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pdfOMB No. 0648-0304
Expires 10/31/2018
HIGH SEAS TRANSSHIPMENT DECLARATION FORM
Complete this form to report transshipments that took place on the high seas, in situations where completion of the Pacific Transshipment Declaration
Form is not required. Mail or fax the completed form to the Regional Administrator who issued the vessel’s high seas fishing permit. Address and fax
number is provided on your high seas fishing permit. Forms must be submitted within 15 days of the vessel entering port.
LOCATION OF TRANSSHIPMENT: ________________________________________________________________ (Enter latitude and longitude of position in decimal form, to 0.1 degree)
DATES OF TRANSSHIPMENT: ___________________________________________________________________ (mm/dd/yyyy – mm/dd/yyyy)
Section 1: OFFLOADING VESSEL
Section 2: RECEIVING VESSEL
VESSEL NAME:
VESSEL NAME:
OFFICIAL NUMBER:
OFFICIAL NUMBER:
NAME OF VESSEL OPERATOR:
NAME OF VESSEL OPERATOR:
QUANTITY OF FISH PRODCUT ALREADY ON BOARD THE RECEIVING VESSEL PRIOR TO THIS
TRANSSHIPMENT
Amount: ________________ Unit of Measurement: ___________
Section 4: TRANSSHIPED FISH
WEIGHT. WW: whole weight, GG: gilled & gutted, GX: gutted, headed & tailed, GT: gilled, gutted & tailed, GO: gutted only, not gilled, FL: filleted, LO: loins
GEAR. PS: purse seines, DL drifting longlines, PL: poles and lines, HOVL: hand operated vertical lines (non-squid), DN: driftnets, TL: trolling lines, HP: harpoons, MVL: mechanized vertical lines
(non-squid), OT: other type of gear
QUANTITY TRANSSHIPED
GEOGRAPHIC LOCATION OF FISH CATCHES
FISHING GEAR
FORM OF
Circle One:
USED TO TAKE
ESTIMATED
FR-Fresh
PRODUCT
EEZ (Country
If EEZ, enter
SPECIES
THE FISH (enter
WEIGHT AND
FZ-Frozen
(enter weight
of Capture) or
the country of
NUMBER
Ocean Area
gear code as
UNIT OF
DR-Dried
codes shown
OF FISH
HS (High
capture
MEASUREMENT shown above)
above)
Seas)
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
Section 4: TRANSSHIPED FISH
WEIGHT. WW: whole weight, GG: gilled & gutted, GX: gutted, headed & tailed, GT: gilled, gutted & tailed, GO: gutted only, not gilled, FL: filleted, LO: loins
GEAR. PS: purse seines, DL drifting longlines, PL: poles and lines, HOVL: hand operated vertical lines (non-squid), DN: driftnets, TL: trolling lines, HP: harpoons, MVL: mechanized vertical lines
(non-squid), OT: other type of gear
QUANTITY TRANSSHIPED
GEOGRAPHIC LOCATION OF FISH CATCHES
FISHING GEAR
FORM OF
Circle One:
USED TO TAKE
ESTIMATED
FR-Fresh
PRODUCT
EEZ (Country
If EEZ, enter the
SPECIES
THE FISH (enter
WEIGHT AND
FZ-Frozen
(enter weight
NUMBER
of Capture) or
country of
Ocean Area
gear code as
UNIT OF
DR-Dried
codes shown
OF FISH
HS (High
capture
MEASUREMENT shown above)
above)
Seas)
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
EEZ or HS
Section 5: CREW OR SUPPLIES FROM RECEIVING VESSEL
Were any of the following provided by the receiving vessel to the offloading vessel?
Crew (enter number of persons): _________________ Fuel (enter amount): _____________________ Supplies (enter type): __________________________________________
Section 6: SIGNATURE
I certify that the above information is complete and accurate to the best of my knowledge.
