Form 3-2310 Horseshoe Crab Recapture Report

OMB Control No. 1018-0127

HORSESHOE CRAB RECAPTURE REPORT

Expires: XX/XX/2015

Circular White Tag:
Present: □Yes

□No

Tag Number:____________

Removed: □Yes

□No

□No

Tag Number:____________

Removed: □Yes

□No

Other Tag:
Present: □Yes

Crab Condition: □Alive

□Dead □Unknown

Crab Fate (Please check one):
□Released (Left on Beach)

□Tag Found Only
□Other:_______________________
Reporter Type (Please check one):
□Beach Comber (General Public)

□Commercial Fisherman
□Sport Fisherman (Hook & Line)
□Shorebird Surveyor
Capture Method (Please check one):
□Hand (Found on Beach)

□Dredge
□Other:__________________

Date Captured or Found:

□Sold or Bought
□Kept for Personal Bait
□Biomedical Company
□Horseshoe Crab Spawning Surveyor
□Horseshoe Crab Researcher
□Other:__________________
□Hook & Line
□Gillnet

Capture Location:
Body of Water:___________________________ Nearest City:__________________
Beach Name or Capture Location:_______________________________

State:_____

Capture Coordinates (optional): Lat:________________ Long:_________________
Reporter Information (Complete this section to receive a reward package):
Name:____________________________________________________
Street Address 1:_____________________________________________
Street Address 2:_____________________________________________
City:_________________________

State:_______

Telephone: Home:_(____)_____________

Zip Code:____________

Work:_(____)______________

Email Address:___________________________________
Comments:

FWS Form 3-2310
REV 02/12

Privacy Act and Paperwork Reduction Act Notices
In accordance with the Privacy Act (5 U.S.C. 552a) and the Paperwork Reduction Act (44 U.S.C.
3501), please note the following information:
1. We conduct this tagging program under the authority of the Fish and Wildlife Act of 1956 (16
U.S.C.742f), the Wildlife Coordination Act (16 U.S.C. 661-666c), and the Anadromous Fish
Conservation Act (16 U.S.C. 757a – 757g).
2. Your response is voluntary. We will remove all names and identifying information when we
compile the results and only summary information will be reported. The horseshoe crab tagging
program provides vital information to fishery managers about the migration patterns,
distribution, and abundance of horseshoe crabs along the Atlantic coast. The information is
maintained in accordance with the Privacy Act.
3. An agency may not conduct or sponsor, and a person is not required to respond to, a
collection of information unless it displays a currently valid OMB control number. This
information collection has been approved by OMB and assigned control number 1018-0127.
4. We estimate that it will take you 5 minutes to complete this report. This burden estimate
includes time for reviewing instructions, gathering data, and completing and reviewing the form.
5. Comments regarding the burden estimate or any other aspect of the form may be directed to
the Service Information Clearance Officer, Fish and Wildlife Service, MS 2042-PDM, 4401 N.
Fairfax Drive, Arlington, VA 22203.