Form 3-2414 Polar Bear Tagging Certificates

OMB Control No. 1018-0066
Expires ##/##/####

FWS Form 3-2414 (Rev. 03/2020)
U.S. Department of the Interior

POLAR BEAR
TAGGING
CERTIFICATES

DEPARTMENT OF THE INTERIOR
U.S. FISH & WILDLIFE SERVICE
POLAR BEAR CERTIFICATE #

Tagging Location

Skull Tag Number

(5)

Village Hunted From (If Different)
Age Class

(6)

Adult

Sub Adult
Cub of Year

5

1 Year old
2 Year Old

length

(7)

Penis Sheath/Hairs

Female
Unknown

No

How many Cubs
Bear Condition

(11)

Not Confirmed

Hair

Skin

Liver

Fat

Muscle

Average

Baculum/Penis Bone

Skinny

Other

(14)
(16)

Not Provided

3 width 4

(13)

Collar

Skin/Muscle

GPS: Lat.

Width

Specimens Collected (12) Research Marks/Tags
Tooth

Obese

Date of Kill

(8)

Vaginal Orifice/Teats

Cubs Present With Sow(10)

Yes

6

Sex Verified by Tagger: Skull Measurments 1/8"
Yes
No
(9)
Length
Sex Confirmed With:

Sex
Male

(1)
(3)

Tagging Date

(2)
(4)

Hide Tag Number

OMB Control No. 1018-0066
Expires ##/##/####

Ear Tag #
Lip Tattoo
Other

Location of Kill (Specific)

(15)

Long.

Conflict or Problem Bear?

Yes / No (17)

Defense of Life? Yes / No

Hunter Available for Post Hunt Interview? (Yes / No) Phone #
Remarks:

(18)

(19)

Signature of Tagger

(20)
(21)

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 COPY
FWS Form 3-2414

Rev. 03/2020

INSTRUCTIONS FOR POLAR BEAR FORM
1. Date when tagging takes place.
2. Number from tag attached to the hide.
3. Number from tag attached to the skull.
4. Village where hide and skull are tagged.
5. Village where bear was harvested if different than tagging village.
6. Estimated age class of polar bear: Adult; Sub Adult, Cub.
7. Sex of animal.
8. How sex of bear was determined?
9. Measure skull with calipers and record length (distance between base of skull and upper front teeth);
width (distance between zygomatic arch bones), and total to the nearest 1/8th of an inch (see example above).
10. Record if cubs were present when tagged bear was killed.
11. Record the body condition of the harvested bear.
12. Record biological specimens collected, preserved and presented to tagger.
13. Record any research tags/marks tattoos or collars on bear.
14. Record the date when this polar bear was killed; month, day, and year.
15. Identify specifically where this polar bear was killed. Record the distance from nearest village, river, bay, etc.
16. Enter the GPS coordinates of kill location.
17. Was this a problem bear? Was the bear killed in defense of life?
18. Enter any other information that may be important, for example, any unusual condition or behavior of the polar bear.
19. The tagger signs here.
20. Print the name of the hunter.
21. 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.

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

OMB Control No. 1018-0066
Expires ##/##/####

POLAR BEAR CERTIFICATE #
Tagging Date
Hide Tag Number

Skull Tag Number

Tagging Location
Village Hunted From (If Different)
Age Class

Sex Verified by Tagger: Skull Measurement 1/8"

Sex

Yes

Adult
Sub Adult

Male

Cub of Year

Female

1 Year Old

Unknown

Sex Confirmed With:

2 Year Old

No

How Many Cubs

Not Provided

Specimens Collected

Research Marks/Tags

Hair

Collar

Skin

Liver

Ear Tag #

Fat

Muscle

Lip Tattoo
Other

Baculum/Penis Bone

Average

Width

Tooth

Bear Condition
Obese

Length

Penis Sheath/Hairs
Vaginal Orifice/Teats
Not Confirmed

Cubs Present With Sow
Yes

No

Other

Skinny

Location of Kill (Specific)

Date of Kill

Long.

GPS: Lat.

Conflict or Problem Bear? Yes / No

Defense of Life? Yes / No

Hunter Available for Post Hunt Interview? (Yes / No) Phone #
Remarks:

Signature of Tagger
Name of Hunter (Print)
Signature of Hunter
Instructions on Inside of Front Cover
WHITE-ORIGINAL

PINK-HUNTER'S COPY

YELLOW-TAGGER'S COPY
FWS Form 3-2414

APP 3 - 7 - 89

Rev. 03/2020

OMB Control No. 1018-0066
Expires ##/##/####

FWS Form 3-2414 (Rev. 03/2020)
U.S. Department of the Interior

NOTICES
PRIVACY ACT STATEMENT
Authority: 16 U.S.C. 1361-1407, as amended; 50 CFR § 18.23(f).
Purpose: FWS will use this information to monitor marine mammal harvests.
Routine Uses: This information may be shared in accordance with the Privacy Act of 1974 and the routine uses identified in
System of Records Notice INTERIOR/FWS-30, Marine Mammals Management, Marking, Tagging and Reporting Program.
Disclosure: Furnishing this information is voluntary; failure to provide all the requested information may limit FWS’ ability to
monitor marine mammal harvests.
PAPERWORK REDUCTION ACT STATEMENT
In accordance with the Paperwork Reduction Act (44 U.S.C. 3501), the U.S. Fish and Wildlife Service collects information
necessary to monitor the subsistence harvest of polar bears and will be used to obtain essential biological data necessary to
manage the species, and to respond to requests made under the Freedom of Information Act and the Privacy Act of 1974.
Information requested in this form is voluntary. According to the Paperwork Reduction Act of 1995, 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. OMB has approved this collection of information and assigned Control No. 1018-0066.
ESTIMATED BURDEN STATEMENT
The relevant burden to report information required on this form and have the specified parts marked or tagged is 15 minutes,
including time for reviewing instructions, gathering and maintaining data and completing and reviewing the form. Direct
comments regarding the burden estimate or any other aspect of the form to the Service Information Clearance Officer, U.S.
Fish and Wildlife Service, U.S. Department of the Interior, 5275 Leesburg Pike, MS: PRB/PERMA (JAO), Falls Church, VA
22041-3803, or via email at [email protected]. Please do not send your completed form to this address.
FREEDOM OF INFORMATION ACT STATEMENT
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.