Form 3-2416 Sea Otter Tagging Certificate

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

SEA OTTER
TAGGING
CERTIFICATES

FWS Form 3-2416
03/11

OMB Control No. 1018-0066

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

Expiration Date: XX/XX/2014

SEA OTTER CERTIFICATE #

(1)

Tagging Date

(2)

Hide Tag Number

(4)

Tagging Location

(3)

Skull Tag Number

(5)

FWS #

(6)

Village Hunted From (If Different)
Age Class (7)

Sex

Adult

(8)

Sex Identifier (9)

Male

Penis Sheath

Sub Adult

Female

Vaginal Orifice

Pup

Unknown

Teats

Specimens Collected

(10)

Muscle Vial

Tooth
Whisker

Carcass

Other

Other

Number of Otters Present In Pod

(12)

Date of Kill

GPS: Latitude
Remarks

None

Number of Otters Harvested from This Pod

(11)

Location of Kill (Be Specific)

(14)
(15)

(13)

Longitude

Signature of Tagger

(16)

Name of Hunter (Print)

(17)

Signature of Hunter

(18)
Instructions on Inside of Front Cover

WHITE-ORIGINAL

PINK-HUNTER'S COPY

YELLOW-TAGGER'S COPΨ

APP 3 - 7 - 89

FWS Form 3-2416
3/11

INSTRUCTIONS FOR SEA OTTER FORM
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.

Date when tagging takes place.
Number from tag attached to the hide.
Number from tag attached to the skull.
Village where hide and skull are tagged.
Usually left blank. This space is for an assigned number when a detailed necropsy is performed and
multiple samples are collected. A reference number here will allow us to relate samples to one animal.
Village otter was hunted from if different than the tagging village.
Estimated age class of sea otter: Adult – large size; Sub Adult – Intermediate size; Pup – small size,
young of year.
Sex of animal. Unknown when not absolutely sure.
How sex was determined.
Record biological specimens collected, preserved and presented to tagger.
How many otters were present at kill location and how many otters were harvested from that pod.
Record the date when the sea otter was killed; month, day, and year.
Identify specifically where this sea otter was killed. List distance from nearest island, river, bay, or
other geographic feature.
The GPS coordinates of kill location.
Enter any other information that may be important, like any unusual conditions or behavior of the otter.
The tagger signs here.
Print the name of the hunter.
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

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

Expiration Date: XX/XX/2014

SEA OTTER CERTIFICATE #
Tagging Date
Hide Tag Number

Skull Tag Number
FWS #

Tagging Location
Village Hunted From (If Different)
Age Class

Sex

Sex Identifier

Adult

Male

Penis Sheath

Sub Adult

Female

Vaginal Orifice

Pup

Unknown

Teats

None

Specimens Collected
Tooth

Muscle Vial

Whisker

Carcass

Other

Other

Number of Otters Present In Pod

Date of Kill

Number of Otters Harvested from This Pod

Location of Kill (Be Specific)

GPS: Latitude

Longitude

Remarks

Signature of Tagger
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 COPΨ
FWS Form 3-2416
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 sea otters 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
There is no fee associated with this form.