3-2381-7 Kodiak Roaded Area, Post-Season Harvest Report

Kodiak Island Roaded Area, April-August Bird and Egg Permit Report
As a Kodiak Island Roaded Area Registration Permit holder, you are required to complete and return
by mail the permit report, even if you did not harvest birds or eggs. Your responses are confidential.
You are receiving this reminder because we have not yet received your report. To avoid future
notifications, please complete and return this report now. Harvest estimates are used to:
 Document the importance of subsistence uses of migratory birds.  Protect sustainable subsistence
harvests.  Protect our bird resources.  Assess whether harvest regulations are appropriate.
Instructions for completing your report:
1. Each individual permit holder must complete her/his
own report. If more than one person in a household
obtained a permit, each person must answer
her/his individual report.
2. Write your permit number and date in the white
boxes at the top of the first report page.
3. For each season, checkmark in the “YES” or “NO”
white circle indicating whether you harvested birds
and/or eggs. In the fields provided close to bird
drawings, report numbers of all birds and eggs you
harvested, including those that you gave to other
people.
4. If you harvested with other people, report only your
share of the harvest.
5. Do not report birds or eggs you harvested in other places (outside the roaded area) and times of
the year.
6. Do not report birds or eggs received from other people.
7. Report numbers of birds and eggs as individual units. For instance, if you harvested eggs using a
5-galon bucket or other kind of container, specify how many eggs.
8. Write comments in the box provided at the bottom of each seasonal report sheet (weather,
hunting conditions, access to hunting areas, unusual birds seen, permit and reporting process,
etc.).
9. Fold together the two report sheets, put them in the pre-stamped envelope provided, and mail it to
the pre-printed address.

Quyanaasinaq, thank you! We’ll share combined report results with your community.
Questions about permit reporting? Give us a call:
Division of Subsistence, Alaska Department of Fish and Game: 907-267-2302 (Anchorage)

FWS Form 3-2381-7 OMB Control No.1018-0124 Expires ##/##/20##

Paperwork Reduction Act Statement
In accordance with the Paperwork Reduction Act (44 U.S.C. 3501 et seq.), the U.S. Fish and Wildlife Service (Service)
collects information authorized by the Migratory Bird Treaty Act (16 U.S.C. 703 et seq.), 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. Information requested in this form is purely 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 we do not collect names on harvest report forms. 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. 1018-0124.
Estimated Burden Statement
With help of a surveyor, we estimate it will take about 5 minutes each to provide household consent and to report your
seasonal bird/egg harvest, 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 Forms 3-2380, 3-2381-1, 32381-2, 3-2381-3, 3-2381-4, and 3-238-5 to the Service Information Clearance Officer, Fish and Wildlife Service, U.S.
Department of the Interior, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at
Info_Coll@fws.gov. Please do not send your completed form to this address.

FWS Form 3-2381-7 OMB Control No.1018-0124 Expires ##/##/20##

Kodiak Island Roaded Area, Spring-Summer Bird and Egg Permit Report (Post-Season)
1. Permit #:
(2 letters followed by 3 numbers)

3. Spring:

2. Date report was completed:

____ / ____ / 2023

Did you harvest birds or eggs from 2 April to 30 June? (check one)

Yes

No

Please write number of birds and eggs you harvested in the Kodiak roaded area.
American widgeon

Mallard

Northern pintail

Gadwall

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Northern shoveler

Teal

Scaup

Goldeneye

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Bufflehead
Birds: ______

Eggs: ______
Common eider

Black scoter
Birds: ________

Surf scoter

Eggs: ______
King eider

White-winged scoter

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Spectacled eider

Steller’s eider

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Harlequin duck

Long-tailed duck

Merganser

Unknown duck

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Black brant
Birds: ______

Eggs: ______

Cackling/Canada goose Greater white-fronted
goose
Birds: ______
Birds: _______

Eggs: ______

Eggs: ______

Emperor goose
Birds: ______

Eggs: ______

Snow goose
Birds: ______

Eggs: ______

Turn to page 2 to continue reporting spring harvest. 
1

FWS Form 3-2381-7 OMB Control No.1018-0124 Expires ##/##/20##

Kodiak Island Roaded Area, Spring-Summer Bird and Egg Permit Report (Post-Season)

Spring (2 April–30 June) continuation
Please write number of birds and eggs you harvested in the Kodiak roaded area.
Swan

Ptarmigan

Birds: ______

Red-throated loon

Birds: ______

Pacific loon

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Not a migratory
species but an
important
subsistence
resource.

Eggs: ______

Eggs: ______
Pacific loon nonbreeding

Yellow-billed loon

Birds: ______

Cormorant

Loon 4

Grebe

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Murre

Guillemot

Puffin

Auklet

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Mew gull

Black-legged kittiwake Large gull

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Godwit

Whimbrel

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Phalarope
Birds: ______

Birds: ______

Eggs: ______
Wilson’s snipe
Birds: ______

Eggs: ______

Small sandpiper

Other or unknown bird:

Birds: ______

_________________

Tern

Black oystercatcher

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Semipalmated plover

Turnstone

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Comments:

Birds: ________
Eggs: ______

Eggs: ______

Eggs: ________
Turn to page 3 to report summer harvest. 
2

FWS Form 3-2381-7 OMB Control No.1018-0124 Expires ##/##/20##

Kodiak Island Roaded Area, Spring-Summer Bird and Egg Permit Report (Post-Season)

4. Summer: Did you harvest birds or eggs from 1 July to 31 August? (check one)

Yes

No

Please write number of birds and eggs you harvested in the Kodiak roaded area.
American widgeon

Mallard

Northern pintail

Gadwall

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Northern shoveler

Teal

Scaup

Goldeneye

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Bufflehead
Birds: ______

Eggs: ______
Common eider

Black scoter
Birds: ________

Surf scoter

Eggs: ______
King eider

White-winged scoter

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Spectacled eider

Steller’s eider

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Harlequin duck

Long-tailed duck

Unknown duck

Merganser

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Black brant
Birds: ______

Eggs: ______

Cackling/Canada goose Greater white-fronted
goose
Birds: ______
Birds: _______

Eggs: ______

Eggs: ______

Emperor goose
Birds: ______

Eggs: ______

Snow goose
Birds: ______

Eggs: ______

Turn to page 4 to continue reporting summer harvest. 
3

FWS Form 3-2381-7 OMB Control No.1018-0124 Expires ##/##/20##

Kodiak Island Roaded Area, Spring-Summer Bird and Egg Permit Report (Post-Season)

Summer (1 Jul–31 Aug) continuation
Please write number of birds and eggs you harvested in the Kodiak roaded area.
Swan

Ptarmigan

Birds: ______

Red-throated loon

Birds: ______

Pacific loon

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Not a migratory
species but an
important
subsistence
resource.

Eggs: ______

Eggs: ______
Pacific loon nonbreeding

Yellow-billed loon

Birds: ______

Cormorant

Loon 4

Grebe

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Murre

Guillemot

Puffin

Auklet

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Eggs: ______

Mew gull

Black-legged kittiwake Large gull

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Godwit

Whimbrel

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Phalarope
Birds: ______

Tern

Birds: ______

Eggs: ______
Wilson’s snipe

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Semipalmated plover

Birds: ______

Eggs: ______

Small sandpiper

Other or unknown bird:

Birds: ______

_________________

Black oystercatcher

Turnstone

Birds: ______

Birds: ______

Eggs: ______

Eggs: ______

Comments:

Birds: ________
Eggs: ______

Eggs: ______

Eggs: ________
Quyanaasinaq  Thank you for completing the report!
4

FWS Form 3-2381-7 OMB Control No.1018-0124 Expires ##/##/20##