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Get FWS 3-200-15A 2019-2024

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. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request. Response is not required unless a currently valid Office of Management and Budget OMB control number is displayed on the form. Certain applications for permits authorized under the Endangered Species Act of 1973 16 U.S.C. This burden estimate includes time for reviewing instructions gathering and maintaining data and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of the form to the Service Information Clearance Officer U.S. Fish and Wildlife Service Mail Stop 222 Arlington Square U.S. Department of the Interior 1849 C Street NW Washington D.C. 20240. I understand that false statements made here may subject me to criminal penalties. Signature Date Date Forwarded to NER // MBPO initials Date Received at NER // NER initials Form 3-200-15A Revised 1/2014 Division of Migratory Birds Eagle Permit Applicant Please print Name Address TELEPHONE NUMBER CERTIFICATION OF ENROLLMENT IN A U.S. FEDERALLY RECOGNIZED TRIBE By Certifying Tribal Official The U.S. Fish and Wildlife Service administers the Bald and Golden Eagle Protection Act the Federal law protecting eagles. Ordering Eagle Parts and Feathers from the National Eagle Repository For hundreds of years Native Americans have used eagle parts and feathers for religious and cultural purposes including healing marriage and naming ceremonies. Recognizing the significance of eagles to Native Americans the U*S* Fish and Wildlife Service Service established the National Eagle Repository Repository in the early 1970s to provide Native Americans with the carcasses parts and feathers of Golden and Bald eagles for religious purposes. Who may obtain eagle carcasses parts and feathers from the Repository Only enrolled members of federally recognized tribes who are 18 years of age or older may apply to receive and possess eagle carcasses parts and feathers from the Repository for religious purposes. How do I request these items from the Repository Applications can be found online at http //www. fws. gov/permits/applicationforms/ApplicationB. html For First Time Applicants 1. Fill out Form 3-200-15A Permit Application and First Order Request Online at http //forms. fws. gov/3-200-15a*pdf 2. Have your tribal enrollment office fill out the Certificate of Enrollment in a Federally Recognized Tribe form. 3. Submit all documentation to the permit office designated for the state you live in see page 4. 4. The permit office will process your permit application and if approved issue you a lifetime permit to possess eagle carcasses or parts including feathers provided by the Repository for religious purposes.

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