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pdfOMB Control No. 1018-0066
Expires ##/##/####
FWS Form 3-2416 (Rev. 03/2020)
U.S. Department of the Interior
SEA OTTER
TAGGING
CERTIFICATES
DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE
OMB Control No. 1018-0066
Expires ##/##/####
SEA OTTER CERTIFICATE #
(1)
Tagging Date
(2)
Hide Tag Number
(4)
Tagging Location
(3)
Skull Tag Number
(5)
FWS #
(6)
Village Hunted From (If Different)
Age Class (7)
Sex
Adult
(8)
Sex Identifier (9)
Male
Penis Sheath
Sub Adult
Female
Vaginal Orifice
Pup
Unknown
Teats
Specimens Collected
(10)
Muscle Vial
Tooth
Whisker
Carcass
Other
Other
Number of Otters Present In Pod
(12)
Date of Kill
GPS: Latitude
Remarks
None
Number of Otters Harvested from This Pod
(11)
Location of Kill (Be Specific)
(14)
(15)
(13)
Longitude
Signature of Tagger
(16)
Name of Hunter (Print)
(17)
Signature of Hunter
(18)
Instructions on Inside of Front Cover
WHITE-ORIGINAL
PINK-HUNTER'S COPY
YELLOW-TAGGER'S COPΨ
APP 3 - 7 - 89
FWS Form 3-2416
Rev. 03/2020
INSTRUCTIONS FOR SEA OTTER FORM
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Date when tagging takes place.
Number from tag attached to the hide.
Number from tag attached to the skull.
Village where hide and skull are tagged.
Usually left blank. This space is for an assigned number when a detailed necropsy is performed and
multiple samples are collected. A reference number here will allow us to relate samples to one animal.
Village otter was hunted from if different than the tagging village.
Estimated age class of sea otter: Adult – large size; Sub Adult – Intermediate size; Pup – small size,
young of year.
Sex of animal. Unknown when not absolutely sure.
How sex was determined.
Record biological specimens collected, preserved and presented to tagger.
How many otters were present at kill location and how many otters were harvested from that pod.
Record the date when the sea otter was killed; month, day, and year.
Identify specifically where this sea otter was killed. List distance from nearest island, river, bay, or
other geographic feature.
The GPS coordinates of kill location.
Enter any other information that may be important, like any unusual conditions or behavior of the otter.
The tagger signs here.
Print the name of the hunter.
The hunter or owner signs here.
After completing certificate, give pink copy to hunter, return white copy to our office,
U.S. Fish and Wildlife Service / Marine Mammals Management
Marking, Tagging, and Reporting
1011 East Tudor Road MS341
Anchorage, AK 99503
and retain the yellow copy in book for your records.
OMB Control No. 1018-0066
Expires ##/##/####
DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE
SEA OTTER CERTIFICATE #
Tagging Date
Hide Tag Number
Skull Tag Number
FWS #
Tagging Location
Village Hunted From (If Different)
Age Class
Sex
Sex Identifier
Adult
Male
Penis Sheath
Sub Adult
Female
Vaginal Orifice
Pup
Unknown
Teats
None
Specimens Collected
Tooth
Muscle Vial
Whisker
Carcass
Other
Other
Number of Otters Present In Pod
Date of Kill
Number of Otters Harvested from This Pod
Location of Kill (Be Specific)
GPS: Latitude
Longitude
Remarks
Signature of Tagger
Name of Hunter (Print)
Signature of Hunter
Instructions on Inside of Front Cover
WHITE-ORIGINAL
PINK-HUNTER'S COPY
YELLOW-TAGGER'S COPΨ
FWS Form 3-2416
APP 3 - 7 - 89
Rev. 03/2020
OMB Control No. 1018-0066
Expires ##/##/####
FWS Form 3-2414 (Rev. 03/2020)
U.S. Department of the Interior
NOTICES
PRIVACY ACT STATEMENT
Authority: 16 U.S.C. 1361-1407, as amended; 50 CFR § 18.23(f).
Purpose: FWS will use this information to monitor marine mammal harvests.
Routine Uses: This information may be shared in accordance with the Privacy Act of 1974 and the routine uses identified in
System of Records Notice INTERIOR/FWS-30, Marine Mammals Management, Marking, Tagging and Reporting Program.
Disclosure: Furnishing this information is voluntary; failure to provide all the requested information may limit FWS’ ability to
monitor marine mammal harvests.
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 monitor the subsistence harvest of sea otter and will be used to obtain essential biological data necessary to
manage the species, and to respond to requests made under the Freedom of Information Act and the Privacy Act of 1974.
Information requested in this form is voluntary. 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. 1018-0066.
ESTIMATED BURDEN STATEMENT
The relevant burden to report information required on this form and have the specified parts marked or tagged is 15 minutes,
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, U.S. Fish
and Wildlife Service, U.S. Department of the Interior, 5275 Leesburg Pike, MS: PRB/PERMA (JAO), Falls Church, VA
22041-3803, or via email at Info_Coll@fws.gov. Please do not send your completed form to this address.
FREEDOM OF INFORMATION ACT STATEMENT
For organizations, businesses, or individuals operating as a business (i.e., permittees not covered by the Privacy Act), we
request that you identify any information that should be considered privileged and confidential business information to allow the
Service to meet its responsibilities under FOIA. Confidential business information must be clearly marked "Business
Confidential" at the top of the letter or page and each succeeding page and must be accompanied by a non-confidential
summary of the confidential information. The non-confidential summary and remaining documents may be made available to
the public under FOIA [43 CFR 2.13(c)(4), 43 CFR 2.15(d)(1)(i)].
APPLICATION PROCESSING FEE
There is no fee associated with this form.
File Type | application/pdf |
File Title | C:\DOCUME~1\BRADBE~1\MYDOCU~1\C |
Author | bradbenter |
File Modified | 2020-03-02 |
File Created | 2017-08-16 |