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pdfAlaska Migratory Bird Co-Management Council (AMBCC)
Cordova Harvest (April 2 to May 31, 2024), Household Harvest Survey
1. Household registration #: ________________________ 2. Date survey was completed:_______ /______ /2024
(2 letters followed by 3 numbers)
3. How many people listed under this household registration tried to harvest: birds ( _____ )
4. Did the household harvest birds or eggs from April 2 to May 31, 2024?
YES
NO
eggs ( ______ )
Please report numbers of birds and eggs harvested by your household from April 2 to May 31, 2024:
American wigeon
Teal
birds______
birds______
Northern shoveler
Black scoter
birds______
Mallard
birds______
Surf scoter
birds______
birds______
Northern pintail
birds______
White-winged scoter
birds______
Bufflehead
Goldeneye
Canvasback
Scaup
birds______
birds______
birds______
birds______
Common eider
King eider
Harlequin duck
Long-tailed duck
birds______
birds______
Snow goose
Sandhill crane
birds______
Merganser
birds______
birds______
Greater white-fronted
goose
birds______
birds______
birds______
Gull _________
Other/unknown bird:
Comments:
_____________________
eggs______
birds:_____ eggs:_______
FWS Form 3-2381-5, OMB Control Number 1018-0124, Expires ##/##/20##
Instructions for Bird and Egg Household Harvest Survey
TO AVOID FUTURE NOTIFICATIONS, PLEASE COMPLETE AND RETURN THIS SURVEY NOW.
It is important that you participate in this survey even if your household did not
harvest birds or eggs.
Harvest estimates from this survey are used to:
•
•
•
•
Show the importance of subsistence uses of migratory birds.
Protect subsistence harvests.
Assess whether harvest regulations are appropriate.
Plan for the conservation of birds.
1. Please complete one survey per household, including harvests by all household members listed on your
registration.
2. Respond to questions 1 through 4 in the blue box at the top of the survey form.
3. In the fields provided next to the bird drawings, report the numbers of all birds and eggs harvested by your
household members, including those that you gave to other household(s).
4. Do not report in your survey birds or eggs that you received from other household(s).
5. If you harvested with people from other household(s), report in your survey only your household’s share of
the harvest.
6. Report numbers of birds and eggs as individual units. If you harvested eggs using a 5-gal bucket or other
kind of container, specify how many eggs.
7. Write comments in the green box provided at the bottom of the survey form (weather, hunting conditions,
access to hunting areas, unusual birds seen, household registration and survey process, etc.).
8. Use the provided postage-paid envelope to mail your completed survey.
Thank you for participating in this survey! We’ll share survey results in your community.
Questions? Give us a call:
Division of Subsistence, Alaska Department of Fish and Game: 907-267-2302 (Anchorage)
Alaska Migratory Bird Co-Management Council, U.S. Fish and Wildlife Service: 907-227-2942 (Anchorage)
Paperwork Reduction Act Statement: In accordance with the Paperwork Reduction Act (44 U.S.C. 3501 et seq.), please note the following
information. This survey is authorized by the Migratory Bird Treaty Act (16 U.S.C. 703 et seq.) and the Migratory Bird Treaty Act Protocol
Amendment (1995) and its letter of submittal from the Department of State to the White House, which specifies the need for harvest
monitoring. Your participation in the survey is voluntary. We will use the information your household provides to estimate subsistence
migratory bird harvest in subsistence eligible areas of Alaska. Household harvest reports are anonymous and no names are used on harvest
report forms. We may not conduct or sponsor and you are not required to respond to a survey unless it displays a current OMB control
number. OMB has approved this information collection and assigned Control No. 1018-0124.
Estimated Burden Statement: We estimate public reporting for this collection of information to average 5 minutes, including time for
reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Direct comments to the Service
Information Collection Officer, U.S. Fish and Wildlife Service, 5275 Leesburg Pike, Mailstop: PRB (JAO/3W), Falls Church, VA 22041-3803,
or via email at Info_Coll@fws.gov. Please do not send your completed survey to this address.
File Type | application/pdf |
File Title | Fold Here |
Author | Department of Fish & Game |
File Modified | 2023-10-03 |
File Created | 2023-09-10 |