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OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e to m AMBCC Subsistence Migratory Household Harvest Survey a r e n g i t

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a Southern Coastal Alaska Harvest Report - SPRING u

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l A Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., South AK Pensinsula

Did the household harvest or eggs from April 1 to June 30? YES NO Village: ______Household ID: ______Harvest Year: ______Date: ______Wigeon Teal Mallard Pintail birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______Shoveler Black White-winged Scoter birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______Bufflehead Canvasback Scaup birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______Common Steller’s Eider Harlequin birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______Long-tailed Duck Merganser Unknown Duck Brant birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______Cackling/ Goose White-fronted Goose Emperor Goose Snow Goose birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Swan Sandhill Crane Grouse Ptarmigan birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete. OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e o AMBCC Subsistence Migratory Bird Household Harvest Survey t m a r e n g i

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a Southern Coastal Alaska Harvest Report

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A SPRING - April 1 to June 30

Village: ______Household ID: ______Harvest Year: ______Date: ______

Common Loon Pacific Loon Red-throated Loon Yellow-billed Loon birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Grebe Cormorant Murre Guillemot birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Auklet Puffin Black-legged Kittiwake Red-legged Kittiwake

birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Black-headed Gulls Mew Gull Large Gulls Tern birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Oystercatcher Whimbrel/Curlew Godwit Golden/Black-bellied Plover birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Turnstone Phalarope Small Shorebird Other/Unknown Bird: birds ______birds ______birds ______

eggs ______eggs ______eggs ______birds ______eggs ______

Comments: OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e to m AMBCC Subsistence Migratory Bird Household Harvest Survey a r e n g i t

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u Southern Coastal Alaska Harvest Report - SUMMER k

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A Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., South AK Pensinsula

Did the household harvest birds or eggs from July 1 to August 31? YES NO

Village: ______Household ID: ______Harvest Year: ______Date: ______

Wigeon Teal Mallard Pintail birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Shoveler Surf Scoter White-winged Scoter birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Goldeneye Scaup birds ______birds ______birds ______

______eggs ______eggs ______eggs

Harlequin Long-tailed Duck Merganser Unknown Duck birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Cackling/Canada Goose White-fronted Goose Swan Sandhill Crane birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Grouse Ptarmigan

birds ______birds ______

eggs ______eggs ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete. OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e to m AMBCC Subsistence Migratory Bird Household Harvest Survey a r e n g i

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a Southern Coastal Alaska Harvest Report u

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l i l A SUMMER - July 1 to August 31

Village: ______Household ID: ______Harvest Year: ______Date: ______

Common Loon Pacific Loon Red-throated Loon Grebe birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Cormorant Murre Guillemot Auklet

birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Puffin Black-legged Kittiwake Red-legged Kittiwake Black-headed Gulls

birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Mew Gull Large Gulls Tern Oystercatcher birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Whimbrel/Curlew Godwit Golden/Black-bellied Turnstone Plover birds ______birds ______birds ______birds ______

eggs ______eggs ______eggs ______eggs ______

Phalarope Small Shorebird Other/Unknown Bird: birds ______birds ______

birds ______eggs ______eggs ______eggs ______Comments: OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e to m AMBCC Subsistence Migratory Bird Household Harvest Survey a r e n g i t

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u Southern Coastal Alaska Harvest Report - FALL k

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A Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., South AK Pensinsula

Did the household harvest birds or eggs from September 1 to October 31? YES NO

Village: ______Household ID: ______Harvest Year: ______Date: ______

Wigeon Teal Mallard Pintail birds ______birds ______birds ______birds ______

Shoveler Black Scoter Surf Scoter White-winged Scoter birds ______birds ______birds ______birds ______

Bufflehead Goldeneye Canvasback Scaup birds ______birds ______birds ______birds ______

Common Eider King Eider Steller’s Eider Harlequin birds ______birds ______birds ______birds ______

Long-tailed Duck Merganser Unknown Duck Brant birds ______birds ______birds ______birds ______

Cackling/Canada Goose White-fronted Goose Emperor Goose Snow Goose birds ______birds ______birds ______birds ______

Swan Sandhill Crane Grouse Ptarmigan birds ______birds ______birds ______birds ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete. OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e to m AMBCC Subsistence Migratory Bird Household Harvest Survey a r e n g i

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a Southern Coastal Alaska Harvest Report u

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l i l A FALL - September 1 to October 31

Village: ______Household ID: ______Harvest Year: ______Date: ______

Common Loon Pacific Loon Red-throated Loon Yellow-billed Loon birds ______birds ______birds ______birds ______

Grebe Cormorant Murre Guillemot birds ______birds ______birds ______birds ______

Auklet Puffin Black-legged Kittiwake Red-legged Kittiwake

birds ______birds ______birds ______birds ______

Black-headed Gulls Mew Gull Large Gulls Tern birds ______birds ______birds ______birds ______

Oystercatcher Whimbrel/Curlew Godwit Golden/Black-bellied Plover birds ______birds ______birds ______birds ______

Turnstone Phalarope Small Shorebird Other/Unknown Bird: birds ______birds ______birds ______

birds ______

Comments: OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e o m AMBCC Subsistence Migratory Bird Household Harvest Survey t a r e n g i t

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a Southern Coastal Alaska Harvest Report - WINTER

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l A Gulf of Alaska/Cook Inlet, Kodiak Archipelago, Aleutian/Pribilof Is., South AK Pensinsula

Did the household harvest birds or eggs from November 1 to March 9? YES NO

Village: ______Household ID: ______Harvest Year: ______Date: ______

Wigeon Teal Mallard Pintail birds ______birds ______birds ______birds ______

Shoveler Black Scoter Surf Scoter White-winged Scoter birds ______birds ______birds ______birds ______

Bufflehead Goldeneye Canvasback Scaup birds ______birds ______birds ______birds ______

Common Eider King Eider Steller’s Eider Harlequin birds ______birds ______birds ______birds ______

Long-tailed Duck Merganser Unknown Duck Brant birds ______birds ______birds ______birds ______

Cackling/Canada Goose White-fronted Goose Emperor Goose Snow Goose birds ______birds ______birds ______birds ______

Swan Sandhill Crane Grouse Ptarmigan birds ______birds ______birds ______birds ______

FWS Form 3-2381-2 10/09. This form supersedes form 7-FW-103b, which is obsolete. OMB Control No. 1018-0124 Expires 10/31/2019

rd Co-Ma Bi na y g r e o AMBCC Subsistence Migratory Bird Household Harvest Survey t m a r e n g i t

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a Southern Coastal Alaska Harvest Report

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A WINTER - November 1 to March 9

Village: ______Household ID: ______Harvest Year: ______Date: ______

Common Loon Pacific Loon Red-throated Loon Yellow-billed Loon birds ______birds ______birds ______birds ______

Grebe Cormorant Murre Guillemot birds ______birds ______birds ______birds ______

Auklet Puffin Black-legged Kittiwake Red-legged Kittiwake

birds ______birds ______birds ______birds ______

Black-headed Gulls Mew Gull Large Gulls Tern birds ______birds ______birds ______birds ______

Oystercatcher Whimbrel/Curlew Godwit Golden/Black-bellied Plover birds ______birds ______birds ______birds ______

Turnstone Phalarope Small Shorebird Other/Unknown Bird: birds ______birds ______birds ______

birds ______

Comments: