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pdfOMB Control No. 1018-0066
Expiration Date: XX/XX/XXXX
NON-NATIVE
0$5,1(0$00$/
TAGGING CERTIFICATES
These certificates are only to be used to register walrus, sea otter, and polar bear
skulls, bones, teeth and ivory collected by Non-Alaskan Natives and Alaskan Natives
who are not eligible to take marine mammals for subsistence or handicraft purposes.
FWS Form 3-2406
05/2017
DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE
OMB Control No. 1018-0066
Expiration Date: XX/XX/XXXX
1211$7,9(MARINE MAMMAL CERTIFICATE #
Tagging Location
MTRP Tag #
Date
Use Blue Tags
Found
Age
Sex
A SA M F U
1
L
(3)
R
(4)
(5)
(1)
Tagging Date
(2)
Tusk
Tusk
Location
Circum
Length
Found
At Gum Line
From Gum Line
(6) (7)
(8)
(9)
(10)
L
2
R
If skulls, bones, or teeth, other than walrus tusks are being registered list them here:
(11)
Polar bear skull
Other
Remarks
(12)
Sea otter skull
Skull tag number
Skull tag number
(13)
(14)
Collector Information
(15)
(16)
(17)
(18)
Name (print legibly)
Address
Phone Number
Date of Birth (mm/dd/yyyy)
By signing, I affirm that I collected this item(s) from a beach or on land within 1/4 mile of the ocean. I understand that sale of this
item(s) is prohibited and it may only be transferred with written permission from an agent of the U.S. Fish and Wildlife Service
(19)
Signature of Collector
(21)
(20)
Name/Signature of Tagger
Print Name
Signature
Instructions on Inside of Front Cover
WHITE-ORIGINAL
PINK-HUNTER'S COPY
YELLOW-TAGGER'S COPY
FWS Form 3-241X
APP 3 - 7 - 89
05/2017
INSTRUCTIONS FOR NON_NATIVE FORM
Tusks from each walrus should be tagged in pairs
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Record the date tusks are tagged.
Village or town where tusks are tagged.
Record tag number of plastic-headed wire tag used for left tusk. (Use non-Native blue tag)
Record tag number of plastic-headed wire tag used for right tusk. (Use non-Native blue tag)
Record the date found.
Age of walrus. A = Adult, male with tusks 12 inches or longer; female with tusks 8 inches or longer. SA
= Sub-Adult, male with tusks showing that are less than 12 inches; female with tusks showing that are less
than 8 inches.
Sex of walrus: M = male; F = female; U = unknown.
Measure and record tusk circumference at gum line (see example above).
Measure and record tusk length from gum line to tip along front side following the curve of the tusk (see
example above).
Record exact location of kill or find. For example – 3 miles east of Barrow or 6 miles S.W. of South Cape,
St. Lawrence Island. Be specific.
Record tag number for polar bear skull. (use black non-Native polar bear tag)
Record tag number for sea otter skull. (use black non-Native sea otter tag)
Record location and date collected of any polar bear, sea otter or (non-tusk) walrus hard part. (only use tags
on walrus ivory or sea otter and polar bear skulls, describe other hard parts from these animals here)
Record any information of interest about the beach found hard part collected.
Print the name of the person that collected the hard part.
Print the collector’s address.
Print the collector’s phone number.
Print the collector’s date of birth.
The collector signs here.
Print the taggers name.
The tagger signs here.
After completing certificate, give pink copy to hunter, return white copy to our office (address Below), and
retain the yellow copy in book for your records.
U.S. Fish and Wildlife Service
Marine Mammals Management
Marking, Tagging & Reporting
1011 East Tudor Rd. MS 341
Anchorage, AK 99503-6199
DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE
OMB Control No. 1018-0066
Expiration Date: XX/XX/XXXX
NON-NATIVE MARINE MAMMAL CERTIFICATE #
Tagging Date
Tagging Location
MTRP Tag #
Date
Use Blue Tags
Found
Age
Sex
A SA M F U
Tusk
Tusk
Location
Circum
Length
Found
At Gum Line
From Gum Line
L
1
R
L
2
R
If skulls, bones, or teeth, other than walrus tusks are being registered list them here:
Polar bear skull
Sea otter skull
Skull tag number
Skull tag number
Other
Remarks
Collector Information
Name (print legibly)
Address
Phone Number
Date of Birth (mm/dd/yyyy)
By signing, I affirm that I collected this item(s) from a beach or on land within 1/4 mile of the ocean. I understand that sale of this
item(s) is prohibited and it may only be transferred with written permission from an agent of the U.S. Fish and Wildlife Service
Signature of Collector
Name/Signature of Tagger
Print Name
Signature
Instructions on Inside of Front Cover
WHITE-ORIGINAL
PINK-HUNTER'S COPY
YELLOW-TAGGER'S COPY
FWS Form 3-2406
APP 3 - 7 - 89
05/2017
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 marine mammals 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,
U.S. Department of the Interior, 5275 Leesburg Pike, MS: BPHC, Falls Church, VA
22041-3803.
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.
File Type | application/pdf |
File Title | C:\DOCUME~1\BRADBE~1\MYDOCU~1\C |
Author | bradbenter |
File Modified | 2017-05-03 |
File Created | 2014-02-20 |