Pacific Coast Groundfish Limited Entry Permit Renewal

OMB Control No.0648-0203
Expiration Date. 06/30/2013

PERMIT RENEWAL FORM
PACIFIC COAST GROUNDFISH
Limited Entry Permit

UNITED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Administration
National Marine Fisheries Service
Northwest Region , Fisheries Permits Office
7600 Sand Point Way NE, Bldg. 1
Seattle, WA 98115-0070
Phone (206) 526-4353
www.nwr.noaa.gov

Fax (206) 526-4461

Please make any changes as appropriate to the addresses, phone and fax number, and email
address listed in Sections A and B below, and complete the small business certification section.
Please sign, date and return the form with payment. Any changes in the vessel registered to the
permit, or a change of a permit or vessel owner will require submission of a permit transfer form.

Permit Information
Permit Number: GF0
Permit Number: GF0
Vessel Name

USCG or State Registered Vessel Number

Endorsements (Gear, Size, Sector)
Gear:

Size Endorsement:

Sector:

SECTION A – Permit Owner Information
1. Permit Owner’s name(s)

2. Business Mailing Address
Street or PO Box Number

City

3. Business Phone

State

Zip Code

4. Business Fax (optional)

5. Business Email (optional)

SECTION B – Vessel Owner Information
1. Vessel Owner name(s)

2. Business Mailing Address
Street or PO Box Number

City

3. Business Phone

State

Zip Code

4. Business Fax (optional)

5. Business Email (optional)

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SECTION C – Small Business Certification to be Completed by Permit Owner
As part of various rulemakings related to the Pacific Coast groundfish fishery, the National Marine Fisheries
Service (NMFS) is required to analyze the effect of such regulations. To assist with these Regulatory Impact
Reviews (RIR)/Initial Regulatory Flexibility Analysis (IRFA), NMFS must determine if permit and license
owners participating in the fishery are big businesses or small businesses as defined by the Small Business
Administration.
Small businesses. The Small Business Administration has established size criteria for all major
industry sectors in the US, including fish harvesting and fish processing businesses.
•
A business involved in fish harvesting is a small business if it is independently owned and
operated and not dominant in its field of operation (including its affiliates) and if it has combined
annual receipts not in excess of $4.0 million for all its affiliated operations worldwide.
•
A seafood processor is a small business if it is independently owned and operated, not dominant in
its field of operation, and employs 500 or fewer persons on a full time, part time, temporary, or other
basis, at all its affiliated operations worldwide.
•
A business involved in both the harvesting and processing of seafood products is a small
business if it meets the $4.0 million criterion for fish harvesting operations.
•
A wholesale business servicing the fishing industry is a small business if it employs 100 or fewer
persons on a full time, part time, temporary, or other basis, at all its affiliated operations worldwide.
•
For marinas and charter/party boats, a small business is one with annual receipts not in excess of
$7.0 million.
Small organizations. The Regulatory Flexibility Act defines small organizations as any nonprofit
enterprise that is independently owned and operated and is not dominant in its field.
Small governmental jurisdictions. The Regulatory Flexibility Act defines small governmental
jurisdictions as governments of cities, counties, towns, townships, villages, school districts, or
special districts with populations of less than 50,000.
Is the permit owner a small business, small organization, or small governmental jurisdiction according to the
standards outlined above? Please check one box.

 YES

 NO

SECTION D – Certification
Under penalty of perjury, I hereby declare that I, the undersigned is authorized to sign this form on behalf of
the permit owner(s), and I certify that the information contained herein is true, correct and complete to the best
of my knowledge and belief.
Signature of Permit Owner/Authorized Representative
Date

Print Name of Signee

Title (if corporate officer)

Please return this form with a check or money order for $XXXX made payable to U.S. Department of
Commerce, NOAA. Mail to: NOAA/NMFS/Northwest Region, Sustainable Fisheries Division, 7600 Sand
Point Way NE, Bldg. #1 Seattle, WA 98115-0070.
WARNING STATEMENT: A false statement on this form is punishable by permit sanctions (revocation, suspension, or
modification) under 15 CFR Part 904, a civil penalty up to $100,000 under 16 USC 1858, and as a federal crime under 18 USC
1001
PRIVACY ACT STATEMENT: Some of the information collection described above is confidential under section 402(b) of the
Magnuson-Stevens Act. It is also confidential under NOAA Administrative Order 216-100, Protection of Confidential Fisheries

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Statistics. The permit owner and vessel owner business phone number, fax number and email information are not released to
the public.
The information collected is part of a Privacy Act System of Records, COMMERCE/NOAA #19, Permits and Registrations for
United States Federally Regulated Fisheries. A notice was published in the Federal Register on April 17, 2008 (73 FR 20914)
and became effective on June 11, 2008 (73 FR 33065).
PRA STATEMENT: Public reporting burden for this collection of information is estimated to average 0.33 hours per response,
including the time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed,
and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing the burden, to NOAA/National Marine Fisheries
Service, Northwest Region, Attn: Assistant Regional Administrator, Sustainable Fisheries Division, 7600 Sand Point Way NE,
Seattle, WA 98115.

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