3-2056L Woodcock Hunting Record

United States I)epartnlent of the Interior
FISH AND WILDI__IFE SER\TICE
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You have been selected to participate in this year's National Migratory Bird Harvest Survey. We only select a
snlall 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.
We are asking you to tell us about your woodcock hunting in 6 -- during the
hunting season. Please use
'ted diary to record the details of your hunt each time you go woodcock hunting in 6 -. Please read the
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 conlpleted 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 10~1,~r portion of the form labeled
"SEASON TOTALS".
Your response is very important, whether you bag any birds or not. If you don't hunt woodcock at all this
season, please mark the "Did not hunt" box on the fornl and return it to us. If you do hunt woodcock, 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.~ov. 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 Act (44 U.S.C. 3501), please note the following information. This study is authorized by the
Migratory Bird Treaty Act (16 U.S.C. 703 et seq.). We will use the information that you provide in estimating migratory bird hunter activity and harvest in the United States. It is
our policy not to use your name for any other purpose. We will remove all names and identifying information when we compile the results, and will report only summary
information. We maintain the information in accordance with the Privacy Act. Your response is voluntary. An agency may not conduct or sponsor and a person is not
required to respond to an information collection unless it displays a currently valid OMB control number. OMB has approved this information collection and assigned control
number 1018-0023. We estimate that it will take you about 4 minutes to read the instructions and complete the hunting record. Comments on this form should be mailed to
the Information Collection Clearance Officer, Fish and Wildlife Service, Mail Stop 222--Arlington Square, 1849 C Street, NW., Washington, D.C. 20240.
FWS Form 3-2056L
REV 05/07

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

Woodcock Hunting Record
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1.

IF YOU DID NOT HUNT WOODCOCK THIS SEASON, please check the box to the right and mail this form.

2. Please record your personal hunting activity for each day you hunted woodcock in the State specified in the
attached letter. Record the number of woodcock you personally bagged; DO NOT include birds shot by
other people. Please include ALL of your hunts for woodcock; if you did not bag any birds during a hunt,
record zero (0) bagged for that day.
3.

IF YOU HUNTED WOODCOCK BUT DO NOT HAVE DETAILED RECORDS, check the box to the right
and go to question number 6 to record your Season Totals.

Please include additional comments on a SEPARATE SHEET of paper.

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

4.

~~~..l.>oI<..LI.-..!l...!!!!..L.~"'-"...!....lL~~~..!....l-"'!.L..L..l.!....!..<....li..L.l""'~
Date of Hunt
Month
Day

State of
Hunt

County of Hunt

3 3

Number of Birds Killed
and Retrieved
Woodcock

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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

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

Woodcock

1111111 IllfI 1111111111

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Woodcock