3-2381-2 Southern Coastal Alaska Harvest Report

OMB Control No. 1018-0124 Expires XX/XX/XXXX

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Southern Coastal Alaska Harvest Report - SPRING
Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., South AK Pensinsula

Did the household harvest birds or eggs from

YES 

April 1 to June 30?

NO

Village: ______________________ Household ID: ____________ Harvest Year: __________ Date: _______________

Wigeon

Teal

Mallard

Pintail

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Shoveler

Black Scoter

Surf Scoter

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Bufflehead

Goldeneye

Canvasback

White-winged Scoter
birds ______

eggs ______

Scaup

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Common Eider

King Eider

Steller’s Eider

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

birds ______

eggs ______

Long-tailed Duck

Merganser

birds ______

birds ______

eggs ______

eggs ______

Unknown Duck
birds ______

Harlequin

Brant

birds ______

eggs ______

eggs ______

White-fronted Goose

Emperor Goose

Snow Goose

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Grouse

Ptarmigan

Cackling/Canada Goose

Swan

birds ______

eggs ______

Sandhill Crane
birds ______

eggs ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete.

birds ______

birds ______

birds ______

eggs ______

eggs ______

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

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AMBCC Subsistence Migratory Bird Household Harvest Survey

Southern Coastal Alaska Harvest Report

SPRING - April 1 to June 30

Village: ______________________ Household ID: ________________ Harvest Year: ____________ Date: __________________

Common Loon

Pacific Loon

Red-throated Loon

Yellow-billed Loon

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Grebe
birds ______

eggs ______

Auklet

Cormorant

Murre

Guillemot

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Puffin

Black-legged Kittiwake

Red-legged Kittiwake

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Black-headed Gulls

Mew Gull

birds ______

birds ______

eggs ______

eggs ______

Oystercatcher

Whimbrel/Curlew

Large Gulls
birds ______
eggs ______

Godwit

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Turnstone
birds ______

eggs ______
Comments:

Phalarope
birds ______

eggs ______

Small Shorebird
birds ______

eggs ______

Tern
birds ______

eggs ______

Golden/Black-bellied
Plover
birds ______
eggs ______

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

Southern Coastal Alaska Harvest Report - SUMMER
Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., 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

Mallard

Teal

Pintail

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Shoveler

Surf Scoter

Black Scoter

White-winged Scoter

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Goldeneye

Common Eider

Scaup

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Harlequin

Long-tailed Duck

Merganser

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Cackling/Canada Goose
birds ______

eggs ______

White-fronted Goose
birds ______

eggs ______

Grouse

Swan
birds ______

eggs ______

Ptarmigan

birds ______

birds ______

eggs ______

eggs ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete.

Unknown Duck
birds ______

eggs ______

Sandhill Crane
birds ______

eggs ______

OMB Control No. 1018-0124 Expires 01/31/2010
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ird Co-Mana
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AMBCC Subsistence Migratory Bird Household Harvest Survey

Southern Coastal Alaska Harvest Report

SUMMER - July 1 to August 31

Village: ______________________ Household ID: ________________ Harvest Year: ____________ Date: __________________

Pacific Loon

Common Loon
birds ______

birds ______

eggs ______

eggs ______

Cormorant

Red-throated Loon
birds ______

eggs ______

Guillemot

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

Puffin

birds ______

eggs ______

Murre

Black-legged Kittiwake

Grebe

Auklet
birds ______
eggs ______

Red-legged Kittiwake

Black-headed Gulls

birds ______

birds ______

birds ______

birds ______

eggs ______

eggs ______

eggs ______

eggs ______

Mew Gull

Large Gulls
birds ______

birds ______

eggs ______

eggs ______

Whimbrel/Curlew

Godwit

birds ______

birds ______

eggs ______

eggs ______

Phalarope
birds ______

eggs ______
Comments:

Tern

Oystercatcher

birds ______

birds ______

eggs ______

eggs ______

Golden/Black-bellied
Plover

Turnstone
birds ______

birds ______
eggs ______

Small Shorebird
birds ______

eggs ______

eggs ______

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

Southern Coastal Alaska Harvest Report - FALL
Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., 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 ______

