Form NOAA 89-880 NOAA 89-880 Person/Holder Facility Sheet

NOAA FORM 89-880

U.S. DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION

PERSON/HOLDER/FACILITY SHEET
PHF #

I.

(NMFS use only)

OMB Control No. 0648-0084; Expiration Date: 09/30/2009

Person/Holder/Facility - Specific

Active:_______
9 Permit/GA Applicant

9 Permit/GA Holder

9 Animal Holder

9 Facility

Name: ______________________________
Address: ____________________________________________________________________
______________________________________________________________________
City:
State:
Zip:
Country:
Fax: _________________________
Phone:
E-Mail: _______________________________________

II.

Responsible Official

Name: ______________________________________
Title: ________________________________________
Address: ______________________________________________________________________
________________________________________________________________________
City:
State:
Zip:
Country:
Phone:
Fax: ____________________
E-Mail: ________________________________________

III.

Primary Contact

Name: _____________________________________
Title: ______________________________________
Address: ___________________________________________________________________
_____________________________________________________________________
City:
Phone:
E-Mail:

State:

Zip:

Country:
Fax: _____________________
______________________________________

PERSON/HOLDER/FACILITY SHEET INSTRUCTIONS
NOAA FORM 89-880
OMB Control No. 0648-0084
Expiration Date: 09/30/2009

The Marine Mammal Protection Act of 1972, as amended (MMPA) (16 U.S.C. 1361 et seq.)
requires that persons holding marine mammals submit certain information to the National Marine
Fisheries Service (NMFS). Under the MMPA, NMFS is required to maintain an inventory of all marine
mammals held for public display purposes and scientific research/enhancement (i.e., all marine mammals
held captive except for those in captivity before December 21, 1972). In order to maintain the inventory,
contact information for permit holders, facilities, and responsible individuals is needed by NMFS. In
addition to receiving information about marine mammal inventories, NMFS also provides periodic
updates back to the holders and facilities so that the inventories can be verified. Use of this form will
ensure that MMPA-required information is submitted in a consistent manner, that the NMFS inventory of
captive marine mammals is accurate and up-to-date, and that holders and facilities can verify their
inventories.
1. Please read all of the instructions before filling out this form. It is a computer generated form and will
contain basic contact information for the facility and holder when complete.
2. If you are receiving this form for the first time or if it is being sent to you for updating, please fill out
the appropriate blank sections (I, II, and/or III) in red.
3. The Responsible Official is the individual who is responsible for and who has the signatory authority
for marine mammal custody decisions. The Primary Contact is the registrar or other person responsible
for maintaining the marine mammal inventory records at the facility. The Responsible Official and the
Primary Contact can be the same person, but should be noted in both Sections II and III. Please mail
this form to the address listed below.
4. All documentation required for this information collection is considered public information and as
such, subject to the Freedom of Information Act (FOIA). No assurance of confidentiality is provided.
QUESTIONS? If you need assistance completing this form please contact the Permits Division at (301713-2289) or write to us at:

Permits, Conservation and Education Division - F/PR1
Office of Protected Resources
National Marine Fisheries Service
1315 East West Highway, Room 13705
Silver Spring, MD 20910
Or by facsimile: (301) 427-2521
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing
instructions, search existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information
to complete this form. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions
for reducing this burden, to the Office of Protected Resources, National Marine Fisheries Service, 1315 East-West Highway, Silver Spring, MD
20910. Not withstanding 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 the collection of
information displays a currently valid Office of Management and Budget (OMB) Control Number.