Form 3 200 39A PDF Details

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QuestionAnswer
Form NameForm 3 200 39A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesltr, 50CFR, ws form 37, usda wildlife services form 37

Form Preview Example

United States Department of the Interior

FISH AND WILDLIFE SERVICE

Washington, D.C., 20240

OMB No. 1018-0093

Expires: 05/31/2017

___US_________/__

CERTIFICATE OF SCIENTIFIC EXCHANGE (COSE)

SPECIAL REPORTING CONDITIONS

Permittee: ________________________________________________________________________

Reporting Requirements. Annually, permittee must provide a report to the Division of Management Authority, Branch of Permit, MS: IA, 5275 Leesburg Pike, Falls Church, VA 22041-3803. This report must describe all exchanges of specimens that occurred in the preceding calendar year and made under the registered scientific institution system under the COSE [CITES Resolution Conf. 11.15 (Rev. CoP12)]. A suggested format is described below. Non-activity must also be reported. If reports are not received annually, the CITES registration is subject to revocation.

Outgoing Specimen Report

Date

Description of

Accession or

Scientific name and

Receiving institution,

COSE

Sent

specimen

Record no.

common name

Country

Code No.

 

 

 

 

 

 

 

 

 

 

 

 

Incoming Specimen Report

Date

Description of

Accession or

Scientific name

Originating institution,

COSE

Received

specimen

Record no.

and common name

Country

Code No.

 

 

 

 

 

 

 

 

 

 

 

 

In addition, permittee must maintain complete and accurate records of any specimens imported or exported under this Certificate (50 CFR 13.46). The records must be kept current and should include the name, address, and COSE number of the institution sending or receiving specimen(s), a description of the specimen(s) exchanged, and the date the exchange occurred. The records must be maintained for five years from the date of expiration of the Certificate. The permittee must make the records available to US Fish and Wildlife Service employees for inspection upon request.

Form 3-200-39a

Rev. 02/2014

Page 1 of 2

FEDERAL FISH AND WILDLIFE PERMIT

Paperwork Reduction Act – Notice

In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.), please be advised:

1.The gathering of information on fish and wildlife is authorized by:

(Authorizing statutes can be found at: http://www.gpoaccess.gov/cfr/index.html and http://www.fws.gov/permits/ltr/ltr.html

a. Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22; b. Endangered Species Act of 1973 (16 U.S.C. 1531-1544), 50CFR 17; c. Migratory Bird Treaty Act (16 U.S.C. 703-712), 50 CFR 21;

d. Marine Mammal Protection Act of 1972 (16 U.S.C. 1361, et. seq.), 50 CFR 18; e. Wild Bird Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15;

f. Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;

g. Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), http://www.cites.org/,

50 CFR 23;

h. General Provisions, 50 CFR 10;

i. General Permit Procedures, 50 CFR 13; and

j. Wildlife Provisions (Import/export/transport), 50 CFR 14.

2.Use of this form is not mandatory; however, the same information must be submitted if using an alternate form.

3.The relevant burden for the report conditioned by an issued Export and Re-import of Museum Specimens permit is

30minutes. This burden estimate includes time for reviewing instructions, gathering and maintaining data and completing and reviewing the report. You may direct comments regarding the burden estimate to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, Mail Stop 2042-PDM, U.S. Department of the Interior, 1849 C Street, NW, Washington D.C. 20240.

DO NOT RETURN THIS PAGE WITH THE APPLICATION

Form 3-200-39a

Rev. 02/2014

Page 2 of 2

How to Edit Form 3 200 39A Online for Free

Making use of the online editor for PDFs by FormsPal, it is possible to complete or change Permittee right here. Our tool is constantly evolving to grant the best user experience achievable, and that's because of our dedication to constant enhancement and listening closely to user feedback. All it requires is a couple of basic steps:

Step 1: Firstly, access the editor by pressing the "Get Form Button" above on this webpage.

Step 2: This editor helps you work with PDF documents in a range of ways. Modify it by writing your own text, correct what is already in the document, and add a signature - all at your fingertips!

Filling out this document needs attention to detail. Make sure that all necessary blank fields are filled in properly.

1. When filling in the Permittee, make sure to incorporate all needed blanks in its corresponding area. This will help speed up the process, allowing your details to be processed swiftly and properly.

Filling out section 1 in 50CFR

2. After this part is completed, you should insert the needed particulars in Date Sent, Incoming Specimen Report, Date Received, Description of specimen, Accession or Record no, Scientific name and common name, Originating institution Country, COSE Code No, and In addition permittee must so that you can progress to the 3rd stage.

Completing part 2 in 50CFR

3. This next portion is related to Authorizing statutes can be found, a Bald and Golden Eagle Protection, In accordance with the Paperwork, and CFR h General Provisions CFR i - fill in each of these fields.

The best way to fill out 50CFR part 3

Regarding CFR h General Provisions CFR i and In accordance with the Paperwork, make certain you review things here. These two could be the most significant ones in the file.

Step 3: Make sure that the information is accurate and simply click "Done" to proceed further. Get the Permittee the instant you register at FormsPal for a free trial. Instantly access the document within your FormsPal account, with any edits and adjustments being all saved! FormsPal offers risk-free document editor with no data record-keeping or distributing. Be assured that your data is in good hands with us!

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