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 conduct usability testing of the application and functionality of the falconry database, 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. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request to participate in the testing. 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 Number 1018-0022, which expires 10/31/2023.

Estimated Burden Statement: We estimate public reporting for this collection of information to average 2.5 hours, 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: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at Info_Coll@fws.gov. Please do not send your completed falconry 3-186A to this address.

Privacy Act Statement

Authority: The information requested is authorized by the Migratory Bird Treaty Act (16 U.S.C. 703 et seq), and Parts 13 and 21 of Title 50 of the Code of Federal Regulations.

Purpose: To collect the contact information of participants in state falconry programs. The states use a FWS application to maintain information about the falconers and their birds.

Routine Uses: The information will be used to monitor disposition of captive birds and the take of birds from the wild. More information about the routine uses may be found in the Systems of Records Notice, FWS-21 Permits System.

Disclosure: Providing the requested information is voluntary. However, submission of the requested information is required to maintain Federal permit under the MBTA. Failure to disclose the requested information may be sufficient cause for revocation of the permit. If the information indicates a violation of a statute, regulation, rule, order or license, whether civil, criminal, or regulatory in nature, the information may be transferred to the appropriate Federal, State, local or foreign agency charged with investigating or prosecuting such violations.