56972 Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Proposed Rules 

TABLE 1—STANDARD DISTRIBUTION—Continued 

ADP Point for CAO (applicable to Air Force only) .................................................................................................................................... 1 

(When DFAS–CO/ALQ is the payment office in Block 12, send one copy to DFAS–CO/ALQ immediately after signature. If submission of delivery data is made electronically, distribution of this hard copy need not be made to DFAS–CO/ALQ.) ..................

CAO of Contractor Receiving GFP ........................................................................................................................................................... 1 

(For items fabricated or acquired for the Government and shipped to a contractor as Government furnished property, send one 

copy directly to the CAO cognizant of the receiving contractor, ATTN: Property Administrator (see DoD 4105.59–H).) ..................

* Two copies of the receiving report (paper copies of either the DD Form 250 or the WAWF RR) shall be distributed with the shipment. Attach 

as follows: 

Type of Shipment Location 

Carload or truckload ................................................................................. Affix to the shipment where it will be readily visible and available upon 

receipt. 

Less than carload or truckload ................................................................. Affix to container number one or container truckload bearing lowest 

number. 

Mail, including parcel post ........................................................................ Attach to outside or include in the package. Include a copy in each additional package of multi-package shipments. 

Pipeline, tank car, or railroad cars for coal movements .......................... Forward with consignee copies. 

** Payment by Defense Finance and Accounting Service, Columbus Center will be based on the source acceptance copies of DD Forms 250 

forwarded to the contract administration office. For contracts administered by an office other than Defense Contract Management Agency, furnish 

four copies of the DD Form 250 MIRR to the payment office. 

* * * * * 

16. Revise the heading of newly 

designated Part 6 to read as follows: 

PART 6—PREPARATION OF THE DD 

FORM 250–1 TANKER/BARGE 

MATERIAL INSPECTION AND 

RECEIVING REPORT 

* * * * * 

17. Revise newly designated Part 8 to 

read as follows: 

PART 8—DISTRIBUTION OF THE DD 

FORM 250–1 

F–801 Distribution 

Follow the procedures at PGI F 801 

for distribution of DD Form 250–1. 

F–802 Corrected DD Form 250–1 

Follow the procedures at PGI F–802 

when corrections to DD Form 250–1 are 

needed. 

[FR Doc. 2010–22878 Filed 9–16–10; 8:45 am] 

BILLING CODE 5001–08–P 

DEPARTMENT OF TRANSPORTATION 

Pipeline and Hazardous Materials 

Safety Administration 

49 CFR Parts 192 and 195 

[Docket ID PHMSA–2007–27954] 

RIN 2137–AE64 

Pipeline Safety: Control Room 

Management/Human Factors 

AGENCY: Pipeline and Hazardous 

Materials Safety Administration 

(PHMSA); DOT. 

ACTION: Notice of proposed rulemaking. 

SUMMARY: PHMSA published the 

Control Room Management/Human 

Factors final rule in the Federal Register 

on December 3, 2009, which became 

effective on February 1, 2010. The final 

rule established an 18-month program 

development deadline of August 1, 

2011, and a subsequent 18-month 

program implementation deadline of 

February 1, 2013. This proposed rule 

proposes to expedite the program 

implementation deadline to August 1, 

2011, for most of the requirements, 

except for certain provisions regarding 

adequate information and alarm 

management, which would have a 

program implementation deadline of 

August 1, 2012. 

DATES: Anyone interested in filing 

written comments on this proposed rule 

must do so by November 16, 2010. 

PHMSA will consider late comments 

filed so far as practical. 

ADDRESSES: Comments should reference 

Docket No. PHMSA–2007–27954 and 

may be submitted in the following ways: 

• E–Gov Web site: http:// 

www.regulations.gov. This web site 

allows the public to enter comments on 

any Federal Register notice issued by 

any agency. Follow the instructions for 

submitting comments. 

• Fax: 1–202–493–2251. 

• Mail: DOT Docket Management 

System: U.S. DOT, Docket Operations, 

M–30, West Building Ground Floor, 

Room W12–140, 1200 New Jersey 

Avenue, SE., Washington, DC 20590– 

0001. 

