Form 3-2435 Federal Raptor Propagation Seamless Band Request

FWS Form 3-2435 (Rev. 02/2023)
U.S. Fish and Wildlife Service

FEDERAL RAPTOR PROPAGATION SEAMLESS BAND REQUEST

OMB Control. No. 1018-0022
Expiration Date: 08/31/2023

Please allow 30 days for processing.

Return this form to your Regional Migratory Bird Permit Program Office via e-mail or postal mail.
BEFORE FILLING OUT THIS FORM, please access the Return Addresses (to obtain the email/postal mail addresses where this form
can be returned). Please retain the "NOTICES" page of this form for your records.
Please provide your Federal Raptor Propagation Permit #: MB_______________________________
Please note: The first three columns of the table below should be completed by the propagator. The last two columns should be
completed by the Migratory Bird Permit Program office.
USFWS
Band
Size

QTY You Currently
Have

Number of Bands
Requested (for use in the
next 12 months)

M

Serial Numbers
RM__ __ __ __ __ __ to __ __ __

QTY Shipped

RN__ __ __ __ __ __ to __ __ __

N

RP__ __ __ __ __ __ to __ __ __

P

RR__ __ __ __ __ __ to __ __ __

R

RS__ __ __ __ __ __ to __ __ __

S

RT__ __ __ __ __ __ to __ __ __

T

RU__ __ __ __ __ __ to __ __ __

U

RV__ __ __ __ __ __ to __ __ __

V
W

RW__ __ __ __ __ __ to __ __ __
RX__ __ __ __ __ __ to __ __ __

X

RY__ __ __ __ __ __ to __ __ __

Y

RZ__ __ __ __ __ __ to __ __ __

Z
O

RO__ __ __ __ __ __ to __ __ __

Region: ______________

Ship to:

MBPO Approval By:

Name:_____________________________________________

Signature:______________________________________________

Address:___________________________________________

Position Title:___________________________________________

____________________________________________

Date Shipped:___________________________________________

____________________________________________

I certify that:
• I am authorized to conduct raptor propagation, and to mark captive-bred raptors with seamless leg bands in accordance with the conditions of my
Federal Raptor Propagation Permit and state wildlife agency regulations.
• I understand I am solely responsible for the selection of band sizes, verification of serial numbers, proper use, and accountability of assigned Federal
bands.
• I have accessed the Return Addresses and obtained the information on where to send this form.
• At the time of band shipment, the USFWS Regional Migratory Bird Permit Office will provide a copy of this completed form to me, for my records.

Propagator Signature: ______________________________________

Date:________________________________________________

Daytime Telephone Number:__________________________________ Current Email:_________________________________________

FWS Form 3-2435 (Rev. 02/2023)
U.S. Fish and Wildlife Service

FEDERAL RAPTOR PROPAGATION SEAMLESS BAND REQUEST

OMB Control. No. 1018-0022
Expiration Date: ##/##/####

ORDERING INFORMATION

Seamless (closing ring) leg bands are available from the U.S. Fish and Wildlife Service for identifying captive-bred raptors in accordance with 50CFR 21.85,
Raptor Propagation permit regulations. Please allow 30 days processing times once a complete signed form is received. Forms must be received hard copy via
mail. Faxed forms cannot be accepted and will not be processed. Please order enough bands for the year prior to the breeding season.

Band
Size

Inside
Band
Diameter
(mm)

Inside Band
Diameter
(inches)

M

4.3

(0.17< 3/16)

Sharp-shinned Hawk (M) - Elf Owl

N

5.1

(0.20> 3/16)

Sharp-shinned Hawk (F) - American Kestrel

P

6.0

(0.24< 4/16)

Sharp-shinned Hawk (F) - Cooper's Hawk (M) - Merlin (M)

R

7.1

(0.28> 4/16)

Cooper's Hawk (M) - Merlin (F) - Northern Harrier (M)

S

7.6

(0.30< 5/16)

Cooper's Hawk (F) - Northern Harrier (F) - Screech Owl

T

8.2

(0.32> 5/16)

Prairie Falcon (M) - Screech Owl

U

10.0

(0.39 6/16)

Goshawk (M) - Prairie Falcon - Peregrine (M)

V

11.6

(0.48 7/16)

Goshawk - Prairie Falcon (F) - Peregrine - Harris' Hawk

W

13.1

(0.52 8/16)

Goshawk (F) - Peregrine (F) - Gyrfalcon - Harris' Hawk

X

14.6

(0.57 9/16)

Gyrfalcon (F) - Red-tailed Hawk (F) - Ferruginous Hawk

Y

16.6

(0.65 10/16)

Ferruginous Hawk - Snowy Owl - Great Horned Owl

Z

19.6

(0.77 12/16)

Great Horned Owl – Eagle

O

N/A

N/A

Black

N/A

N/A

Typical Application (CAUTION: Intended as GENERAL Guide ONLY)

Yellow Zip Tie Bands ONLY As Replacement For Seamless Bands Removed Due To
Documented Injury or Damage. The raptor may no longer be sold.
Request these bands from your State falconry licensing or permit office. Black Zip Tie
Bands ONLY for use on wild caught birds. Wild caught raptors may not be sold.

NOTICES
PRIVACY ACT STATEMENT
Authority: The information requested is authorized by the following: the Bald and Golden Eagle Protection Act (16 U.S.C. 668), 50 CFR 22; 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 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 collection of contact information is to verify the individual has an eligible permit to conduct activities which affect protected species. The information
the individual provides helps the FWS monitor and report on protected species and assess the impact of permitted activities on the conservation and management
of species and their habitats.
Routine Uses: The collected information may be used to verify an applicant’s eligibility for a permit to conduct activities with protected wildlife; to provide the
public and the permittees with permit related information; to monitor activities under a permit; to analyze data and produce reports to monitor the use of protected
wildlife; to assess the impact of permitted activities on the conservation and management of protected species and their habitats; and to evaluate the effectiveness
of the permit programs. More information about routine uses can be found in the System of Records Notice, Permits System, FWS-21.
Disclosure: The information requested in this form is voluntary. However, submission of requested information is required to process applications for permits
authorized under the listed authorities. Failure to provide the requested information may be sufficient cause for the U.S. Fish & Wildlife Service to deny the request.
PAPERWORK REDUCTION ACT STATEMENT
We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501 et seq.) to conduct usability testing of a new Federal Raptor
Propagation Seamless Band Request Form (FWS Form 3-2435). Your response is voluntary. We may not conduct or sponsor and you are not required to
respond to a collection of information unless it displays a currently valid OMB Control Number. OMB has reviewed and approved this survey and assigned OMB
Control Number 1018-0022.
ESTIMATED BURDEN STATEMENT
We estimate public reporting for this collection of information to average 5 minutes to complete the form, including time for reviewing instructions, gathering and
maintaining data and completing and reviewing the form. You may submit comments on any aspect of this information collection to the Information Collection
Clearance Officer, U.S. Fish and Wildlife Service, 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. Questions regarding migratory bird permits should be sent to the appropriate
regional (contact information can be found at https://www.fws.gov/program/migratory-bird-permit/contact-us).