Marine mammal data sheet

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MARINE
I.

~lA~l~lAL

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Datc SHT,tt -

DATA SHEET

L&C_~-=

SN:
For :.l"MFS Use Only

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Holder-Sp{~cific:

Holder:

Facdity:

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Name of Facility (if different from Holder)

Person or other Entity With Custody of the Marine Mammal

Date assumed custody:

Date arrived at Facility:

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City/State/Zip (include Country for foreign flcilities): ._-------

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(assigned by holder)

o Public display

o Scientific resea~ch

o Enhancement

II. Animal-Specific:
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.---------- Sex:

Population Name:

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NOAA Identification No.

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Common Name - Scientific Name

Date of birth: - - -

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(0

[j Captive born

Date of original captivity:

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III. Source:

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o Male

Female

[I Unknown

check here if unknown or not yet assigned)

o Actual

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Captive Origin (check only one):
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.._ - - - - -

Location of FaciiHY

(assigned by holder)

Species:

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Animai Name:

Animal Identification No. - - - - - - Captive Purpose(s):

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OMB No. 0648-0084, exp 6/30/13

[] Estimated

[J Wild capture

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o Beach/stranded

Unknown

(ATTACH documentation if before December 2 L, 1972.)

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Indicate how and from whom custody of this ani:nal was obtained, including change in facility.

o Captive birth
o Transfer/

1\ame of Previous Holder:

Transport

Name of Previous Facility:

o Import
o Beach/Stranded (Please see notes)
o Wild Capture Permit No.
Permit No.

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o For medical trealment otherwise unavailable (16 U.S.c. 1379(11)(2))

or

Collector:

/

Location:

..

_-

Ladmde/Longitude

IV. Disposition:

o Transfer!
Transport

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Date: - - - - - - - --Date:

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If "Euthanasia," indicate re,L50n:

o Release

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The date and reason this animal left your custody or changed facility.
Recipient: ._--Fa,citity:

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Death

Geographical Name

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Cause:

...

[J Premature/still birth

o Euthanasia

o life-threatening condition involving pain/suffering or

If "Other Cause," describe briet1y: -------Date: -- - ---- Permit 1\0.

Other
[] other

QI [J Unauthorized release/escape

I'reintroducrion)

Location:
Geographlc Lc";ation

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__

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.Tag number or descnption of other identifying markings

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Marine Mammal Data Sheet (MMDS)
NOAA FORM 89-882
OMB No. 0648-0084; Exp. 6/30/2013
NOTES:
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). The MMPA requires that NMFS 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 addition, the MMPA requires that NMFS be given advance notice 15 days prior to the transfer/transport of any
marine mammal. To ensure compliance with these and related MMPA requirements, NMFS recommends that persons holding marine mammals in
captivity use this Marine Mammal Data Sheet (MMDS) to submit inventory information regarding their captive marine mammals to NMFS. Use of
this form will ensure that the MMPA required information is submitted in a consistent manner and that the NMFS marine mammal inventory is
accurate and up-to-date.
Marine Mammal Data Sheets should be used when submitting information to NMFS in compliance with MMPA requirements applicable to persons
holding marine mammals, including notifications of any additions/changes to your marine mammal inventory due to:
•
•
•
•

Birth, Death, Transfer/Transport
Retention or Transfer of Rehabilitated Beached and Stranded Marine Mammals (Authorization or Permit)
Wild Capture, Import, Reintroduction to the Wild, including release or escape (Permit)
Other (Corrections, etc.)

The animal-specific information in Section II will not change, whereas data in Sections I, III and/or IV will change with transfers/transports (changes
of custody and/or facility/location). In accordance with MMPA requirements, NMFS requests notification of any change in custody or
facility/location, including captive births and deaths. A copy of the Marine Mammal Inventory Report Summary (MMIRS) may be provided
periodically and may be requested at any time by contacting the Permits, Conservation and Education Division at the address listed below.
All permit documentation including reports and inventory information required herein, is subject to the Freedom of Information Act (FOIA) with
personal or sensitive information that is subject to the Privacy Act redacted when released under FOIA.
Marine Mammal Transfer/Transport Notifications
NMFS recommends that:
1. Holders notify NMFS of proposed transfers/transports by completing a Marine Mammal Transfer/Transport Notification (MMTTN) form,
forwarding it to the Receiver for signature and submitting it to NMFS. It is not necessary to submit the MMDS for the animals proposed to
be transferred/transported, but sufficient information must be included on the MMTTN to identify the animal(s).
2. The MMTTN must be received by NMFS at least 15 days prior to the actual transfer/transport date. Should you need to transfer/transport
an animal before the required 15 day notification, please contact NMFS regarding an emergency waiver.
3. NMFS will reply with an acknowledgement letter and MMDS(s) to be updated upon receipt of the animal(s). The transfer/transport should
occur within 60 days after initial submission of the MMTTN. If an extension is necessary, please contact NMFS.
4. At any time within 30 days of the transfer/transport, the Holder should forward to NMFS the updated MMDS for each animal actually
transferred/transported (i.e. Section I and, as necessary, Section III to verify receipt of the animal(s)).
Beached and Stranded Marine Mammals – Retention or Transport
The retention or transport/retention of rehabilitated beached and stranded marine mammals requires a permit or written authorization under the
MMPA. A permit is required to obtain such marine mammals for purposes of scientific research or enhancing the survival or recovery of species or
stocks, or to retain or obtain such marine mammals for public display purposes where such animals have been determined releasable. Where such
marine mammals have been determined non-releasable, NMFS authorization is required to retain or obtain them for public display purposes. Pleas
contact the Permits, Conservation and Education Division at the number or address below for information on submitting such a permit application or
authorization request.
QUESTIONS? If you need assistance completing this form please contact the Permits Division at (301-427-8401) 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
at (301) 713-0376

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.