• Hand Delivery: DOT Docket 

Management System; West Building 

Ground Floor, Room W12–140, 1200 

New Jersey Avenue, SE., Washington, 

DC 20590–0001 between 9 a.m. and 5 

p.m., Monday through Friday, except 

Federal holidays. 

Instructions: You should identify the 

Docket No. PHMSA–2007–27954 at the 

beginning of your comments. If you 

submit your comments by mail, submit 

two copies. To receive confirmation that 

PHMSA received your comments, 

include a self-addressed stamped 

postcard. Internet users may submit 

comments at http:// 

www.regulations.gov. 

Note: Comments are posted without 

changes or edits to http:// 

www.regulations.gov, including any personal 

information provided. There is a privacy 

statement published on http:// 

www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: For 

further information contact Byron Coy 

at 609–989–2180 or by e-mail at 

Byron.Coy@dot.gov. 

SUPPLEMENTARY INFORMATION: 

Background 

There are roughly 170,000 miles of 

hazardous liquid pipelines, 295,000 

miles of gas transmission pipelines, and 

1.9 million miles of gas distribution 

pipelines in the United States. These 

pipelines transport about 66 percent of 

the United States domestic energy 

supply. Hazardous liquid pipelines 

carry crude oil to refineries and refined 

products to locations where these 

products are consumed. Hazardous 

liquid pipelines also transport highly 

volatile liquids, other hazardous liquids 

such as anhydrous ammonia, and 

carbon dioxide. Gas transmission 

pipelines typically carry natural gas 

over long distances from gas gathering, 

supply, or import facilities to localities 

where it is used to heat homes, generate 


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electricity, and fuel industry. Gas 

distribution pipelines take natural gas 

from transmission pipelines and 

distribute it to residential, commercial, 

and industrial customers. PHMSA’s goal 

is to protect the general public and the 

environment by providing the most 

effective pipeline safety regulations and 

enforcement programs. 

To fulfill certain mandates in the 

Pipeline Inspection, Protection, 

Enforcement, and Safety Act of 2006 

(Pub. L. 109–468), and to address 

several recommendations of the 

National Transportation Safety Board, 

PHMSA published on December 3, 

2009, a final rule in the Federal Register 

(74 FR 63310) titled: ‘‘Pipeline Safety: 

Control Room Management/Human 

Factors.’’ The final rule amended the 

Federal pipeline safety regulations to 

address human factors and other aspects 

of control room management for certain 

pipelines where controllers use 

supervisory control and data acquisition 

(SCADA) systems. Under the final rule, 

pipeline operators must implement 

methods to reduce the risk associated 

with controller fatigue. In addition, 

certain operators must define the roles 

and responsibilities of controllers and 

provide controllers with the necessary 

information, training, and processes to 

fulfill these responsibilities. Affected 

operators must also manage alarms, 

assure control room considerations are 

taken into account when changing 

pipeline equipment or configurations, 

and review reportable incidents or 

accidents to determine whether control 

room actions contributed to the event. 

The final rule established a program 

development deadline of August 1, 

2011, and a program implementation 

deadline of February 1, 2013, for all 

substantive provisions in the rule. 

Justification 

PHMSA periodically reviews its 

pipeline safety regulations to protect 

people and the environment from the 

risks inherent in transportation of 

hazardous materials. Pipeline control 

rooms and controllers covered by the 

control room management rule are 

critical to the safe operation of pipeline 

systems. Control rooms and controllers 

facilitate and enable normal operations, 

and provide for prompt detection and 

appropriate response to abnormal 

conditions and to emergencies that may 

arise. The control room is the central 

location where controllers and 

computers receive data from field 

sensors. Commands from the control 

room can also be transmitted back to 

remotely controlled equipment as well 

as field personnel who may receive 

information from the control room 

necessary for operations and 

maintenance activities being conducted 

in the field. 

After evaluating the substantive 

provisions in the control room 

management rule, as set forth in more 

detail below, including the fact that 

most of the effort to comply with many 

of the provisions will have already been 

completed by the August 1, 2011, 

deadline, PHMSA believes that the 

program implementation deadlines 

should be expedited to realize the safety 

benefit to the public, property, and the 

environment sooner. Where PHMSA 

believes there is a need for additional 

program implementation time, the 

agency proposes to moderately shorten 

the time provided in the current rule by 

only six months. For these reasons, we 

do not believe expediting the 

implementation deadlines for the 

selected paragraphs will have 

significant impact to pipeline operators. 

