Form 3-154b Part II - Summary of Hunting and Sport Fishing Licenses

OMB Control No. 1018-0007
Expiration Date: XX/XX/XX

UNITED STATES
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
Wildlife and Sport Fish Restoration Program

PART II - SUMMARY OF HUNTING AND SPORT FISHING
LICENSES ISSUED
Name of State, Territory, or District of Columbia: _________________________
License Year Ending (mm/dd/yyyy): ___________________________________

NOTE: Include all paid and nonpaid licenses, tags, stamps, and permits issued
for hunting, both firearm and bow, and for sport or recreation fishing.
HUNTING
TYPE

1

Number 2

FISHING

Cost 3

Number 2

Cost 3

Resident
Nonresident
Total

1. Estimate the distribution between these two categories when a type of
license is issued to both residents and nonresidents.
2. Include the number of licenses that allow a license ho lder to both hunt and
fish in the total number in the hunting column and again in the total
number in the of fishing column.
3. Enter the total cost of all licenses. Prorate the cost of combination licenses
between hunting and fishing based on the respective cost of each type of
license.

We are disclosing the following according to the Paperwork Reduction Act of 1995 (44 U.S.C. 3501) and the Privacy Act of 1974 (U.S.C. 552):
The Federal Aid in Wildlife Restoration Act (16 U.S.C. 669 et seq.) and Federal Aid in Sport Fish Restoration Act (16 U.S.C. 777 et seq. except 777e-1)
authorize us to collect this information. We use this information to verify the numbers that you certified for license holders. You must complete this form to
obtain benefits. Once submitted, this form becomes public information and is not protected under the Privacy Act.
We estimate that the public reporting burden for this f orm averages 20 hours per response. Our estimate includes time for gathering information, and for
completing and reviewing the form. You may send your comments about this form to the Service Information Collection Clearance Officer, U.S. Fish and
Wildlife Service, MS 222-ARLSQ, 1849 C Street, NW, Washington, DC 20240.
Federal agencies may not conduct or sponsor and you are not required to respond to an information collection unless it displays a currently valid OMB
control number. The Office of Management and Budget has reviewed this information collection and assigned OMB Control No. 1018- 0007.

FWS Form 3-154b
(Revised 10/09)