Form 3-2308 Peregrine Falcon Egg Contaminants Data Sheet

OMB Control No. 1018-0101
Expires XX/XX/XX

Peregrine Falcon Egg Contaminants Data Sheet
Monitoring Region: ____________________________________________________________
Collector name and affiliation:____________________________________________________
Processor name and affiliation:____________________________________________________
Date Collected: ________________ Date Processed: ______________
Nest Number or location:________________________________________________________
Egg Number or description:______________________________________________________
Nest status at time of collection:___________________________________________________
(laying, incubating, abandoned, with chicks - how many, post-fledging, etc.)
Egg Length (three measurements, 0.1 mm):______ , ______ , ________ _______Average
Egg Width (three measurements, mm): _______ , _______ , ________ _______Average
Whole Egg Weight (0.01 g): _______
Weight of displaced H2O (egg volume) (0.01 g): __________
Contents weight:
a) Tare weight of bag (0.01 g) : __________
b) Weight of bag plus contents (0.01 g): __________
c) Weight of contents (b-a): __________
Conversion factor = contents weight = ____________________
displaced H2O weight
Contents condition (age of embryo, state of decay, etc.) and other comments:_______________
_____________________________________________________________________________
_____________________________________________________________________________
Where are the membranes? Inner: __________________ Outer: _______________________
Eggshell thickness (0.01 mm) after > 10 days of air drying (note whether either, neither, or both
membranes are included in the measurements):
First eggshell half: _____ ______ _____ _____ Avg: ______
Second eggshell half:_____ ______ _____ _____ Avg: ______ Overall Average: _______
Dry shell weight (mg) after > 10 days of air drying: ___________________
Additional comments: ___________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
FWS Form 3-2308
REV 04/08

OMB Control No. 1018-0101
Expires XX/XX/XX

Paperwork Reduction Act: The total annual paperwork burden per respondent is estimated to
be 2 1/2 hours. This includes time for reviewing instructions, gathering and maintaining data, and
preparing and transmitting reports. Send comments regarding the burden estimate or any other
aspect of the reporting requirement(s) to the Service Information Collection Clearance Officer,
Fish and Wildlife Service, 4401 N. Fairfax Drive, MS 222, Arlington, VA 22203.
An agency may not conduct 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 OMB Control No. 1018-0101.

FWS Form 3-2308
REV 04/08