3-2381-6 Kodiak Roaded Area, In-Season Harvest Report

2024 Alaska Subsistence Spring/Summer Migratory Bird Harvest
Kodiak Island Roaded Area In-Season Harvest Report

FWS Form 3-2381-6
OMB Cont. No. 1018-0124
Expires ##/##/20##

 Kodiak Island Roaded Area Permit holders are required to participate in

harvest reporting even if you did not harvest birds or eggs. During AprilAugust, please keep track of your harvest using the table below. Use the
provided bird identification guide to confirm bird species/kinds. In the first week
of September, mail this completed report. On the back side of this page, write
your name and address at the top, left corner. Postage is paid, no stamp is
needed. Your responses are confidential.

 Write your permit #:
 Did you harvest birds or eggs in the Kodiak Island Roaded Area in
April-August 2022? (circle one)

YES

NO

 Record your harvest (example on first two lines):

• Do not include birds/eggs harvested in other areas or months of the year.
• Do not include birds or eggs you received as gifts.
• Use one line for each harvest date and species/kind of bird or egg.

Harvest date

04 / 16 / 22 Mallard
04 / 16 / 22 large gull

Name of species/kind of bird or egg

Circle one

(example)

bird

egg

(example)

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

/

/ 22

bird

egg

Number harvested

4
13

Contact the Sun’aq Tribe if you need more page(s) to report your harvest: 907-206-6653; 312 West Marine Way, Kodiak
Thank you for sending your completed harvest report. Your participation in bird management and conservation
supports sustainable harvest opportunities. For more information, please call the Alaska Migratory Bird Co-Management
Council (AMBCC) Harvest Assessment Program (phone 267-2302), USFWS-AMBCC Program (786-3887), or visit https://
www.fws.gov/alaska/pages/co-management.
Paperwork Reduction Act Statement: In accordance with the Paperwork Reduction Act (44 U.S.C. 3501 et seq.), please note the following information. This survey is authorized by the Migratory Bird
Treaty Act (16 U.S.C. 703 et seq.) and the Migratory Bird Treaty Act Protocol Amendment (1995) and its letter of submittal from the Department of State to the White House, which specifies the need for
harvest monitoring. Your participation in the survey is voluntary. We will use the information your household provides to estimate subsistence migratory bird harvest in subsistence eligible areas of Alaska.
Household harvest reports are anonymous and no names are used on harvest report forms. We may not conduct or sponsor and you are not required to respond to a survey unless it displays a
current OMB control number. OMB has approved this information collection and assigned Control No. 1018-0124.
Estimated Burden Statement: We estimate public reporting for this collection of information to average 5 minutes, including time for reviewing instructions, gathering and maintaining data, and
completing and reviewing the form. Direct comments to the Service Information Collection Officer, U.S. Fish and Wildlife Service, 5275 Leesburg Pike, Mailstop: PRB (JAO/3W), Falls Church, VA
22041-3803, or via email at [email protected]. Please do not send your completed survey to this address.

Name: __________________________
P.O. Box: ________________________
Street address: ___________________
City: _____________________________, AK
ZIP: ______________________________

Alaska Department of Fish and Game
Division of Subsistence
333 Raspberry Road
Anchorage, AK 99518-9961

Kodiak Roaded Area
Bird Harvest Report

Fold on the dotted line to mail in your survey

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