Form 3-154b Part II - Summary of Hunting and Sport Fishing Licenses

Annual Certification of Hunting and Sport Fishing Licenses Issued, 50 CFR 80.10

3-154b

Part II - Summary of Hunting and Sport Fishing Licenses Issued

OMB: 1018-0007

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UNITED STATES
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
Division of Federal Assistance

PART II - SUMMARY OF HUNTING AND SPORT FISHING
LICENSES ISSUED
State: __________________________ Year Ending: _______________(mm/dd/yyyy)

NOTE: Include all paid and nonpaid licenses, tags, stamps, and permits issued for
hunting, both firearm and bow, and for sport or recreation fishing.

TYPE 1

HUNTING
Number 2

FISHING

Cost 3

Number 2

Cost 3

Resident
Nonresident
0

0

Total

0

0

1

Where a type of license is issued to both residents and nonresidents, your best
estimate of the distribution between these two categories will suffice.

2

Include the total number of combination licenses issued for both hunting and
fishing.

3

Enter gross aggregate cost. The cost of combination licenses should be prorated
between hunting and fishing according to the respective costs of individual licenses.

In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501) and the Privacy Act of 1974 (U.S.C. 552), please be advised that:
The gathering of this information is authorized under the Federal Aid in Sport Fish Restoration Act (16 U.S.C. 777-777k) and the Federal Aid in Wildlife Restoration Act (16 U.S.C.
669-669i). This information is utilized in determinig the reasonableness of certified hunting license holders and sport fishing license holders. The information is also utilized by various
organizations such as, states, marketing firms, retailers, and special interest groups. Once submitted, this form becomes public information and is not protected under the Privacy Act.
The public reporting burden for this form is estimated to average 20 hours per response, including time for gathering, completing and reviewing information. Direct comments to the
Service Information Collection Clearance Officer, U.S. Fish and Wildlife Service, MS 222-ARLSQ; 1849 C Street, NW, Washington, DC 20240.
An agency may not conduct and a person is not required to complete a collection of information unless a current valid OMB control number is displayed.

FWS Form 3-154b
(Revised 11/06

OMB Control No. 1018-0007
Expiration Date: XX/XX/XXXX

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File Typeapplication/pdf
File TitleLicense Certification Summary (3-154B)
Subjectform, license certification summary
File Modified2006-12-21
File Created2000-10-04

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