Form 3-2494 Snakehead Recapture Report

FWS Form 3-2494 (Rev. 07/2017)
U.S. Fish and Wildlife Service

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

SNAKEHEAD 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 Information Received:
Tag #:
Other Tag?

Date Fish Caught:
Yes

Phone

Contact Method:

No

Tag Removed:

What type?

Letter
Yes

Other

No

Interviewer:

Color:

Blue

Orange

Green

Tag#:

Disposition: (Was the fish?) (Check One)
Released Alive

Kept for Consumption
Killed for Disposal
Found Dead
Killed for Research
Found Tag Only
Sold or Bought
Capture Method: (Check One)
Bow
Hook & Line Bait Type Used if Hook & Line:____________ Target Species if H&L:__________________
Electroshocking
TraP (Pound Net)
Seine
Trawl
Catfish Pot/Net
Other:
Body of Water, Closest Stream or Cove, Buoy Number (if in mainstem):

State: DC
GPS Coordinates (Latitude, Longitude):
Type of Fisherman (Recapturer): (Check One)

Sport

Commercial

cHarter

Type of Reporter: (Check One)
Fish Given to (gift)
Recapturer
Size of Fish:
Total Length (inches) ________
Contact Information for:
Address (1):
Address (2):
City:
State:
Zip Code:

Reporter

Research
Seafood Market

Unknown

Other:

Found tag or fish

Weight (lbs) __________

Other:
Sex (if known):

Recapturer (Check One)

Comments:
NOTE: Bold lettering in choices to check indicate value to enter in computerized form.

M

F

FWS Form 3-2494 (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), Sustainable Fisheries Act of 1996 (P.L. 104-297), the National Invasive Species Act (P.L. 104-332), Executive
Order 13112, the Magnuson-Stevens Fishery Conservation & Management Reauthorization Act (P.L. 109-479) and the NOAA
Fisheries National Standards.
Purpose: The contact information requested is to assist in the description and location of the individual’s capture of the Northern
Snakehead. The capture location helps to determine migration patterns, distribution and the abundance of the Northern Snakehead
within the Chesapeake Bay.
Routine Uses: The information will be used by Fishery Managers 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 snakehead within the Chesapeake Bay watershed 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 for this collection of information varies with the convenient availability of the requested information. The relevant
burden to complete FWS Form 3-2494, “Snakehead 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.