OWNER or OPERATOR NAME (Print): _____________________________________________________ SIGNATURE: _________________________________________________________
Indicate if owner or operator of: G Offloading Vessel G Receiving Vessel
Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time for reviewing 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 suggestions for reducing this burden to Trade and Marine Stewardship Division, NMFS Office of International Affairs and Seafood
Inspection, 1315 East-West Hwy (F/IS), Silver Spring, MD 20910. Information submitted to NMFS will be managed as confidential data consistent with the
requirements of NOAA Administrative Order 216-100 and regulations under 50 CFR Part 300. Notwithstanding any other provisions of the law, no person is
required to respond to, nor shall any person be subjected 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.
HIGH SEAS TRANSSHIPMENT DECLARATION FORM INSTRUCTIONS
Complete this form for any transshipments taking place on the high seas
where the use of the Pacific Transshipment Declaration Form is not
required. Mail or fax the completed form to the Regional Administrator
who issued the vessel’s high seas fishing permit. The address and fax
number can be found on your high seas fishing permit. Forms must be
submitted within 15 days of the vessel entering port.
LOCATION OF TRANSSHIPMENT: Enter the latitude and longitude in decimal
form, to the nearest 0.1 degrees, at the start of the transshipment.
DATE(S) OF TRANSSHIPMENT: Enter the beginning and ending dates for the
transshipment as MM/DD/YYYY to MM/DD/YYYY.
Section 1: OFFLOADING VESSEL
Enter the name of the offloading vessel. Enter the offloading vessel’s official
number, which is the documentation number assigned by the U.S. Coast Guard
(USCG) or the certificate number issued by a state for an undocumented
vessel, or any equivalent number if the vessel is registered in a foreign nation.
Enter the full name of the offloading vessel operator. “Operator” means the
master or other individual aboard and in charge of the vessel.
Section 2: RECEIVING VESSEL
Enter the name of the receiving vessel. Enter the receiving vessel’s official
number, which is the documentation number assigned by the USCG or the
certificate number issued by a state for an undocumented vessel, or any
equivalent number if the vessel is registered in a foreign nation. Enter the full
name of the receiving vessel operator. “Operator” means the master or other
individual aboard and in charge of the vessel.
Enter the estimated quantity of fish product on board the receiving vessel prior
to this transshipment, broken down by the area of capture of the product. Enter
the unit of measurement for the amount (pounds (lb) or metric tons (mt)).
Section 3: TRANSSHIPED FISH
If a given species was in more than one condition (e.g., both fresh and frozen)
or in more than one product form (e.g., some whole and some gutted and
gilled), a separate entry must be made in each instance. If a given species was
caught by different gear types, a separate entry must be made for each gear
type.
For each entry, identify the processed state of the fish (FR for fresh, FZ for
frozen, or DR for dried), the processed state of the product using the weight
codes identified on the form, and the estimated weight of the product
transshipped and the unit of measurement (pounds (lb), metric tons (mt), or
kilograms (kg)). Operators completing Section 7 of the form must use kg as the
unit of measurement. For longline-caught fish, also enter the number of fish
transshipped.
For each species transshipped, enter the fishing gear used to take the fish
using the gear codes identified on the form. If the fishing gear is not included in
the list, enter the code for “Other type(s) of gear” (OT) and specify the fishing
gear.
For each entry, enter ocean area (North or South Atlantic, North or South
Pacific, etc.) in which the product was caught. Circle EEZ if the product was
caught in waters under national jurisdiction (of any nation). Circle HS if the
product was caught on the high seas (in international waters). If EEZ is circled,
specify the name of the country in whose waters the fish were captured.
Additional forms should be used to accommodate additional species and
multiple entries of the same species.
Section 4: CREW OR SUPPLIES FROM RECEIVING VESSEL
Enter information on any crew, fuel, or supplies provided to the offloading
vessel.
Section 5: SIGNATURE
The owner or operator of the vessel must print his or her name, sign it, and give
the date of signature.
Check one box to indicate whether you are the owner or operator of the
OFFLOADING vessel or the owner or operator of the RECEIVING vessel.
File Type | application/pdf |
Author | rroberts |
File Modified | 2018-10-23 |
File Created | 2015-03-25 |