3-2056K Dove and Band-Tailed Pigeon Hunting Record

United States I)epartrnent of the Interior
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You have been selected to participate in this year's National Migratory Bird Harvest Survey. We only select a
small percentage of the nation's hunters for this annual survey, so your response is important EVEN IF YOU

DO NOT HUNT MIGRATORY BIRDS THIS SEASON.
Weare asking you to tell us about your dove hunting in 6 - during the
hunting season. Please use the
attached diary to record the details of your hunt each time you go dove hunting in 6 - . Please read the
instructions on the diary form, fill it out completely, and, after the season is over or when you are done hunting
in 6 -, send the completed form back to us in the enclosed postage-paid envelope. If you receive this survey
too late for you to remember all of the details of your hunts, please fill out the lower portion of the form labeled

"SEASON TOTALS".
Your response is very important, whether you bag any birds or not. If you don't hunt doves at all this season,
please mark the "Did not hunt" box on the form and return it to us. If you do hunt doves, please report ONLY
YOUR OWN PERSONAL HUNTING activity and harvest. We also ask that you please keep track throughout
the season of birds that you knocked down, but could not retrieve. Record this total number on the lower portion
of the form labeled "SEASON TOTALS".
To protect your privacy, we will not associate your name with your hunting records after the survey is completed.
If you have any questions or need more Infornlation about this survey, please write us at the above address, call
us toll-free at 1-800-419-2965 from 7:30am-4:00pm EST, or log-on to http://hip.fws.gov. Thank you in advance
for your time and your participation in this year's National Migratory Bird Harvest Survey.

In accordance with the Privacy Act (5 U.S.C. 522a) and the Paperwork Reduction A t (44 USC 350 1)
'"
Migratory Sird Treaty Act (16 U.S.C. 703 et seq.). We will use the information that c
:d .. '
r , ~Ieas~ note the.followlng Inf~rr:natlon. This study is authorized by the
?ur poli~y not to use your name for any other purpose. We will remove all ~ames a~~ui~~~~.lf ~ In .e~ Imat~~g ml~ratory bird h,unter activity and ha~est in the United States. It is
information. We maintain the information in accordance with the Privacy Act Y
I y~ng I~ orma Ion w en we compile the results, and Will report only summary
required to respond to an information collection unless it dis la s a curr n . ,our response IS vo untary. An agency may not .co,nduct o~ sponsor and a person is not
number 1018-0023. We estimate that it will take you about ~ ~nutes toer~~ valld.OMS c,ontrol number. OMS has approved thiS information collection and assigned control
the Information Collection Clearance Officer Fish and Wildlife Service Mail ~tt~pe ;~~ruAct:?nst ansd corn Plete the hunting record. Co~ments on this form should be mailed to
,
, - - ring on quare, 1849 C Street, NW., Washington, D.C. 20240.
FWS Form 3-20S6K
REV 05/07

OMS Control NO.1 018-0023
Expires Xx/Xx/XXXX

Dove and Band-Tailed Pigeon Hunting Record
1.

IF YOU DID NOT HUNT DOVES OR BAND-TAILED PIGEONS THIS SEASON, check the box to the right and mail this form.

2.

Please record your personal hunting activity for each day you hunted doves or band-tailed pigeons in the
State specified in the attached letter. Record the number of birds you personally bagged; DO NOT include
birds shot by other people. Please include ALL of your hunts for the birds listed; if you did not bag any birds
during a hunt, record zero (0) for the birds you hunted that day.

3.

IF YOU HUNTED DOVES OR BANDED-TAILED PIGEONS BUT DO NOT HAVE DETAILED RECORDS,
check the box to the right and go to question number 6 to record your Season Totals.

4.

Please Include additional comments on a SEPARATE SHEET of paper.

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Please print all characters in BLACK ink using CAPITAL LEITERS ONLY as shown below.

lO..L.Io!.~u...J.LJ..!.!.JLJ~J.n..l...I",~~~~~~~ ~
Date of Hunt
Month
Day

State of
Hunt

County of Hunt

Number of Birds Killed
and Retrieved
Mourning
Doves

WhiteWinged
Doves

Band-Tailed
Pigeons

5. IF YOU RUN OUT OF SPACE ON THIS FORM, please call 1-800-419-2965 from 7:30 am to 5:00 pm EST to receive an additional form.
We will ask you for the serial number located at the bottom of this form.

6. Season Totals:

Birds
Killed and
Retrieved

Days
Hunted

Birds
Downed
but Lost

Mourning Doves
White-Winged
Doves
Band-Tailed
Pigeons

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Please call1-800-327-BAND to report banded birds.
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