PHMSA proposes to amend the 

implementation deadlines in 49 CFR 

192.631 and 195.446 as follows: 

(a) General—This paragraph 

establishes the scope of the rule and 

would be amended to reflect the revised 

implementation deadlines set forth 

below. 

(b) Roles and Responsibilities—This 

paragraph requires operators to define 

the roles and responsibilities of a 

controller during normal, abnormal, and 

emergency operating conditions. 

Because most, if not all, of the effort to 

define controllers’ roles and 

responsibilities will be performed 

during the development stage and 

completed under the current rule by 

August 1, 2011, PHMSA believes the 

program implementation deadline 

should be expedited to coincide with 

the program development deadline. 

(c) Provide Adequate Information— 

This paragraph requires operators to 

provide their controllers with the 

information, tools, processes and 

procedures necessary for the controllers 

to carry out the roles and 

responsibilities the operators have 

defined. Paragraphs (c)(1) through (c)(4) 

may require certain physical changes 

and testing to an operator’s SCADA 

system, backup system, and 

communications. PHMSA believes the 

program implementation deadline for 

paragraphs (c)(1) through (c)(4) should 

be expedited by six months to August 1, 

2012, to realize the safety benefit to the 

public, property, and the environment 

sooner, with minimal impact on 

regulated entities. 

Paragraph (c)(5) requires the 

establishment of procedures for when a 

different controller assumes 

responsibility, including the content of 

information to be exchanged. Since this 

section is tied to shift change, and 

because most, if not all, of the work to 

comply with this requirement will be 

performed during the development stage 

and completed under the current rule by 

August 1, 2011, PHMSA believes the 

program implementation deadline for 

paragraph (c)(5) should be expedited to 

coincide with the program development 

deadline consistent with paragraph (d) 

for fatigue. 

(d) Fatigue Mitigation—This 

paragraph requires operators to 

implement fatigue mitigation methods 

to reduce the risk associated with 

controller fatigue that could inhibit a 

controller’s ability to carry out the roles 

and responsibilities the operator has 

defined. Since most, if not all, of the 

work to comply with this requirement 

will be performed during the 

development stage and completed under 

the current rule by August 1, 2011, 

PHMSA believes the program 

implementation deadline for this 

paragraph should be expedited to 

coincide with the program development 

deadline. 

(e) Alarm Management—This 

paragraph requires operators that use a 

SCADA system to have a written alarm 

management plan to provide for 

effective controller response to alarms. 

Some provisions in this paragraph may 

require physical changes to SCADA 

systems. PHMSA believes the program 

implementation deadline for this 

paragraph should be expedited by six 

months to August 1, 2012, to realize the 

safety benefit to the public, property, 

and the environment sooner, with 

minimal impact on regulated entities. 

(f) Change Management—This 

paragraph requires operators to assure 

that changes that could affect control 

room operations are coordinated with 

the control room personnel. Since most, 

if not all, of the work to comply with 

this requirement will be performed 

during the development stage and 

completed under the current rule by 

August 1, 2011, PHMSA believes the 

program implementation deadline for 

this paragraph should be expedited to 

coincide with the program development 

deadline. 

(g) Operating Experience—This 

paragraph requires operators to assure 

that lessons learned from its operating 

experience are incorporated, as 

appropriate, into its control room 

management procedures. Since most, if 

not all, of the work to comply with this 

requirement will be performed during 

the development stage and completed 

under the current rule by August 1, 

2011, PHMSA believes the program 

implementation deadline for this 


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56974 Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Proposed Rules 

paragraph should be expedited to 

coincide with the program development 

deadline. 

(h) Training—This paragraph requires 

operators to establish a controller 

training program and review the 

training program content to identify 

potential improvements at least once 

each calendar year, but at intervals not 

to exceed 15 months. Since most, if not 

all, of the work to comply with this 

requirement will be performed during 

the development stage and completed 

under the current rule by August 1, 

2011, PHMSA believes the program 

implementation deadline for this 

paragraph should be expedited to 

coincide with the program development 

deadline. 

(i) Compliance Validation—This 

paragraph requires operators to submit 

their procedures, upon request, to 

PHMSA or, in the case of an intrastate 

pipeline facility regulated by a state, to 

the appropriate state agency. This 

requirement is self-executing and would 

not be amended. 

