2017_12_07_PI_Fedfish_Supplemental

Pacific Islands Region Permit Family of Forms

2017_12_07_PI_Fedfish_Supplemental

OMB: 0648-0490

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OMB Control No: 0648-0490
Expires: 01/31/2018

Pacific Islands Federal Fisheries Permit Application

SUPPLEMENTAL INFORMATION FOR:
** MAIN HAWAIIAN ISLANDS LONGLINE FISHING PROHIBITED AREA EXEMPTION**
ELIGIBLE VESSEL: ______________________________________ OFFICIAL NUMBER: ____________________
Basis for Exemption Eligibility (ALL items must be checked and supporting documents attached to be eligible):
___ Applicant currently holds a Hawaii longline limited entry permit
___ Applicant was the owner or operator of a vessel that made landings of pelagic management unit species taken on longline gear
prior to 1970 from waters now closed to longline fishing.
___ Applicant was the owner or operator of a vessel that made landings of pelagic management unit species taken on longline gear in
at least five (5) years since (and including) 1970 from waters now closed to longline fishing.
___ Applicant was the owner or operator of a vessel that made at least 80 percent of its landings of longline-caught pelagic
management unit species in any calendar year in waters now closed to longline fishing.
Legible copies of supporting document(s) for exemption eligibility attached (check all applicable):
___ State of Hawaii Catch Reports ___ Vessel fishing logs ___ Auction receipts
___ Signed affidavits (original) ___ Other (specify): ____________________________________________
SIGNATURE OF APPLICANT:____________________________________________________ DATE: __________________________
PRIVACY ACT STATEMENT
Authority: The collection of this information is authorized under the Magnuson-Stevens Fishery Conservation and Management Act, 16 U.S.C 1801 et seq., the
Western and Central Pacific Fisheries Convention Implementation Act (WCPFCIA; 16 U.S.C. 6901 et seq), the Marine Mammal Protection Act, and the Endangered
Species Act. The authority for the mandatory collection of the Tax Identification Number (TIN) is 31 U.S.C. 7701.
Purpose: In order to manage U.S. fisheries, the NOAA National Marine Fisheries Service (NMFS) requires the use of permits or registrations by participants in the
United States. Information on NOAA Fisheries permit applicants and renewing holders includes vessel owner contact information, date of birth, TIN and vessel
descriptive information. Permit holder information may be used as sampling frames for surveys.
Routine Uses: The Department will use this information to determine permit eligibility and to identify fishery participants. Disclosure of this information is permitted
under the Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS offices, in order to coordinate monitoring and management of sustainability of
fisheries and protected resources, as well as with the applicable State or Regional Marine Fisheries Commissions and International Organizations. Disclosure of this
information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice COMMERCE/NOAA-19, Permits and
Registrations for the United States Federally Regulated Fisheries.
Disclosure: Furnishing this information is voluntary; however, failure to provide complete and accurate information will prevent the determination of eligibility for a
permit.
PAPERWORK REDUCTION ACT INFORMATION
Public reporting burden for this collection is estimated as follows: 2 hours for main Hawaiian Islands longline fishing prohibited area exemption and 2 hours for all
permit denial appeals. Each burden includes 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 aspects of this collection of information, including
suggestions for reducing this burden, to NMFS Pacific Islands Regional Administrator, 1845 Wasp Blvd., Bldg. 176, Honolulu, HI 96818.
This information is being collected to ensure accurate and timely records about the persons licensed to participate in fisheries under Federal regulations in the
Western Pacific Region. This will enable NOAA Fisheries and the Western Pacific Fishery Management Council to (a) determine who would be affected by changes
in management; (b) inform license holders of changes in fishery regulations; and (c) determine whether the objectives of the fishery program are being achieved by
monitoring entry and exit patterns and other aspects of the fisheries. The information is used in analyzing and evaluating the potential impacts of regulatory changes
on persons in the regulated fisheries as well as in related fisheries. Responses to the collection are required to obtain the benefit of a permit for the fishery involved
(ref. 50 CFR 665.13). Data provided concerning the vessel and/or business of the respondents are handled as confidential under the Magnuson-Stevens Fishery
Conservation and Management Act (Sec. 402(b)). 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.
Revised 12/4/17


File Typeapplication/pdf
File TitleFEDERAL FISHERIES PERMIT APPLICATION FORM
AuthorWalterI
File Modified2017-12-07
File Created2017-12-06

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