NAS Sighting Report Form

Nonindigenous Aquatic Species

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OMB Control Number 1028-xxxx
Expiration Date

NAS - Nonindigenous Aquatic Species

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Sighting Report Form
Please fill in all entries then click the Send Report button below. Your attention to detail in the Location section will help in maintaining
a high level of precision when registering this observation. Further details and descriptions regarding this report can be included within
the Comments entry area.
What are you reporting?
Type:

Fish

Common Name:
Genus:

(if known)

Species:

(if known)

When was it found?
Date of the Observation:
Where was the observation made?
State:
County:
Latitude:
Longitude:
Find the exact location here!

Map data ©2010 Europa Technologies, INEGI -

Actual LOCATION where the observation occurred (please be specific):

Who made the observation? (we may need to contact you)
Name:
Email:
Telephone Number:
Address:

http://nas.er.usgs.gov/SightingReport.aspx

8/5/2010

Nonindigenous Aquatic Species

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Additional Comments

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Erase Report

U.S. Department of the Interior | U.S. Geological Survey
URL: http://nas.er.usgs.gov
Page Contact Information: Pam Fuller - NAS Program
Page Last Modified: Aug 19, 2009

PAPERWORK REDUCTION ACT STATEMENT: The Paperwork Reduction Act requires us to tell you why we are collecting this information, how
we will use it, and whether or not you have to respond. The information that we are collecting will be used by the U.S. Geological Survey to monitor
and provide information concerning the status, distribution, and potential impacts of non-native aquatic organisms in accordance with the
Nonindigenous Aquatic Nuisance Control and Prevention Act of 1990 - Public Law 101-646 (Nov 29, 1990). Your responses are voluntary. A Federal
agency may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB Control
Number. We estimate that it will take an average of 10 minutes per response, including the time for reviewing the instructions and completing the
form. You may send comments concerning the burden estimates or any aspect of this information collection to the USGS Information Collection
Clearance Officer, 2150 Centre Avenue, Fort Collins, CO 80525.

PRIVACY ACT STATEMENT: You are not required to provide your personal contact information in order to submit a sighting. However, if you do
not provide contact information, we will be unable to contact you for additional information to confirm and verify your sighting. If you do provide
contact information, this information will only be used to initiate follow-up communications with you. The records for this collection will be
maintained in the appropriate Privacy Act System of Records identified as Computer Registration System. (INTERIOR/USGS-20) published at 74 FR
23430 (May 19, 2009).

http://nas.er.usgs.gov/SightingReport.aspx

8/5/2010