3-2056L Woodcock 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

32190231
XXXXXXXX
XXXXXXXX
XXXXXXXX, XX XXXXX

Dear XXXXXXXX:
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 woodcock 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 woodcock 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, send the completed form back to us in the enclosed postagepaid 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 woodcock 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 woodcock, 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 3-2056L
Rev 12/10

Woodcock Hunting Record
1.

IF YOU DID NOT HUNT WOODCOCK THIS SEASON, please check the box to the right and mail this form.

2.

Please record your personal hunting activity for each day you hunted woodcock in the State specified in the
attached letter. Record the number of woodcock you personally bagged; DO NOT include birds shot by
other people. Please include ALL of your hunts for woodcock; if you did not bag any birds during a hunt,
record zero (0) bagged for that day.

3.

IF YOU HUNTED WOODCOCK BUT DO NOT HAVE DETAILED RECORDS, check the box to the right
and go to question number 6 to record your Season Totals.

Please include additional comments on a SEPARATE SHEET of paper.
Please print all characters in BLACK ink using CAPITAL LETTERS ONLY as shown below.
4.

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

3 3

Number of Birds Killed
and Retrieved
Woodcock

,

2

,

3

,

4

,

5

,

6

,

7

,

8

,

9

,

10

,

11

,

12

,

13

,

14

,

15

,

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

Woodcock

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