Form 3-2381-3 Interior Alaska Harvest Report

OMB Control No. 1018-0124 Expires 01/31/2010

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Interior Alaska Harvest Report - SPRING
Upper Copper River and Interior Alaska

Did the household harvest birds or eggs from

YES  

April 1 to June 30?

NO

Village: ______________________ Household ID: ___________ Harvest Year: ___________ Date: ________________
Teal

Mallard

Pintail

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Shoveler

Black Scoter

Surf Scoter

White-winged Scoter

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Wigeon

Bufflehead
birds ______

eggs ______

Harlequin

Goldeneye

Canvasback

Scaup

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Long-tailed Duck

Merganser

Unknown Duck

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Cackling/Canada
Goose

White-fronted
Goose

birds ______

birds ______

eggs ______

eggs ______

FWS Form 3-2381-3 10/09. This form supersedes form 7-FW-103a, which is obsolete.

Snow Goose

Swan

Sandhill Crane

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010

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ird Co-Mana
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AMBCC Subsistence Migratory Bird Household Harvest Survey

Interior Alaska Harvest Report
SPRING - April 1 to June 30

Village: ___________________ Household ID: _____________ Harvest Year: ____________ Date: ______________
Red-throated Loon

Common Loon
birds ______

Pacific Loon

birds ______

birds ______

birds ______

eggs ______

Tern

eggs ______

Black-headed Gulls

eggs ______

Mew Gull

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Grouse

Ptarmigan

Grebe

Whimbrel/Curlew

eggs ______

Large Gulls
birds ______

eggs ______

Godwit

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Golden/Black-bellied
Plover

Phalarope
birds ______

Small Shorebird
birds ______

birds ______

Other/Unknown Bird:
_________________________

birds ______
eggs ______

Comments:

eggs ______

eggs ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Interior Alaska Harvest Report - SUMMER
Upper Copper River and Interior Alaska

Did the household harvest birds or eggs from

YES  

July 1 to August 31?

NO

Village: ______________________ Household ID: ___________ Harvest Year: ___________ Date: ________________
Wigeon

Teal

Mallard

Pintail

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Shoveler

Black Scoter

Surf Scoter

White-winged Scoter

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Bufflehead
birds ______

eggs ______

Harlequin

Goldeneye

Canvasback

Scaup

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Long-tailed Duck

Merganser

Unknown Duck

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Cackling/Canada
Goose

White-fronted
Goose

birds ______

birds ______

eggs ______

eggs ______

FWS Form 3-2381-3 10/09. This form supersedes form 7-FW-103a, which is obsolete.

Snow Goose

Swan

Sandhill Crane

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010

a Migrat
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ask
Al

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men
cil
ge

ird Co-Mana
yB

AMBCC Subsistence Migratory Bird Household Harvest Survey

Interior Alaska Harvest Report
SUMMER - July 1 to August 31

Village: ___________________ Household ID: _____________ Harvest Year: ____________ Date: ______________
Red-throated Loon

Common Loon
birds ______

Pacific Loon

birds ______

birds ______

birds ______

eggs ______

Tern

eggs ______

Black-headed Gulls

eggs ______

Mew Gull

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Grouse

Ptarmigan

Grebe

Whimbrel/Curlew

eggs ______

Large Gulls
birds ______

eggs ______

Godwit

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Golden/Black-bellied
Plover

Phalarope
birds ______

Small Shorebird
birds ______

birds ______

Other/Unknown Bird:
_________________________

birds ______
eggs ______

Comments:

eggs ______

eggs ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Interior Alaska Harvest Report - FALL
Upper Copper River and Interior Alaska

YES

Did the household harvest birds or eggs from September 1 to October 31?

NO

Village: ______________________ Household ID: ___________ Harvest Year: ___________ Date: ________________
Wigeon

Teal

birds ______

birds ______

birds ______

Shoveler

Black Scoter

Surf Scoter

birds ______

birds ______

birds ______

Bufflehead
birds ______

Harlequin
birds ______

Cackling/Canada
Goose
birds ______

birds ______

White-winged Scoter
birds ______

Canvasback

Goldeneye

Scaup

birds ______

birds ______

Long-tailed Duck

birds ______

Merganser

Unknown Duck
birds ______

birds ______

birds ______

White-fronted
Goose

Pintail

Mallard

Snow Goose

Swan

Sandhill Crane

birds ______

birds ______

birds ______

birds ______

FWS Form 3-2381-3 10/09. This form supersedes form 7-FW-103a, which is obsolete.

OMB Control No. 1018-0124 Expires 01/31/2010

a Migrat
or
ask
Al

t Coun
men
cil
ge

ird Co-Mana
yB

AMBCC Subsistence Migratory Bird Household Harvest Survey

Interior Alaska Harvest Report

FALL - September 1 to October 31

Village: ___________________ Household ID: _____________ Harvest Year: ____________ Date: ______________
Red-throated Loon

Common Loon
birds ______

Pacific Loon

birds ______

birds ______

birds ______

Tern
birds ______

Grouse
birds ______

Golden/Black-bellied
Plover
birds ______

Black-headed Gulls
birds ______

Ptarmigan
birds ______

Phalarope
birds ______

Grebe

Mew Gull
birds ______

Whimbrel/Curlew
birds ______

Small Shorebird
birds ______

Large Gulls
birds ______

Godwit
birds ______

Other/Unknown Bird:
_________________________

birds ______

Comments: