3-2550 Urban Bird Treaty City Partnership Reporting Form

Urban Bird Treaty Program Requirements

FWS Form 3-2550 UBT CIty Partnership Reporting Form.xlsx

OMB: 1018-0183

Document [xlsx]
Download: xlsx | pdf

Overview

Year 1
Year 2
NOTICES


Sheet 1: Year 1

Section 1: Basic Information Answer
Name of UBT City (send map/geographic delineation of the city)
State of UBT City
Name of UBT City PoC Filling Out Form
Title of PoC
Organization of PoC
Email of PoC
Phone of PoC
Date of Submission of Form - mm/dd/year
Name and Email of Two Other UBT City PoCs
Describe any plans to hold a UBT City signing or redesignation ceremony
Describe any plans to celebrate your city's UBT desingation anniversary







Section 2: UBT City Partnership Activity Metrics





Habitat Conservation Number Description
Acres of habitat restored/enhanced/created
Acres of habitat conserved/acquired

Miles of habitat along river/stream/other water body restored/enhanced (can also be reported as acres)

Number of native trees, shrubs, forbs planted

Acres of invasive/exotic species removed/controlled

Acres under improved management (i.e., ongoing management to promote bird or other wildlife or other benefits)

Number of habitat sites monitored

Number of nest/roost sites constructed/installed

Number of nest/roost sites monitored

Other

Hazard Reduction Metrics Number Description
Number of buildings participating in Lights Out Program
Number of buildings monitored for bird collisions

Number of buildings retrofitted to be bird safe

Number of buildings built/designed to be bird safe

Pounds of trash collected

Other

Community Education and Engagement Metrics Number Description
Number of people (adults and K-12 youth) engaged in conservation and science/monitoring activities

# of Adults engaged in conservation and science/monitoring activities

# of K-12 youth engaged in conservation and science/monitoring activities

Number of volunteers engaged in conservation and science/monitoring activities

Number of people (adults and K-12 youth) participating in recreation activities, education programs, festivals, and/or other public events

# of adults participating in recreation activities, education programs, festivals, and/or other public events

# of K-12 youth participating in recreation activities, education programs, festivals, and/or other public events

Number of teachers participating in training events

Number of people reached through communications and outreach

Number of jobs created

Other


Sheet 2: Year 2

Section 2: UBT City Partnership Activity Metrics

Habitat Conservation Number Description
Acres of habitat restored/enhanced/created

Acres of habitat conserved/acquired

Miles of habitat along river/stream/other water body restored/enhanced (can also be reported as acres)

Number of native trees, shrubs, forbs planted

Acres of invasive/exotic species removed/controlled

Acres under improved management (i.e., ongoing management to promote bird or other wildlife or other benefits)

Number of habitat sites monitored

Number of nest/roost sites constructed/installed

Number of nest/roost sites monitored

Other

Hazard Reduction Metrics Number Description
Number of buildings participating in Lights Out Program
Number of buildings monitored for bird collisions

Number of buildings retrofitted to be bird safe

Number of buildings built/designed to be bird safe

Pounds of trash collected

Other

Community Education and Engagement Metrics Number Description
Number of people (adults and K-12 youth) engaged in conservation and science/monitoring activities

# of Adults engaged in conservation and science/monitoring activities

# of K-12 youth engaged in conservation and science/monitoring activities

Number of volunteers engaged in conservation and science/monitoring activities

Number of people (adults and K-12 youth) participating in recreation activities, education programs, festivals, and/or other public events

# of adults participating in recreation activities, education programs, festivals, and/or other public events

# of K-12 youth participating in recreation activities, education programs, festivals, and/or other public events

Number of teachers participating in training events

Number of people reached through communications and outreach

Number of jobs created

Other


Sheet 3: NOTICES

NOTICES
Paperwork Reduction Act
In accordance with the Paperwork Reduction Act (44 U.S.C. 3501 et seq.), the U.S. Fish and Wildlife Service collects information necessary to designate Urban Bird Treaty cities or municipalities, 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. However, submission of requested information is required in order to consider applications for designation as an Urban Bird Treaty city. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request. 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-####.
Estimated Burden Statement
We estimate public reporting for this collection of information to average 3 hours to 80 hours per response, depending on activity, 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, MS: PRB (JAO/3W), 5275 Leesburg Pike, Falls Church, VA 22041-3803, or via email at Info_Coll@fws.gov.
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