(j) Compliance and Deviation—This 

paragraph requires operators to 

maintain, for review during inspection, 

records that demonstrate compliance 

with the requirements of this section, 

and documentation to demonstrate that 

any deviation from the procedures 

required by this section was necessary 

for the safe operation of a pipeline 

facility. This requirement is selfexecuting and would not be amended. 

Based on the above justification, 

PHMSA proposes to amend the control 

room management rule to require that 

operators develop and implement all 

paragraphs by August 1, 2011, with the 

exception of paragraphs (c)(1) through 

(c)(4) and (e), which we propose to 

require development by August 1, 2011, 

and implementation by August 1, 2012. 

Regulatory Analyses and Notices 

Privacy Act Statement 

Anyone may search the electronic 

form of comments received in response 

to any of our dockets by the name of the 

individual submitting the comment (or 

signing the comment if submitted for an 

association, business, labor union, etc.). 

You may review DOT’s complete 

Privacy Act Statement in the Federal 

Register published on April 11, 2000 

(65 FR 19477). 

Executive Order 12866 and DOT 

Policies and Procedures 

PHMSA considers this proposed rule 

a non-significant regulatory action 

under Section 3(f) of Executive Order 

12866 (58 FR 51735; October 4, 1993). 

The proposed rule is also nonsignificant under DOT regulatory 

policies and procedures (44 FR 11034; 

February 26 1979). 

The final rule’s regulatory analysis 

did not consider specific costs for the 

program implementation deadlines 

because the costs associated with the 

rule were determined to be the first year 

program implementation costs, and 

were not dependent on the 

implementation deadline. PHMSA 

believes that the 18 months provided for 

program development is sufficient for 

pipeline operators to both develop and 

implement certain provisions of the 

rule. Where PHMSA believes there is a 

need for additional program 

implementation time, we propose to 

moderately shorten that time by only six 

months. Therefore, PHMSA does not 

believe there is additional cost for this 

proposed rule beyond what has already 

been evaluated in the original control 

room management final rule. The final 

rule’s regulatory analysis estimated first 

year average cost to be $14.4 million for 

hazardous liquid pipeline operators and 

$28.6 million for gas pipeline operators. 

The final rule estimated the quantifiable 

present value of the costs and benefits 

to be about $6 million over a ten year 

period using a discount rate of seven 

percent after all of the requirements are 

implemented. The final rule also found 

the regulatory costs not to exceed an 

annual effect of more than $100 million 

on the national economy, which is not 

an economically significant regulatory 

action within the meaning of Executive 

Order 12866. 

Regulatory Flexibility Act 

Under the Regulatory Flexibility Act 

(5 U.S.C. 601 et seq.), PHMSA must 

consider whether rulemaking actions 

would have a significant economic 

impact on a substantial number of small 

entities. While PHMSA does not collect 

information on the number of 

employees or revenues of pipeline 

operators, we do continuously seek 

information on the number of small 

pipeline operators to more fully 

determine any impacts our proposed 

regulations may have on small entities. 

The final rule requires most small firms 

only to comply with certain 

requirements mandated by law, namely 

fatigue mitigation (including training), 

and recordkeeping for compliance 

purposes. Therefore, based on our 

findings in the final rule, we do not 

believe this proposed rule would have 

a significant economic impact on small 

entities. 

Executive Order 13175 

PHMSA has analyzed this rulemaking 

according to Executive Order 13175, 

‘‘Consultation and Coordination with 

Indian Tribal Governments.’’ Because 

the proposed rule would not 

significantly or uniquely affect the 

communities of the Indian tribal 

governments or impose substantial 

direct compliance costs, the funding 

and consultation requirements of 

Executive Order 13175 do not apply. 

Paperwork Reduction Act 

The proposed rule does not require 

any additional paperwork burden on 

hazardous liquid and gas pipeline 

operators under the Paperwork 

Reduction Act of 1995. 

Unfunded Mandates Reform Act of 1995 

This proposed rule does not impose 

unfunded mandates under the 

Unfunded Mandates Reform Act of 

1995. It does not result in costs of 

$141.3 million or more to either state, 

local, or tribal governments, in the 

aggregate, or to the private sector. 

