Pacific Highly Migratory Species Vessel Permit Renewal A

Expiration Date EXP_DATE
UNITED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Administration
NATIONAL MARINE FISHERIES SERVICE
West Coast Region Permits Office
501 West Ocean Blvd., Suite 4200
Long Beach, CA 90802
[email protected]

OMB#: 0648-0204
APPROVAL EXPIRES: 01/31/2020

PERMIT APPLICATION FEE: $19

Pacific Highly Migratory Species
Vessel Permit Renewal Application
Please write-in any changes or corrections

VESSEL INFORMATION
USCG Documentation or State Registration Number
Vessel_id
Vessel Name VESSEL_NAME
Home Port and State HOME_PORT
Hail Port and State HAIL_PORT
IRCS
Radio Call Sign
VMS VMS
Registered Length (Ft.) LENGTH
Registered Breadth (Ft.) BREADTH Registered Depth (Ft.) DEPTH
Gross Tons GROSS_TONS
Net Tons NET_TONS
CFPV Passenger Cap. CPFV
HOLD_CAPACITY
Hold Capacity (Short tons, 1 ST= 2,000 lbs.)
Refrigeration Type REFRIGERATION
Propulsion Type PROPULSION Horsepower HORSEPOWER
Hull Material HULL_MATERIAL
Year Built YEAR_BUILT
Location Built LOCATION_BUILT
Crew Size CREW
Previous Vessel Name/Flag/Effective Dates

Gear Type Authorized by the HMS Permit (Addition of gear types i subject to further authorization)
GEAR_TYPES

VESSEL OWNERSHIP INFORMATION
Permit Holder and/or Company Name PERMIT_HOLDER
Mailing Address ADDRESS
Telephone (Bus) TELEPHONE_BUS
Telephone (Ind) TELEPHONE_IND
Mobile MOBILE
Email Address EMAIL
Fax FAX
Additional Information or changes (write-in). Include birthdates for new individuals.

SIGNATURE
I certify that the above information is complete, true, and correct to the best of my knowledge and belief.
Name (Print legibly)

Signature

Date

___________________________________

_________________________________

____________

Permit application fee: $19.00 payable to “US Department of Commerce – NOAA”
Mail to: Permits Office, 501 W Ocean Blvd. Suite 4200, Long Beach, CA 90802

Instructions - To make changes, cross out the existing information and write-in necessary changes.
Verify that vessel information is 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, vessel tonnage certificate, or marine
survey. To make changes, cross out the existing information and write-in necessary changes. Sign and date this
renewal form to verify that all information is complete, true, and correct to the best of your knowledge and
belief.
New vessels must complete a NEW Highly Migratory Species permit application form.
Online Renewals: To renew online, visit http://fisheriespermits.noaa.gov. Instructions can be found at:
http://www.westcoast.fisheries.noaa.gov/fisheries/migratory_species/pacific_hms_pemits.html
PAC # PAC
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), 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); and dorado or dolphinfish (Coryphaena hippurus).
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).
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.,
Suite 4200, Long Beach, CA 90802-4213.