VMS Installation and Activation Certification Form

OMB Control No. 0648-0016

Approval Expires 11-30-2022

Vessel Monitoring System (VMS) Installation and Activation Certification

For Federally Permitted Charter/Headboat Vessels in the

Reef Fish and Coastal Migratory Pelagic Fisheries

of the Gulf of Mexico

PROVIDE ALL REQUESTED INFORMATION AND SUBMIT THE COMPLETED FORM

TO NMFS AS INSTRUCTED BELOW

Fishing Vessel (F/V) Name:

Vessel state registration number or U.S. Coast Guard documentation number:

Installing marine electrician or dealer (name, address, and telephone number):

Date of Installation (mm/dd/yyyy):

Electronic Mobile Transceiver Unit (EMTU (satellite) or EMTU-C (cellular))

Manufacturer name:

Model:

Manufacturer Serial Number (S/N):

Communication network serial number (ISN):

Mobile Communications Service Provider (MCSP)

Communications provider name:
Communications ID number assigned by service provider:

Did the manufacturer or vendor provide EMTU or EMTU-C operating instructions? Yes  No 

Did the manufacturer or vendor provide training on the use of the EMTU or EMTU-C? Yes  No 

Once the unit was installed, did the electrician or dealer, or the vessel owner or operator verify with NOAA OLE VMS Program personnel that position data was being received? Yes  No 

In accordance with 50 CFR 622.26(b)(1)(ii)(E), 622.28(f), and 50 CFR 374(b)(5)(iv)(E), as the owner or operator of a vessel participating in the Gulf of Mexico reef fish and coastal migratory pelagic fishery, I hereby certify that the VMS unit on my vessel has been installed and the communication services activated, and receipt of position data has been verified by NOAA Office of Law Enforcement (OLE) VMS Program personnel, in compliance with the applicable procedures of this installation and activation form.

Vessel owner name:

Vessel owner signature: Date:

Vessel operator name:
Vessel operator signature: Date:

Submit this completed certification by mail to the NOAA/NMFS, Permit Office, 263 13th Avenue South, St. Petersburg, FL 33701, or by email to: [email protected].

Public Burden Statement - A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0648-0770. Without this approval, we could not conduct this survey or information collection. Public reporting for this information collection is estimated to be approximately 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are mandatory to obtain benefits. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to NMFS, 263 13th Avenue South, St. Petersburg, FL 33701, Attn: PRA Officer.

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.). Purpose: In order to manage U.S. fisheries, the National Marine Fisheries Service (NMFS) requires the use of registrations by participants in the United States. Information on NMFS forms can include vessel owner contact information and vessel descriptive information. Permit holder information may be used as sampling frames for surveys, as part of fishery management council analysis to support its decisions. Routine Uses: The Commerce Department will use the requested information to ensure proper operation of the VMS unit 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, 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 mandatory. Failure to provide complete and accurate information will prevent the determination of eligibility.