3-2056M Snipe, Rail, Gallinule and Coot 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

41490883
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 snipe, coot, rail, and/or gallinule hunting in California during the
2009-2010 hunting season. Please use the attached diary to record the details of your hunt each time you go
snipe, coot, rail, and/or gallinule hunting in California. 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 California, send the
completed form back to us in the enclosed postage-paid 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 snipe, coot, rail, or
gallinule 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 snipe, coot, rail, or gallinule, 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 three 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 3-2056M
Rev 12/10

Snipe, Rail, Gallinule and Coot Hunting Record
1.
2.

3.
4.

IF YOU DID NOT HUNT SNIPE, RAILS, GALLINULES OR COOTS THIS SEASON, check the box to the right and mail this form.

Please record your personal hunting activity for each day you hunted snipe, rails, gallinules or coots 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.
IF YOU HUNTED SNIPE, RAILS, GALLINULES OR COOT BUT DO NOT HAVE DETAILED RECORDS,
check the box to the right and go to question number 6 to record your Season Totals.

4 4

Please include additional comments on a SEPARATE SHEET of paper.

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

Snipe

Number of Birds Killed
and Retrieved
Rails

Gallinules

,

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

Snipe
Rails
Gallinules
Coots

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

Coots