OMB Control No. 1018-0124 Expires 10/31/2019
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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 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 Scoter Surf Scoter White-winged Scoter birds ______birds ______birds ______birds ______
eggs ______eggs ______eggs ______eggs ______Bufflehead Goldeneye Canvasback Scaup birds ______birds ______birds ______birds ______
eggs ______eggs ______eggs ______eggs ______Common Eider King Eider 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/Canada 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 This form supersedes form 7-FW-103b, which is obsolete.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
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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
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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 Black Scoter Surf Scoter White-winged Scoter birds ______birds ______birds ______birds ______
eggs ______eggs ______eggs ______eggs ______
Goldeneye Scaup Common Eider 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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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
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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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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
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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: