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pdfFWS Form 3-2322 (Rev. 05/2018)
U.S. Fish and Wildlife Service
OMB Control No. 1018-0075
Expires ##/##/2022
APPLICATION/NOMINATION FORM
Regional Council Applicant Interview
Applicant: _____________________________
Panelist: _______________________________
Date: _________________________________
Use this form to interview applicants. Information from the questions that follow will help the Federal
Subsistence Board develop a list of recommended appointments to the Federal Subsistence Regional
Advisory Councils. All candidates must be a resident of the region he/she seeks to represent. They must
actually live there, receive mail, vote, etc., in that region. Councils include subsistence resource users and
commercial/sport resource users. Applicants must declare for one category or the other and interviewers
need to pay careful attention to the affiliation of the candidate.
Factors used to evaluate individual qualifications include:
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Knowledge of fish and wildlife resources in the region;
Knowledge of subsistence uses, customs, and traditions in the region;
Knowledge of commercial, sport, and other uses in the region;
Leadership and experience with local, regional, and Statewide organizations;
Ability to communicate effectively;
Willingness to travel to and attend Regional Council meetings at least two times each year
(usually in September or October and February or March); and
• Willingness to occasionally attend Federal Subsistence Board meetings.
When interviewing applicants, panel members must ask the questions on this form in the order listed and
use the exact wording of the questions. These questions follow the required criteria and correspond with
the application form. However, if necessary, offer an explanation of the question using different wording
until the applicant responds to the question.
It is important to use the same impartial demeanor with each applicant, his or her reference, and any key
contacts. Panel members should be courteous and helpful during interviews, yet gently discourage
discussions not relevant to the interview. If panel members have difficulty communicating with an
applicant or in remaining objective, the panelist may call on the Regional Coordinator or FACA
Coordinator for assistance.
1. Regional Council members serve as volunteers; there is no compensation for wages lost while
on Regional Council business. The Office of Subsistence Management arranges all travel, and
lodging and transportation are pre-paid. Regional Council members also receive a travel advance
for food, cab fare, and other related travel costs. Are you willing to serve as a volunteer in this
way?
Yes ____ No ____
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FWS Form 3-2322 (Rev. 05/2018)
U.S. Fish and Wildlife Service
OMB Control No. 1018-0075
Expires ##/##/2022
2. Are you able to travel to Regional Council meetings lasting two to four days at least twice a year?
Yes ____ No ____
3. Please describe your knowledge of fish and wildlife resources in the region
where you live.
a. How long have you lived in this region?
b. What uses do you participate in?
How many years?
What species do you harvest?
Wildlife
Fish
Other
4. Please describe your knowledge of subsistence and customary and traditional uses of
resources in your region.
a. How did you learn customary and traditional uses of resources?
b. How do you process what you harvest?
c. How do you share your knowledge (i.e., fish camp, culture camp, etc.)?
5. Please describe your knowledge of sport and commercial uses of fish and wildlife
resources in your region.
a. Do you commercial fish? What species?
b. Do you hunt? What species?
c. Do you sport fish?
d. Do you guide in this region? If, yes, fish or wildlife?
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FWS Form 3-2322 (Rev. 05/2018)
U.S. Fish and Wildlife Service
OMB Control No. 1018-0075
Expires ##/##/2022
6. Are you currently serving on any councils, boards, committees, or associations? Please
provide the names of other organizations you have served on in the past and the dates of
service. Did you serve as chair, vice-chair, secretary, or in some other capacity? If so, for how
long?
7. Do you attend and participate in meetings regarding fish and wildlife resource issues?
(For example, State fish and game advisory committees, Federal regional advisory councils,
marine mammal commissions, moose working groups, commercial or sport hunting or fishing
organizations, NPS subsistence resource commissions, coastal resource service areas, waterfowl
conservation committees)?
Yes ____ No ____ If yes, please describe your involvement.
8. The seat you applied for represents users throughout the region. How will you find out about
fish and wildlife concerns people have and get information back to those people?
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FWS Form 3-2322 (Rev. 05/2018)
U.S. Fish and Wildlife Service
OMB Control No. 1018-0075
Expires ##/##/2022
9. Do you use Federal public lands for hunting, trapping, fishing, guiding or transporting,
gathering plants and berries, teaching traditional knowledge, or for other uses of fish and
wildlife resources?
Yes ____ No ____
If yes, please describe which Federal lands you use.
10. What fish and wildlife issues would you like the Regional Council to address over the next
3 years?
11. How did you hear that the Federal Subsistence Board is seeking new members?
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FWS Form 3-2322 (Rev. 05/2018)
U.S. Fish and Wildlife Service
OMB Control No. 1018-0075
Expires ##/##/2022
NOTICES
PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the Alaska National Interest Lands Conservation Act; 36 CFR
242 and 50 CFR 100.
Purpose: The applicant’s information will be used to evaluate their qualifications and experience for the potential
selection to serve as a member on one of the Federal Subsistence Regional Advisory Councils.
Routine Uses: The Federal Subsistence Board will use the provided information to make recommendations to the
Secretaries of Interior and Agriculture for the appointment of members to the Federal Subsistence Regional Advisory
Councils. More information about routine uses can be found in the System of Records Notice, Permits System,
FWS-21.
Disclosure: Providing the information is voluntary, but required to obtain or retain a benefit.
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 make recommendations to the Secretaries of the Interior and Agriculture for appointment of
members to the Federal Subsistence Regional Advisory Councils. It is our policy not to use your name for any other
purpose. Your response is voluntary, but is required to obtain or retain a benefit. 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 No. 1018-0075.
ESTIMATED BURDEN STATEMENT
We estimate public reporting for this collection of information to average 30 minutes per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden, to the Service Information
Collection Clearance Officer, Division of Policy, Performance, and Management Programs, Fish and Wildlife Service,
Mail Stop BPHC, 5275 Leesburg Pike, Falls Church, VA 22041-3803, or via email at Info_Coll@fws.gov. Please do
not send your completed form to this address.
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