Form 3-2414 Polar Bear Tagging Certificate

OMB Control No. 1018-0066
Expiration Date: XX/XX/2014

POLAR BEAR
TAGGING
CERTIFICATES

FWS Form 3-2414
03/11

OMB Control No. 1018-0066

DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE

Expiration Date: XX/XX/2014

POLAR BEAR CERTIFICATE #

Tagging Location

Skull Tag Number

(5)

Village Hunted From (If Different)
Age Class
Adult

5

length

(7)

Male

Penis Sheath

(8)

Skull
Length

Sub Adult

Female

Vaginal Orifice

Width

Cub

Unknown

Teats

Total

Cubs Present

6

Sex Identifier

Sex

(6)

(1)
(3)

Tagging Date

(2)
(4)

Hide Tag Number

Yes

(10)

No
Bear Condition(11)

Obese
Fat
Average
Thin
Skinny

Specimens Collected(12)
Tooth

Kidney

Claw

Liver

Fat

Repro

Other

Days/Hours Hunted

(15)

(16)

Location of Kill (Be Specific)

(17)

Longitude

Chest Measurement / Axial Girth
Remarks

ORV

Car/Truck

Muscle Vial

GPS: Latitude

Transportation(13)
Boat

Snow Machine

Baculum

Date of Kill

3 width 4

Foot (in town)

Skin/Muscle

(14)

(9)

(18)

(19)

Defense of Life/Property: Yes

No

(20)

(21)

Signature of Tagger

(22)
(23)

Name of Hunter (Print)
Signature of Hunter

Instructions on Inside of Front Cover

WHITE-ORIGINAL

PINK-HUNTER'S COPY

APP 3 - 7 - 89

YELLOW-TAGGER'S COPY
FWS Form 3-2414
3/11

INSTRUCTIONS FOR POLAR BEAR FORM
1. Date when tagging takes place.
2. Number from tag attached to the hide.
3. Number from tag attached to the skull.
4. Village where hide and skull are tagged.
5. Village where bear was harvested if different than tagging village.
6. Estimated age class of polar bear: Adult; Sub Adult, Cub.
7. Sex of animal.
8. How sex of bear was determined.
9. Measure skull with calipers and record length (distance between base of skull and upper front teeth);
width (distance between zygomatic arch bones), and total to the nearest 1/16th of an inch (see example above).
10. Record if cubs were present when tagged bear was killed.
11. Record the body condition of the harvested bear.
12. Record biological specimens collected, preserved and presented to tagger.
13. Record type of transportation used when hunting bear.
14. Record the date when this polar bear was killed; month, day, and year.
15. Enter length of time spent on the hunt.
16. Identify specifically where this polar bear was killed. Record the distance from nearest village, river, bay, etc.
17. Enter the GPS coordinates of kill location.
18. Chest measurement / Axial Girth - Bear has to be on stomach - Place string under front legs snugly but not enough to
compress hair and bring around the back. Note where the string comes together. Measure length using tape measure.
19. Enter any other information that may be important, for example, any unusual condition or behavior of the polar bear.
20. Was this bear killed in defense of life and property?
21. The tagger signs here.
22. Print the name of the hunter.
23. The hunter or owner signs here.
After completing certificate, give pink copy to hunter, return white copy to our office,
U.S. Fish and Wildlife Service / Marine Mammals Management
Marking, Tagging, and Reporting
1011 East Tudor Road MS341
Anchorage, AK 99503
and retain the yellow copy in book for your records.

OMB Control No. 1018-0066
Expiration Date: XX/XX/2014

DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE
POLAR BEAR CERTIFICATE #
Tagging Date
Skull Tag Number

Hide Tag Number
Tagging Location
Village Hunted From (If Different)
Age Class

Sex Identifier

Sex

Skull

Adult

Male

Penis Sheath

Length

Sub Adult

Female

Vaginal Orifice

Width

Cub

Unknown

Teats

Total

Cubs Present
Yes

Transportation

Specimens Collected

No
Bear Condition

Obese
Fat
Average
Thin
Skinny

Tooth

Kidney

Claw

Liver

Fat

Repro

ORV

Foot (in town)
Snow Machine

Skin/Muscle

Car/Truck

Baculum

Other

Muscle Vial

Date of Kill

Boat

Days/Hours Hunted

Location of Kill (Be Specific)
GPS: Latitude

Longitude

Chest Measurement / Axial Girth
Remarks

Defense of Life/Property: Yes

No

Signature of Tagger
Name of Hunter (Print)
Signature of Hunter
Instructions on Inside of Front Cover
WHITE-ORIGINAL

PINK-HUNTER'S COPY

YELLOW-TAGGER'S COPY
FWS Form 3-2414

APP 3 - 7 - 89

3/11

NOTICE
Paperwork Reduction Act and Privacy Act
In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501, et seq.) and the
Privacy Act of 1974 (5 U.S.C. 552a), please be advised that:
1. The gathering of information on marine mammals harvested by Alaska Natives is authorized
by :
(a) The Marine Mammal Protection Act of 1972 (16.S.C. 1379(i)); and
(b) Title 50, Part 18 of the Code of Federal Regulations.
2. Information requested on this form is required to obtain a benefit and comply with
statutory and regulatory requirements. This information is being collected to monitor the
subsistence harvest of polar bears and will be used to obtain essential biological data
necessary to manage the species. The collection of this information will also help control the
illegal take, trade, and transport of specified raw marine mammal parts. Response is not
required unless a currently valid Office of Management and Budget (OMB) control number
is displayed.
3. Routine use disclosures may be made:
(a) To the U.S. Dept. of Justice when related to litigation or anticipated litigation;
(b) Of information indicating a violation or potential violation of a statute, regulation,
rule, order or license to appropriate Federal, State, local or foreign agencies
responsible for investigation or prosecuting the violation or for enforcing or
implementing the statute, rule, regulation, order or license;
(c) From the record of an individual in response to an inquiry from a Congressional
office made at the request of that individual (42 FR 1903; April 11, 1977)
4. All names will be removed when we compile results, and only summary information will be
reported.
5. The relevant burden to report information required on this form and have the specified parts
marked or tagged is 15 minutes. Direct comments regarding the burden estimate or any
other aspect of the form to Service Information Clearance Officer, Fish and Wildlife Service,
Mail Stop 222, Arlington Square, U.S. Department of the Interior, 1849 C Street, NW,
Washington, D.C. 20240.

Freedom of Information Act
For organization, businesses, or individuals operating as a business (i.e., permittees not covered
by the Privacy Act), we request that you identify any information that should be considered
privileged and confidential business information to allow the Service to meet its responsibilities
under FOIA. Confidential business information must be clearly marked "Business Confidential" at
the top of the letter or page and each succeding page and must be accompanied by a
non-confidential summary of the confidential information. The non-confidential summary and
remaining documents may be made available to the public under FOIA [43 CFR 2.13(c)(4),
43 CFR 2.15(d)(1)(i)].

Application Processing Fee
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