffCheck Box2: OffName2: Text6: Name1: DateAT: Text8: Check Box3: Off

Form 3-200-7 (Rev. 07/2019 OMB Control No. 1018-0022 U.S ...FWS Form 3-200-7 (Rev. 07/2019) U.S....

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Transcript of Form 3-200-7 (Rev. 07/2019 OMB Control No. 1018-0022 U.S ...FWS Form 3-200-7 (Rev. 07/2019) U.S....