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pdfFWS Form 3-2480 (Rev.02/2020)
U.S. Department of the Interior
OMB Control No. 1018-0167
Expires ##/##/####
EAGLE RECOVERY TAG
U.S. Fish & Wildlife Service
Division of Migratory Bird Management
USGS BAND # (if present)
[sequential number here]
Has the band #, if present, been reported to USGS?
YES
NO
Go to: www.pwrc.usgs.gov/BBL/bblret/
OTHER UNIQUE ID (Type/color/ID #, e.g. patagial tag, color band):
DATE
RECOVERED
MORTALITY DATE
/
/
/
Check One
Known
Estimated
SPECIES
AGE
SEX
/
RECOVERY LOCATION: [State/County AND LAT/LONG (Dec. Degrees preferred, UTM accepted)]. If LAT/LONG
unknown, please include Township, Range and Section, address, road marker, etc.]
FOUND BY (NAME):
AFFILIATION:
PHONE:
E-MAIL:
PHONE:
E-MAIL:
PHONE:
E-MAIL:
RECOVERED BY (NAME):
AFFILIATION:
RECEIVED BY (NAME):
AFFILIATION:
NOTES (How found, description of location, weather, terrain, etc.):
Federal law restricts the collection and possession of eagles by those not permitted. For
questions or more information about proper protocol when discovering a dead or injured eagle, please
contact a federal or state conservation law enforcement officer, or ask USFWS Migratory Bird Program
staff in your region:
http://www.fws.gov/birds/about-us-regional-offices.php
FWS Form 3-2480 (Rev.02/2020)
U.S. Department of the Interior
OMB Control No. 1018-0167
Expires ##/##/####
CHAIN OF CUSTODY
Transfer of eagle from custody of receiving entity listed on reverse side to:
DATE:
/
Name:
Affiliation/
Phone:
Name:
Affiliation/
Phone:
Name:
Affiliation/
Phone:
/
DATE:
/
Affiliation/
Phone:
/
DATE:
/
Name:
/
DATE:
/
Affiliation/
Phone:
/
DATE:
/
Name:
/
Has a state or federal wildlife law enforcement officer been contacted regarding this eagle?
Name:
Agency:
Date of contact:
Notice: the material to which this tag is affixed is in the custody of the United States Government and
must not be tampered with, except for permitted activities, under penalty of law: 18 USC 2232.
If the eagle is a recent mortality, and intact, please have a USFWS employee assist you with the transfer of the
remains to a laboratory using instructions in the Service Manual Chapter Handbook. If the eagle is not retained
by Law Enforcement or used for laboratory analysis, the eagle should be sent to the USFWS National Eagle
Repository per the instructions on their website (see: http://www.fws.gov/eaglerepository/factsheets.php)
Additional notes:
OMB Control No. 1018-0167
Expires ##/##/####
FWS Form 3-2480 (Rev.02/2020)
U.S. Department of the Interior
NOTICES
PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50
CFR22; the Endangered Species Act (16 U.S.C. 1531-1544), 50 CFR 17; the Migratory Bird Treaty Act (16 U.S.C.
703-712), 50 CFR 21; the Marine Mammal Protection Act (16 U.S.C. 1361, et seq.), 50 CFR 18; the Wild Bird
Conservation Act (16 U.S.C. 4901-4916), 50 CFR 15; the Lacey Act: Injurious Wildlife (18 U.S.C. 42), 50 CFR 16;
Convention on International Trade in Endangered Species of Wild Fauna and Flora (TIAS 8249), 50 CFR 23; General
Provisions, 50 CFR 10; General Permit Procedures, 50 CFR 13; and Wildlife Provisions (Import/export/transport), 50
CFR 14.
Purpose: The contact information requested is to assist in the description and location of injured or deceased
eagles. This will help identify locations were eagles are being injured or killed and to determine if these locations are
significant. Personal contact information will be removed prior to any release of the applications content.
Routine Uses: The information will be used to assure compliance with all applicable permitting requirements; to
inform Federal, Tribal, State and local authorities who is permitted to receive, treat, diagnose and rehabilitate sick,
orphaned, and injured birds; to transfer authorized species with Captive-bred Wildlife registrants, federally permitted
rehabilitators and licensed veterinarians.
Disclosure: The contact information requested is voluntary.
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 to track eagle remains from place of discovery through final disposition at the National Eagle
Repository. This will help identify locations where eagles are being killed and to determine if these locations are
significant. The information is also used to respond to requests made under the Freedom of Information Act and the
Privacy Act of 1974. Information requested in this form is purely 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. 1018-0167.
ESTIMATED BURDEN STATEMENT
We estimate public reporting for this collection of information to average 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, 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
For organizations, 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 succeeding 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 2.26 – 2.33].
File Type | application/pdf |
File Title | 3-2480 |
Author | Brennan, Mark |
File Modified | 2020-02-10 |
File Created | 2018-06-06 |