Form 3-2493 American Shad Recapture Report

FWS Form 3-2493 (Rev. 07/2017)
U.S. Fish and Wildlife Service

OMB Control. No. 1018-0127
Expiration Date ##/##/####

AMERICAN SHAD RECAPTURE REPORT
Maryland Fish and Wildlife Conservation Office
177 Admiral Cochrane Dr., Annapolis, MD 21401
General (410) 263-2604
Tag Reports (800) 448-8322 or (888) 546-8587
Website: https://www.fws.gov/northeast/marylandfisheries/

Date Call Received:
Interviewer:
Tag #:
Was the tag a red streamer?
Tag Removed:

Yes

Yes

No

No If “Yes”, what portion?

Button

Streamer

Both

Color:
Red/Pink
Green
Other:
Disposition: (Was the fish?) (Check One)
Released

Sold or Bought
Found Tag Only
Accidental Death
Kept for Consumption
TYPE OF FISHING ACTIVITY
(Check One)
Commercial
Gear (Check One)

Anchor gill net

Drift gill net

Seine

Trap

Recreational
Type (Check One)

Individual - Total number of shad caught: _____

Other:
Charter – How many hours were you fishing? _____

Research
Gear Used:
Date Fish was Caught:
Body of Water:
Closest City or Town:
Contact Information:
Address (1)
Address (2)
City
State
Zip Code
Comments:
For Unit Use ONLY
Date Released:
Date Letter Sent:
Release Site:
Reward Sent:

FWS Form 3-2493 (Rev. 07/2017)
U.S. Fish and Wildlife Service

OMB Control. No. 1018-0127
Expiration Date ##/##/####

NOTICES
PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the Fish and Wildlife Act (P.L. 105-242), the Anadromous Fish Conservation
Act (P.L. 96-118) and the Sustainable Fisheries Act of 1996 (P.L. 104-297).
Purpose: The contact information requested is to assist in the description and location of the individual’s capture of American shad.
The capture location helps to determine migration patterns, distribution and the abundance of American shad for its successful
restoration within the Chesapeake Bay.
Routine Uses: The contact information requested may be used by Fishery Managers and FWS biologists to determine location of
capture. More information about the routine uses may be found in the Systems of Records Notice, FWS-21 Permits System.
Disclosure: The contact information requested is voluntary.
PAPERWORK REDUCTION ACT STATEMENT
We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) to collect vital information used by fishery
managers about the migration patterns, distribution, and abundance of American shad along the Atlantic coast and to respond to
requests made under the Freedom of Information Act and the Privacy Act of 1974. Your response is voluntary. According to the
Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a
valid OMB control number. OMB has approved this collection of information and assigned Control No. 1018-0127.
ESTIMATED BURDEN STATEMENT
Public reporting burden to complete FWS Form 3-2493, “American Shad Recapture Report” averages 5 minutes. This burden estimate
includes 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, Fish and Wildlife Service,
U.S. Department of the Interior, 5275 Leesburg Pike, MS: BPHC, Falls Church, VA 22041-3803. Please do not send your completed
form to this address.