Long-tailed Duck
birds ______

Teal

Mallard

Pintail

birds ______

birds ______

birds ______

Black Scoter

Surf Scoter

White-winged Scoter

birds ______

Goldeneye

birds ______

Canvasback

birds ______

Scaup

birds ______

birds ______

King Eider

Steller’s Eider

birds ______

birds ______

birds ______

Unknown Duck

Brant

Merganser
birds ______

birds ______

Harlequin

birds ______

birds ______

Cackling/Canada Goose

White-fronted Goose

Emperor Goose

Snow Goose

birds ______

birds ______

birds ______

birds ______

Swan

Sandhill Crane

birds ______

birds ______

Grouse
birds ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete.

Ptarmigan
birds ______

OMB Control No. 1018-0124 Expires 01/31/2010
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ird Co-Mana
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AMBCC Subsistence Migratory Bird Household Harvest Survey

Southern Coastal Alaska Harvest Report

FALL - September 1 to October 31

Village: ______________________ Household ID: ________________ Harvest Year: ____________ Date: __________________

Common Loon
birds ______

Grebe
birds ______

Auklet
birds ______

Black-headed Gulls
birds ______

Oystercatcher
birds ______

Turnstone
birds ______

Pacific Loon
birds ______

Cormorant
birds ______

Puffin
birds ______

Mew Gull
birds ______

Whimbrel/Curlew
birds ______

Phalarope
birds ______

Red-throated Loon
birds ______

Murre
birds ______

Black-legged Kittiwake
birds ______

Large Gulls
birds ______

Godwit
birds ______

Small Shorebird
birds ______

Yellow-billed Loon
birds ______

Guillemot
birds ______

Red-legged Kittiwake
birds ______

Tern
birds ______

Golden/Black-bellied
Plover
birds ______

Other/Unknown Bird:
_________________________

birds ______
Comments:

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

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ird Co-Mana
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AMBCC Subsistence Migratory Bird Household Harvest Survey

Southern Coastal Alaska Harvest Report - WINTER
Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., South AK Pensinsula

Did the household harvest birds or eggs from November 1

to March 9? 

YES 

NO

Village: _________________________ Household ID: _____________ Harvest Year: ___________ Date: __________________

Wigeon
birds ______

Shoveler
birds ______

Bufflehead
birds ______

Common Eider
birds ______

Long-tailed Duck
birds ______

Teal

Mallard

Pintail

birds ______

birds ______

birds ______

Black Scoter

Surf Scoter

White-winged Scoter

birds ______

Goldeneye

birds ______

Canvasback

birds ______

Scaup

birds ______

birds ______

King Eider

Steller’s Eider

birds ______

birds ______

birds ______

Unknown Duck

Brant

Merganser
birds ______

birds ______

Harlequin

birds ______

birds ______

Cackling/Canada Goose

White-fronted Goose

Emperor Goose

Snow Goose

birds ______

birds ______

birds ______

birds ______

Swan

Sandhill Crane

birds ______

birds ______

Grouse
birds ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete.

Ptarmigan
birds ______

OMB Control No. 1018-0124 Expires 01/31/2010
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ird Co-Mana
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AMBCC Subsistence Migratory Bird Household Harvest Survey

Southern Coastal Alaska Harvest Report

WINTER - November 1 to March 9

Village: ______________________ Household ID: ________________ Harvest Year: ____________ Date: __________________

Common Loon
birds ______

Grebe
birds ______

Auklet
birds ______

Black-headed Gulls
birds ______

Oystercatcher
birds ______

Turnstone
birds ______

Pacific Loon
birds ______

Cormorant
birds ______

Puffin
birds ______

Mew Gull
birds ______

Whimbrel/Curlew
birds ______

Phalarope
birds ______

Red-throated Loon
birds ______

Murre
birds ______

Black-legged Kittiwake
birds ______

Large Gulls
birds ______

Godwit
birds ______

Small Shorebird
birds ______

Yellow-billed Loon
birds ______

Guillemot
birds ______

Red-legged Kittiwake
birds ______

Tern
birds ______

Golden/Black-bellied
Plover
birds ______

Other/Unknown Bird:
_________________________

birds ______
Comments: