3-2056K Dove and Band-Tailed Pigeon Hunting Record

OMB Control No. 1018-0023
Expires XX/XX/XXXX

Branch of Harvest Surveys
Division of Migratory Bird Management
10815 Loblolly Pine Drive
Laurel, Maryland 20708
301-497-5994

12190413
XXXXXX
XXXXXX
XXXXXX, XX XXXXX
Dear XXXXXXX:
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.
We are asking you to tell us about your dove hunting in Delaware during the XXXX-XXXX hunting
season. Please use the attached diary to record the details of your hunt each time you go dove hunting in
Delaware. Please read the instructions on the diary form and fill it out completely. After the season is
over or when you have finished hunting in Delaware, please send the completed form back to us in the
enclosed postage-paid envelope. If you receive this diary form 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 dove at all this
season, please mark the “Did not hunt” box at the upper right portion of the form and return it to us. If
you do hunt dove, 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://www.fws.gov/hip/. Thank you in advance for your time and your participation in this year's
National Migratory Bird Harvest Survey.

Sincerely,

Robert J. Blohm, Chief
Division of Migratory Bird Management
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. 706 et seq.). The information that you provide will be used for estimating
migratory bird hunter activity and harvest in the United States. It is our policy not to use your name for any other purpose. All names and
identifying information will be removed when we compile the results, and only summary information will be reported. The information is
maintained 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, a collection of information unless it displays a current valid OMB control number. This information collection has been approved
by OMB and assigned clearance number 1018-0023. We estimate that it will take you about four minutes to read the instructions and keep a
record of your hunting depending upon the number of times you hunt. Comments on this form should be mailed to the Information Collection
Clearance Officer, Mail Stop 222, Arlington Square, U.S. Fish and Wildlife Service, Washington, D.C. 20240.
FWS Form 3-2056K
Rev 12/10

Dove and Band-Tailed Pigeon Hunting Record

1.

IF YOU DID NOT HUNT DOVES OR BAND-TAILED PIGEONS THIS SEASON, check the box to the right and mail this form.

2.

Please record your personal hunting activity for each day you hunted doves or band-tailed pigeons 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.

3.

IF YOU HUNTED DOVES OR BANDED-TAILED PIGEONS BUT DO NOT HAVE DETAILED RECORDS,
check the box to the right and go to question number 6 to record your Season Totals.

4.

Please include additional comments on a SEPARATE SHEET of paper.

1 1

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

A B C D E F GH I J K LMNO P Q R ST UV WX Y Z 0 1 2 3 4 5 6 7 8 9
Date of Hunt
Month
Day

State of
Hunt

County of Hunt

1

Number of Birds Killed
and Retrieved
Mourning
Doves

WhiteWinged
Doves

Band-Tailed
Pigeons

,

2

,

3

,

4

,

5

,

6

,

7

,

8

,

9

,

10

,

11

,

12

,

13

,

14

,

5. IF YOU RUN OUT OF SPACE ON THIS FORM, you can request an additional survey form by logging on to

6. Season Totals:
Days
Hunted

Mourning Doves
White-Winged
Doves
Band-Tailed
Pigeons

Birds
Killed and
Retrieved

Birds
Downed
but Lost

https://migbirdapps.fws.gov/hipweb or calling
1-800-419-2965 from 7:30 am to 5:00 pm EST. We
will ask you for the serial number located at the
bottom of this form.
Please report banded birds by calling
1-800-327-BAND or www.reportband.gov