Form 3-154 State Fish and Wildlife Agency Hunting and Sport Fishing

FWS Form 3-154 (Rev. 05/2021) OMB Control. No. 1018-0100

U .S. Fish and Wildlife Service Expiration Date: xx/xx/xxxx

STATE FISH AND WILDLIFE AGENCY

HUNTING AND SPORT FISHING LICENSE CERTIFICATION

Part A: Certification of License Holders

1. State:

2. Certification for Apportionment Year:

3. Submission Type:

4. Hunting license certification period end date:

5. Total unique paid hunting license holders during certification period:

6. Sport fishing license certification period end date:

7. Total unique paid sport fishing license holders during certification period:

8. CERTIFICATION: By signing this form, I certify the information provided above is true, complete, and accurate to the best of my knowledge per the Federal Aid in Wildlife Restoration Act, the Federal Aid in Sport Fish Restoration Act, and the regulations of the Secretary of the Interior.

AUTHORIZED REPRESENTATIVE:

Printed Name (First & Last):

Title:

Signature: Date Signed:

Part B: Supporting Information

		Total Licenses* Issued		Total License* Sales Income
Resident Hunting	9a.		9b.
Nonresident Hunting	10a.		10b.
Hunting Totals	11a.		11b.
Resident Fishing	12a.		12b.
Nonresident Fishing	13a.		13b.
Fishing Totals	14a.		14b.

* For Part B-Supporting Information, “License” includes licenses, tags, stamps, and permits. See also page 2 instructions.

NOTICES

PAPERWORK REDUCTION ACT STATEMENT

In accordance with the Paperwork Reduction Act (44 U.S.C. 3501), state fish and wildlife agencies must respond annually per 50 C.F.R. 80 in order to obtain a benefit. The FWS uses the reported data to run the formulas in the Federal Aid in Wildlife Restoration Act (16 U.S.C. 669 et seq.) and the Federal Aid in Sport Fish Restoration Act (16 U.S.C. 777 et seq., except 777e-1 and g-1) for apportioning Wildlife Restoration and Sport Fish Restoration program funds among the states. The FWS also consolidates and publishes this data for the public. 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. 1018-0100.

ESTIMATED BURDEN STATEMENT

We estimate public reporting for this collection of information to average 32 hours, 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, Fish and Wildlife Service, U.S. Department of the Interior, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at [email protected]. Please do not send your completed form to this address.

INSTRUCTIONS FOR COMPLETING FWS FORM 3-154

PART A: CERTIFICATION OF LICENSE HOLDERS: Provide and certify the data the U.S. Fish and Wildlife Service (FWS) will use in statutory formulas for apportioning Wildlife Restoration and Sport Fish Restoration program funds for the specified Apportionment Year. Set license certification periods and count unique paid license holders per Title 50 C.F.R. part 80 regulations. Complete all fields, as follows:

1. Select your state, district, or territory.

2. Select the year for which FWS will apportion funds based on the completed certification.

3. Select "New" for a certification you are submitting for the first time. Select "Revision" for a certification you are submitting to change or correct a previously submitted certification.

4. Enter the end date of the hunting license certification period for the year entered in field 1; in dd/mm/yyyy format.

5. Enter the total unique paid hunting license holders during the certification period ending on date entered in field 4.

6. Enter the end date of the sport fishing license certification period for the year entered in field 1; in dd/mm/yyyy format.

7. Enter the total unique paid hunting license holders during the certification period ending on date entered in field 6.

8. Enter name and title of the person authorized to certify the information provide on the form. This person must sign and date.

PART B: SUPPORTING INFORMATION: Include all licenses, tags, stamps, and permits issued for hunting (firearm and bow) and fishing (sport and recreation) in license totals. You may estimate the distribution between resident and nonresident when a type of license is issued to both residents and nonresidents.

Fields 9a, 10a, 12a, and 13a: Enter the total number of paid and nonpaid licenses, tags, stamps, and permits issued for resident hunting, nonresident hunting, resident fishing, and nonresident fishing in these fields, respectively. Include the number of licenses that allow the holder to both hunt and fish in the hunting total and again in the fishing total.

Fields 11a and 14a: Enter the total hunting licenses (sum of fields 9a+10a) and the total fishing licenses (sum of fields 12a+13a) in these fields, respectively. If you complete the form electronically, these totals will automatically calculate and display.

Fields 9b, 10b, 12b, and 13b: Enter the total sales income (cost to purchaser) from licenses, tags, stamps, and permits issued for resident hunting, nonresident hunting, resident fishing, and nonresident fishing in these fields, respectively. Prorate the cost of combination licenses between hunting and fishing based on the respective cost of each type of license.

Fields 11b and 14b: Enter the total hunting license sales income (sum of fields 9b+10b) and the total fishing license sales income (sum of fields 12a+13a) in these fields, respectively. If you complete the form electronically, these totals will automatically calculate and display.

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