3-2056M Snipe, Rail, Gallinule and Coot Hunting Record

United States I)epann1ent of the Interior
FISH AND WILDLIFE SERVICE
DIVISION OF MICRATOR Y BIRD MANACEME:"JT
IS81.'i I OBLULty PINE DRIVE
L\ URI j . \ ,,','! '\ ND ~0788-4C28
PHONE.:::'" ... ,..~..
,01-497-.'i981

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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.
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We are asking you to tell us about your coot, snipe, rail, and/or gallinule hunting in 6 - during the
hunting season. Please use the attached diary to record the details of your hunt each time you go coot, snipe,
rail, or gallinule 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 coots, snipe, rails, and/or
gallinules at all this season, please mark the "Did not hunt" box on the form and return it to us. If you do hunt
coots, snipe, rails, and/or gallinulles, 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 information 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:Uhip.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 Act (44 U:SC. 3501 l, 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 .estlmatlng 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 conectlon and assigned control
number 1018-0023. We estimate that it win take you about 3 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 3-2056M
REV 05/07

OMB Control NO.1 018·0023
Expires XX/Xx/XXXX

Snipe, Rail, Gallinule and Coot Hunting Record

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IF YOU DID NOT HUNT SNIPE, RAILS, GALLINULES OR COOTS THIS SEASON, check the box to the right and mail this form.
Please record your personal hunting activity for each day you hunted snipe, rails, gallinules or coots 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.
IF YOU HUNTED SNIPE, RAILS, GALLINULES OR COOT BUT DO NOT HAVE DETAILED RECORDS,
check the box to the right and go to question number 6 to record your Season Totals.

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Please include additional comments on a SEPARATE SHEET of paper.

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

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Date of Hunt
Month
Day

County of Hunt

State of
Hunt

Snipe

Number of Birds Killed
and Retrieved
Rails

Gallinules

Coots

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

Snipe
Rails
Gallinules
Coots
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Snipe