3 186A Form PDF Details

Understanding the complexities of wildlife conservation and regulation can be a formidable task, especially when it involves the procedures and paperwork necessary for the lawful acquisition and disposition of migratory birds. Among these critical documents is Form 3-186a, a document designed, revised, and implemented by the U.S. Department of the Interior and specifically managed by the U.S. Fish and Wildlife Service's Division of Migratory Bird Management. This form serves as the Federal Fish and Wildlife Permit Application, a document vital for various activities related to migratory birds under the Migratory Bird Treaty Act. The form covers a comprehensive scope of information required for the legal transfer, capture, and disposition of migratory birds, including details about the species, band number, age, and source of the birds, as well as information on both the sender and recipient of the bird(s). It encapsulates meticulous stipulations for different scenarios such as gifting, sale, loan, release, escape, theft, or death of the birds, establishing a crucial link between wildlife management activities and federal regulatory frameworks. Beyond its immediate purpose, the form also integrates privacy, legal, and information accuracy concerns, advising applicants on the confidentiality of their submissions and warning against the submission of false statements, thus underscoring its importance not only in the regulation of avian species but also in upholding the integrity of federal wildlife management processes.

QuestionAnswer
Form Name3 186A Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesusfws 3 186a, federal form 3 186a, falconry form 3 186a, 3 186a form

Form Preview Example

Form 3-186a (Rev. 04/2018) U.S. Department of the Interior

USFWS Use Only

Received in Regional Office on

_____/______/_____ Initials:

OMB Control No. 1018-0022

FEDERAL FISH AND WILDLIFE PERMIT APPLICATION FORM Expires 04/30/2021

Migratory Bird Acquisition and Disposition

(Migratory Bird Treaty Act, 50 CFR 21.29, 21.30)

U.S. Fish and Wildlife Service

Division of Migratory Bird Management

Click Here for Return Addresses

Click Here for Frequently Asked Questions

Click Here for Instructions

Click Here to Apply Online

1

SPECIES:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

USFWS Band Number:__________________________

 

Sex: Male

 

Female

 

Unknown

 

 

 

Source:

 

 

 

Captive-bred Wild Microchip Number: ________________

 

 

 

 

 

 

 

Age:

 

 

Nestling

Immature

 

 

 

 

 

 

 

 

Year of Hatch: _________

 

 

 

(if applicable)

 

 

 

 

 

 

 

 

Adult

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

SENDER (person transferring bird)

 

 

 

 

USFWS Permit No.: ______________________________________________

 

Name: _____________________________________________

Date of Transfer (or other action): ___________________

 

Address: ____________________________________________________________________________________________

 

City: _______________________________________________

State:

 

 

 

 

 

 

Zip:______________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address: ______________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permit:

State Falconry

FWS Raptor Propagation

FWS Rehabilitation (see instructions)

Other:______________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transfer:

 

 

Gift

 

 

 

 

 

Sale

 

 

 

 

 

 

Loan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If Release or Loss:

Release

 

 

Escape

 

 

Theft

 

Death -- Cause of Death:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

RECIPIENT (person acquiring bird)

 

 

 

 

USFWS Permit No.: _______________________________________

 

Name: _________________________________________________________

Date of Acquisition: ___________________

 

Address: _____________________________________________________________________________________________

 

City:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

State:

 

 

 

 

 

 

 

 

Zip: _______________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-Mail Address:_______________________________________________________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permit Type:

 

 

 

 

State Falconry

 

FWS Raptor Propagation

 

 

 

Other: _______________________________________

 

 

 

 

 

Type of Acquisition:

 

 

 

Gift

 

 

 

 

Purchase

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Capture/Recapture (complete section 4)

 

 

 

 

 

 

 

 

 

 

 

 

Loan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

CAPTURE OR RECAPTURE (bird taken from the wild; provide band number in Section 1)

Capture

 

Recapture

 

For all species, County (or comparable subdivision) and State of trapping location: ____________________________________

 

If you captured a gyrfalcon, what color is it?

 

 

 

Grey

 

 

 

Black

 

 

White

 

 

 

 

Unknown (Nestling)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

RE-BANDING (to report the re-banding of a wild or captive-bred bird) REQUIRED: Old bands returned to Migratory Bird Permit Office

 

Old Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Microchip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Seamless Metal

 

Yellow Plastic Black Plastic

 

New Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Black Plastic

 

 

Microchip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yellow Plastic

 

 

6CERTIFICATION. I certify that the information submitted above is true and correct to the best of my knowledge. I understand that making a false statement may subject me to the criminal penalties of 18 U.S.C. 1001.

Print name: ____________________________________________

Phone Number (with area code): ___________________

Signature of Permittee/Principal Officer:

 

Date of Signature:

(No stamped signatures. Electronic signatures accepted.)

 

(mm/dd/yyyy) ______________

 

 

 

 

Page 1 of 2

Form 3-186a (Rev. 04/2018)

OMB Control No. 1018-0022

U.S. Department of the Interior

Expires 04/30/2021

NOTICES

PRIVACY ACT STATEMENT

Authority: The information requested is authorized by the Migratory Bird Treaty Act (16 U.S.C. 703 et seq), and Parts 13 and 21 of Title 50 of the Code of Federal Regulations.

Purpose: To collect the contact information of individuals that hold Federal Raptor Propagation permits, Special Purpose Game Bird (SPGB) permits, Special Purpose Abatement (SPA) permits and State Falconry programs. The states use a FWS application to maintain information about the falconers and their birds.

Routine Uses: The information will be used to monitor disposition of captive birds and the take of birds from the wild. More information about the routine uses may be found in the Systems of Records Notice, FWS-21 Permits System.

Disclosure: Providing the requested information is voluntary. However, submission of the requested information is required to maintain Federal permit under the MBTA. Failure to disclose the requested information may be sufficient cause for revocation of the permit. If the information indicates a violation of a statute, regulation, rule, order or license, whether civil, criminal, or regulatory in nature, the information may be transferred to the appropriate Federal, State, local or foreign agency charged with investigating or prosecuting such violations.

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 used to monitor disposition of captive birds and the take of birds from the wild, for which a permit is requested, and 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. However, submission of requested information is required in order to process applications for permits authorized under the above laws. Failure to provide all requested information may be sufficient cause for the U.S. Fish and Wildlife Service to deny the request. 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. 1018-0022.

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: BPHC, Falls Church, VA 22041-3803, or via email at

Info_Coll@fws.gov. Please do not send your completed form to this address.

Page 2 of 2

How to Edit 3 186A Form Online for Free

When you wish to fill out 3 186a, there's no need to download and install any programs - simply try using our PDF tool. The tool is continually maintained by our team, acquiring awesome functions and becoming better. With a few simple steps, it is possible to start your PDF editing:

Step 1: Click on the "Get Form" button in the top area of this webpage to get into our PDF tool.

Step 2: The tool lets you work with most PDF files in various ways. Transform it by writing personalized text, adjust original content, and place in a signature - all within several clicks!

Completing this PDF will require attention to detail. Make sure all mandatory blanks are done correctly.

1. You will want to complete the 3 186a correctly, hence be attentive when working with the parts including these particular blank fields:

Learn how to prepare 3 186a pdf part 1

2. Once your current task is complete, take the next step – fill out all of these fields - RECIPIENT person acquiring bird, USFWS Permit No , Name Date of Acquisition , Address , City State, Zip , EMail Address, Permit Type State Falconry FWS, Type of Acquisition Gift , CAPTURE OR RECAPTURE bird taken, For all species County or, If you captured a gyrfalcon what, White, Unknown Nestling, and REBANDING to report the rebanding with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Tips to fill in 3 186a pdf portion 2

3. This step is usually easy - fill in all the form fields in CERTIFICATION I certify that the, that making a false statement may, Signature of PermitteePrincipal, Date of Signature mmddyyyy, and Page of in order to complete this process.

Date of Signature mmddyyyy, CERTIFICATION I certify that the, and Signature of PermitteePrincipal of 3 186a pdf

Always be very attentive when completing Date of Signature mmddyyyy and CERTIFICATION I certify that the, as this is where most people make mistakes.

4. Completing Page of is vital in the fourth section - make sure you spend some time and fill in every single field!

Page of , Page of , and Page of inside 3 186a pdf

Step 3: Just after taking one more look at your fields and details, click "Done" and you're done and dusted! Go for a free trial subscription at FormsPal and acquire direct access to 3 186a - which you are able to then work with as you would like inside your personal account. FormsPal is dedicated to the personal privacy of all our users; we make certain that all personal data handled by our system continues to be secure.

3 186A Form isn’t the one you’re looking for?

Related Documents