Highly Migratory Species permit application

OMB#: 0648-0204
APPROVAL EXPIRES: 12/31/2006

U.S. DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE
501 WEST OCEAN BLVD
SUITE 4200
LONG BEACH, CA 90802

Pacific Highly Migratory Species
Vessel Permit Application
SECTION 1 VESSEL INFORMATION (please print legibly or type)
USCG DOC. OR STATE REG. NO. VESSEL

VESSEL NAME

HULL IDENTIFICATION NUMBER

HOME PORT AND STATE

USCG DOCUMENTED HAIL PORT AND STATE

RADIO CALL SIGN

DOES THIS VESSEL HAVE AN OPERATIONAL VMS?

YES_______
REGISTERED LENGTH (FT.)
HOLD CAPACITY (SHORT TONS)

NO_______

REGISTERED DEPTH (FT.)

REGISTERED BREADTH (FT.)
HOLD CAPACITY (METRIC TONS)

GROSS TONS

NET TONS

HOLD CAPACITY (CUBIC METERS)

PROPULSION TYPE

REFRIGERATION TYPE

HORSEPOWER

HULL MATERIAL

YEAR BUILT

LOCATION BUILT

CREW SIZE (INCLUDING OFFICERS)

PASSENGER CAPACITY

VESSEL FLAG

PREVIOUS VESSEL NAMES

EFFECTIVE DATES

SECTION 2 SELECT THE TYPE OF GEAR TO BE AUTHORIZED BY THE HMS PERMIT
COMMERCIAL:

RECREATIONAL:

HARPOON

PURSE SEINE

TROLL/JIG

LONGLINE

DRIFT GILLNET

BAITBOAT

CHARTER VESSEL
No

SECTION 3 VESSEL OWNERSHIP INFORMATION
COMPANY NAME

DATE CORPORATION FILED EIN/SSN

BUSINESS ADDRESS
BUSINESS TELEPHONE

CITY
BUSINESS FAX

STATE
BUSINESS CELL PHONE

DUNNS NO.

ZIP

BUSINESS E-MAIL

MANAGING OWNER NAME LAST FIRST

MIDDLE

SUFFIX

DATE OF BIRTH (MONTH/DAY/YEAR)

SECOND OWNER NAME LAST

FIRST

MIDDLE

SUFFIX

DATE OF BIRTH (MONTH/DAY/YEAR)

THIRD OWNER NAME LAST

FIRST

MIDDLE

SUFFIX

DATE OF BIRTH (MONTH/DAY/YEAR)

SECTION 4 SIGNATURE (All applications must be signed and dated)
I certify that the above information is complete, true, and correct to the best of my knowledge and belief.
OWNER'S SIGNATURE:

NAME: (Print legibly or type)

DATE:

General - This information is being collected by the National Marine Fisheries Service to ensure that timely and accurate
records are available concerning the fishing vessels of the U.S. that participate in Pacific Ocean fisheries for highly
migratory species, consistent with the requirements of the Fishery Management Plan for U.S. West Coast Fisheries for
Highly Migratory Species. The collection of information concerning U.S. fishing vessels harvesting tuna in the eastern
Pacific Ocean is also necessary for the U.S. to comply with its obligations as a member of the Inter-American Tropical
Tuna Commission.
This permit is required for commercial fishing vessels and recreational charter vessels that harvest any of the species that
are included in the FMP. They are: Billfish/Swordfish: striped marlin (Tetrapturus audax); swordfish (Xiphias gladius).
Sharks: common thresher shark (Alopias vulpinus); pelagic thresher shark (Alopias pelagicus); bigeye thresher shark
(Alopias superciliosus); shortfin mako or bonito shark (Isurus oxyrinchus); blue shark (Prionace glauca). Tunas: north
Pacific albacore (Thunnus alalunga); yellowfin tuna (Thunnus albacares); bigeye tuna (Thunnus obesus); skipjack tuna
(Katsuwonus pelamis); northern bluefin tuna (Thunnus orientalis). Other: dorado or dolphinfish (Coryphaena hippurus)
Instructions Section 1 - Enter vessel information as it appears on the Coast Guard documentation or, if the vessel is not Coast Guard
documented, as it appears on the state registration certificate.
Hull Identification Number - If your vessel does not have a hull identification number leave the box blank.
Home Port - enter the city and state where the vessel is customarily kept, not necessarily the home port listed on the
certificate of documentation.
Hail Port - enter the city and state listed on the certificate of documentation
Radio Call Sign – If your vessel has no radio, leave blank
Operational VMS – Global positioning system using satellites to track vessel movements
Hold Capacity - Cubic Meters is preferred; however, Short Tons or Metric Tons are acceptable
Provide all other information required to the best of your ability.
Section 2 - For commercial fishing vessels, mark all gears that the vessel may use to harvest highly migratory species.
Indicate only whether a recreational vessel is a charter or commercial passenger fishing vessel (CPFV). It is not
necessary to list any gear for recreational vessels.
Section 3 - Enter an Employer Identification Number (EIN) if you have one, and the vessel owners’ Social Security
Number(s). The owner’s date of birth will be used as an additional identifier and to establish the two-year renewal date
for the permit. Enter the month, day, and year. Contact information for all owners of the vessel is required. If there are
more than three owners, use an additional sheet. It is recommended that vessel owners obtain a DUNNS Number by
contacting Dunn and Bradstreet at their website: www.dnb.com.
Privacy Act Statement: Federal Regulations (at 50 CFR Part 660) authorize collection of this information. This
information is used to verify the identity of the applicant(s) and to accurately retrieve confidential records related to
federal commercial fishery permits. Where the requested information is a Social Security Number, disclosure is
mandatory in accordance with the Debt Collection Act (31 U.S.C. 7701).
Your Social Security Number (SSN) is confidential and is protected under the Privacy Act. Disclosure of your SSN is
mandatory. The primary purpose for requiring the SSN and EIN is to verify the identity of individuals/entities doing
business with the government as required by the Debt Collection Improvement Act of 1996 (Public Law 104-134).
Paperwork Reduction Act - Public reporting burden for this collection of information is estimated to average 40
minutes per response, including time for reviewing instructions, searching existing data sources, gathering and
maintaining data, and completing and reviewing the collection of information. Notwithstanding any other provision of
the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a
collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of
information displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any
other aspect of this collection of information, including suggestions for reducing this burden, to the Regional
Administrator, National Marine Fisheries Service, 501 West Ocean Blvd., Long Beach, CA 90802-4213.