3-2381-1 Western Alaska Harvest Report

Alaska Migratory Bird Subsistence Harvest Household Survey

FWS Form 3-2381-1 Western AK

Migratory Bird Subsistence Harvest Household Survey

OMB: 1018-0124

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1018-0124 can be found here:
Document [pdf]
Download: pdf | pdf
OMB Control No. 1018-0124 Expires XX/XX/XXXX

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Western Alaska Harvest Report - SPRING
Y-K Delta, Bering Strait/Norton Sound, NW Arctic, Bristol Bay (except South AK Pensinsula)

Did the household harvest birds or eggs from April

1 to June 30? 

YES 

NO

Village: _______________________ Household ID: ___________ Harvest Year: ___________ Date: ________________
Wigeon

Teal

Pintail

Mallard

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Black Scoter

Surf Scoter

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Shoveler
birds ______

eggs ______

Bufflehead

Goldeneye

White-winged Scoter

Canvasback

Scaup

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Common Eider

King Eider

Spectacled Eider

Steller’s Eider

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Harlequin

Merganser

Long-tailed Duck

Unknown Duck

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Brant

Cackling/Canada Goose White-fronted Goose Emperor Goose

Snow Goose

birds ______

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

eggs ______

FWS Form 3-2381-1 10/09. This form supersedes form 7-FW-103, which is obsolete.

OMB Control No. 1018-0124 Expires 01/31/2010

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Western Alaska Harvest Report
SPRING - April 1 to June 30

Village: ____________________ Household ID: ______________ Harvest Year: ____________ Date: _____________

Swan

Grouse

Sandhill Crane

Ptarmigan

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Common Loon

Pacific Loon

Red-throated Loon

Yellow-billed Loon

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Grebe

Murre

Cormorant

Guillemot

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Auklet

Puffin

Black-legged Kittiwake

Black-headed Gulls

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Mew Gull

Large Gulls

birds ______

birds ______

eggs ______

eggs ______

Golden/Black-bellied Turnstone
Plover
birds ______

Tern
birds ______

eggs ______

Phalarope

Whimbrel/Curlew
birds ______

birds ______

eggs ______

eggs ______

Small Shorebird

birds ______

birds ______

eggs ______

eggs ______

birds ______

eggs ______

Comments:

eggs ______

Godwit

Other/Unknown Bird:
_________________________

birds ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Western Alaska Harvest Report - SUMMER
Y-K Delta, Bering Strait/Norton Sound, NW Arctic, Bristol Bay (except South AK Pensinsula)

Did the household harvest birds or eggs from July

1 to August 31? 

YES 

NO

Village: _______________________ Household ID: ___________ Harvest Year: ___________ Date: ________________
Wigeon

Teal

Pintail

Mallard

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Black Scoter

Surf Scoter

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Shoveler
birds ______

eggs ______

Bufflehead

Goldeneye

White-winged Scoter

Canvasback

Scaup

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Common Eider

King Eider

Spectacled Eider

Steller’s Eider

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Harlequin

Merganser

Long-tailed Duck

Unknown Duck

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Brant

Cackling/Canada Goose White-fronted Goose Emperor Goose

Snow Goose

birds ______

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

eggs ______

FWS Form 3-2381-1 10/09. This form supersedes form 7-FW-103, which is obsolete.

OMB Control No. 1018-0124 Expires 01/31/2010

a Migrat
or
ask
Al

t Coun
men
cil
ge

ird Co-Mana
yB

AMBCC Subsistence Migratory Bird Household Harvest Survey

Western Alaska Harvest Report
SUMMER - July 1 to August 31

Village: ____________________ Household ID: ______________ Harvest Year: ____________ Date: _____________

Swan

Grouse

Sandhill Crane

Ptarmigan

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Common Loon

Pacific Loon

Red-throated Loon

Yellow-billed Loon

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Grebe

Murre

Cormorant

Guillemot

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Auklet

Puffin

Black-legged Kittiwake

Black-headed Gulls

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Mew Gull

Large Gulls

birds ______

birds ______

eggs ______

eggs ______

Golden/Black-bellied Turnstone
Plover
birds ______

Tern
birds ______

eggs ______

Phalarope

Whimbrel/Curlew
birds ______

birds ______

eggs ______

eggs ______

Small Shorebird

birds ______

birds ______

eggs ______

eggs ______

birds ______

eggs ______

Comments:

eggs ______

Godwit

Other/Unknown Bird:
_________________________

birds ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010

a Migrat
or
ask
Al

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men
cil
ge

y

d Co-Man
Bir
a

AMBCC Subsistence Migratory Bird Household Harvest Survey

Western Alaska Harvest Report - FALL
Y-K Delta, Bering Strait/Norton Sound, NW Arctic, Bristol Bay (except South AK Pensinsula)

Did the household harvest birds or eggs from September 1 to October 31? 

YES 

NO

Village: _______________________ Household ID: ___________ Harvest Year: ___________ Date: ________________
Wigeon
birds ______

Shoveler
birds ______

Bufflehead
birds ______

Common Eider
birds ______

Harlequin
birds ______

Brant
birds ______

Teal

Pintail

Mallard

birds ______

birds ______

Black Scoter

Surf Scoter

birds ______

birds ______

Goldeneye

birds ______

White-winged Scoter
birds ______

Canvasback

Scaup

birds ______

birds ______

King Eider

birds ______

Spectacled Eider

birds ______

birds ______

birds ______

Merganser

Long-tailed Duck
birds ______

Steller’s Eider

Unknown Duck

birds ______

birds ______

Cackling/Canada Goose White-fronted Goose Emperor Goose
birds ______

birds ______

FWS Form 3-2381-1 10/09. This form supersedes form 7-FW-103, which is obsolete.

birds ______

Snow Goose
birds ______

OMB Control No. 1018-0124 Expires 01/31/2010
a Migrat
or
ask
Al

t Coun
men
c
ge

ird Co-Mana
yB

AMBCC Subsistence Migratory Bird Household Harvest Survey

Western Alaska Harvest Report

FALL - September 1 to October 31

Village: ____________________ Household ID: ______________ Harvest Year: ____________ Date: _____________

Swan
birds ______

Pacific Loon

birds ______

Murre

Cormorant

Grebe
birds ______

Puffin

Black-legged Kittiwake
birds ______

birds ______

birds ______

Large Gulls

birds ______

Golden/Black-bellied
Plover

birds ______

Turnstone
birds ______

Tern
birds ______

Phalarope
birds ______

birds ______

Yellow-billed Loon
birds ______

Guillemot

birds ______

birds ______

Auklet

birds ______

Red-throated Loon

birds ______

birds ______

Ptarmigan

birds ______

birds ______

Common Loon

Mew Gull

Grouse

Sandhill Crane

Whimbrel/Curlew
birds ______

Small Shorebird
birds ______

birds ______

Black-headed Gulls
birds ______

Godwit
birds ______

Other/Unknown Bird:
_________________________

birds ______

Comments:
File Type	application/pdf
File Modified	2013-02-14
File Created	2009-11-05