National Environmental Policy Act 

PHMSA has examined the proposed 

rule for purposes of the National 

Environmental Policy Act (42 U.S.C. 

4321 et seq.) and believes that 

expediting the program implementation 

deadlines may provide beneficial 

impacts on the quality of the 

environment. If pipeline operators 

comply with the technical elements of 

the proposed rule within a shorter time, 

environmental benefits would be 

realized sooner and may reduce the 

number and severity of pipeline 

releases. PHMSA has concluded this 

proposed rule would not add any 

significant negative or beneficial 

impacts to the quality of the human 

environment under the National 

Environmental Policy Act. 

Executive Order 13132 

PHMSA has analyzed the proposed 

rule according to Executive Order 13132 

(‘‘Federalism’’). The proposal does not 

have a substantial direct effect on the 

states, the relationship between the 

national government and the states, or 

the distribution of power and 

responsibilities among the various 

levels of government. The proposed rule 

does not impose substantial direct 

compliance costs on state and local 

governments. This proposed rule would 

not preempt state law for intrastate 

pipelines. Therefore, the consultation 

and funding requirements of Executive 

Order 13132 do not apply. 

Executive Order 13211 

Transporting gas and hazardous 

liquids impacts the nation’s available 

energy supply. However, this proposed 


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Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Proposed Rules 56975 

rule is not a ‘‘significant energy action’’ 

under Executive Order 13211 and is not 

likely to have a significant adverse effect 

on the supply, distribution, or use of 

energy. Further, the Administrator of 

the Office of Information and Regulatory 

Affairs has not identified this proposal 

as a significant energy action. 

List of Subjects 

49 CFR Part 192 

Incorporation by reference, Gas, 

Natural gas, Pipeline safety, Reporting 

and recordkeeping requirements. 

49 CFR Part 195 

Anhydrous ammonia, Carbon dioxide, 

Incorporation by reference, Petroleum, 

Pipeline safety, Reporting and 

recordkeeping requirements. 

For the reasons provided in the 

preamble, PHMSA proposes to amend 

49 CFR parts 192 and 195 as follows: 

PART 192—TRANSPORTATION OF 

NATURAL GAS AND OTHER GAS BY 

PIPELINE: MINIMUM FEDERAL 

SAFETY STANDARDS 

1. The authority citation for part 192 

continues to read as follows: 

Authority: 49 U.S.C. 5103, 60102, 60104, 

60108, 60109, 60110, 60113, 60116, 60118, 

and 60137; and 49 CFR 1.53. 

2. Amend § 192.631 by revising the 

last sentence in paragraph (a)(2) to read 

as follows: 

§ 192.631 Control room management. 

(a) * * * 

(2) * * * An operator must develop 

and implement the procedures no later 

than August 1, 2011, except the 

procedures required by paragraphs (c)(1) 

through (c)(4) and (e) of this section 

must be developed no later than August 

1, 2011, and implemented no later than 

August 1, 2012. 

* * * * * 

PART 195—TRANSPORTATION OF 

HAZARDOUS LIQUIDS BY PIPELINE 

3. The authority citation for part 195 

continues to read as follows: 

Authority: 49 U.S.C. 5103, 60102, 60104, 

60108, 60109, 60116, 60118, and 60137; and 

49 CFR 1.53. 

4. Amend § 195.446 by revising the 

last sentence in paragraph (a) to read as 

follows: 

§ 195.446 Control room management. 

(a) * * * An operator must develop 

and implement the procedures no later 

than August 1, 2011, except the 

procedures required by paragraphs (c)(1) 

through (c)(4) and (e) of this section 

must be developed no later than August 

1, 2011, and implemented no later than 

August 1, 2012. 

* * * * * 

Issued in Washington, DC on September 

10, 2010. 

Jeffrey D. Wiese, 

Associate Administrator for Pipeline Safety. 

[FR Doc. 2010–23227 Filed 9–16–10; 8:45 am] 

BILLING CODE 4910–60–P 

DEPARTMENT OF THE INTERIOR 

Fish and Wildlife Service 

50 CFR Part 16 

[Docket No. FWS–R9–FHC–2009–0093; 

94140–1342–0000–N5] 

RIN 1018–AX05 

Injurious Wildlife Species; Review of 

Information Concerning a Petition To 

List All Live Amphibians in Trade as 

Injurious Unless Free of 

Batrachochytrium dendrobatidis 

AGENCY: Fish and Wildlife Service, 

Interior. 

ACTION: Notice of inquiry. 

SUMMARY: We, the U.S. Fish and 

Wildlife Service (Service), are reviewing 

a petition to list, under the Lacey Act, 

all live amphibians or their eggs in trade 

as injurious unless certified as free of 

Batrachochytrium dendrobatidis 

(chytrid fungus). The importation and 

introduction of live amphibians infected 

with chytrid fungus into the natural 

ecosystems of the United States may 

pose a threat to interests of agriculture, 

horticulture, forestry, or to wildlife or 

the wildlife resources of the United 

States. An injurious wildlife listing 

would prohibit the importation of live 

amphibians or their eggs infected with 

chytrid fungus into, or transportation 

between, States, the District of 

Columbia, the Commonwealth of Puerto 

Rico, or any territory or possession of 

the United States by any means, without 

a permit. We may issue permits for 

scientific, medical, educational, or 

zoological purposes. This document 

seeks information from the public to aid 

in determining if a proposed rule is 

warranted. 

DATES: We will consider information 

received or postmarked on or before 

December 16, 2010. 

ADDRESSES: You may submit comments 

by one of the following methods: 

• Federal eRulemaking Portal: http:// 

www.regulations.gov. Follow the 

instructions for submitting comments to 

Docket No. FWS–R9–FHC–2009–0093. 

• U.S. mail or hand-delivery: Public 

Comments Processing, Attn: Docket No. 

FWS–R9–FHC–2009–0093, Division of 

Policy and Directives Management, U.S. 

Fish and Wildlife Service, 4401 North 

Fairfax Drive, Suite 222, Arlington, VA 

22203. 

FOR FURTHER INFORMATION CONTACT: 

Susan Jewell, Branch of Aquatic 

Invasive Species, U.S. Fish and Wildlife 

Service, MS 770, 4401 N. Fairfax Drive, 

Arlington, VA 22203; telephone 703– 

358–2416. If you use a 

telecommunications device for the deaf 

(TDD), call the Federal Information 

Relay Service (FIRS) at 800–877–8339. 

SUPPLEMENTARY INFORMATION: On 

September 9, 2009, Department of the 

Interior Secretary Ken Salazar received 

a petition from the Defenders of Wildlife 

requesting that live amphibians or their 

eggs in trade be considered for inclusion 

in the injurious wildlife regulations (50 

CFR part 16) under the Lacey Act (18 

U.S.C. 42) unless they are free of 

Batrachochytrium dendrobatidis 

(chytrid fungus). The Defenders of 

Wildlife is concerned that unregulated 

trade—primarily for pet use and as live 

animals for consumption as frog legs— 

continues to threaten the survival of 

many amphibian species, including 

domestic and foreign species listed by 

the Service under the Endangered 

Species Act of 1973 as amended (ESA; 

16 U.S.C. 1531 et seq.), candidate 

species, and other species. 

Specifically, the petition to Secretary 

Salazar proposes the following revision 

to the Service regulations at 50 CFR 

16.14. 

Importation of live amphibians or their 

eggs. All live amphibians and their eggs are 

prohibited entry into the United States, or to 

be exported from the United States, or 

transported in interstate commerce, for any 

purposes, except in compliance with this 

section. Upon the filing of a written 

declaration with the District Director of 

Customs at the port of entry as required 

under § 14.61, species of live amphibians or 

their eggs may be imported, transported, and 

possessed in captivity only if the shipment 

complies with a certification and handling 

system that meets or exceeds 

recommendations of the World Organization 

for Animal Health in its Aquatic Animal 

Health Code on Batrachochytrium 

dendrobatidis. No such live amphibians or 

any progeny or eggs thereof may be released 

into the wild except by the State wildlife 

conservation agency having jurisdiction over 

the area of release or by persons having prior 

written permission for release from such 

agency. All live amphibians and their eggs 

are prohibited from interstate commerce in 

the United States and from export out of the 

United States unless in a shipment 

accompanied by a written declaration, in 

such form as the Director of the Fish and 

Wildlife Service shall provide, which 


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