Application to Consolidate Gulf of Mexico Reef Fish Perm

OMB No. 0648-0205 Form Approval Expires: 01/31/2024

U.S. Department of Commerce, NOAA
NMFS PERMITS OFFICE, F/SER14
263 13th Avenue South
St. Petersburg, FL 33701
Toll Free 877-376-4877 (9:00 a.m. - 4:00 p.m. ET)
727-824-5326 (9:00 a.m. - 4:00 p.m. ET)
https://www.fisheries.noaa.gov/permits-and-forms

APPLICATION TO CONSOLIDATE GULF
OF MEXICO REEF FISH PERMITS

FOR OFFICE USE ONLY
Reviewer’s Initials and Date

FOR OFFICE USE ONLY
Application ID

To consolidate two Gulf of Mexico Reef Fish Permits into one:
1) Enter the permit number of the permit you will retain as Permit 1, e.g. RR-311.
2) Enter the permit number of the permit you will not retain as Permit 2., e.g. RR-420.
3) Sign the form. Note: The owner(s) of both permits must be exactly the same, and all owners must sign this form.
4) Mail or deliver the signed form AND the original permits to be consolidated to the NMFS Permit Office.
To consolidate more than one Gulf of Mexico Reef Fish Permit - complete, sign, and submit this form for each individual permit to be
consolidated.

SECTION 1 - PERMIT DESIGNATION
Permit 1 - the permit you want to keep

Permit 2 - the permit you want to consolidate

SECTION 2 - SIGNATURE - REQUIRED
The undersigned hereby acknowledges that by consolidating Permit 2 into Permit 1, all landings associated with Permit 2 will be
associated with Permit 1 from this point forward. This action cannot be undone - Permit 2 may never be restored.
The undersigned also certifies under penalty of perjury that the foregoing information is true and correct (28 USC 1746; 18 USC 1621;
18 USC 1001, 16 USC 1857).
If the permit holder is a company, an officer or share holder authorized to represent the permit holder, he/she must sign the form, and
indicate their position in the company.
Applicant Signature(s)

Date

Print Name
Position(s) in Company

KNOWINGLY SUPPLYING FALSE INFORMATION OR WILLFULLY OVERVALUING ANY FISHING INCOME TO OBTAIN A PERMIT IS A
VIOLATION OF FEDERAL LAW PUNISHABLE BY A FINE AND/OR IMPRISONMENT.

1

RRC2020.1P; Last Form Revision: 05/11/2020

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 0648-0205. Without this approval, we could not conduct this survey or
information collection. Public reporting for this information collection is estimated to be approximately 5
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 required to obtain benefits. Send comments regarding
this burden estimate or any other aspect of this information collection, including suggestions for
reducing this burden to the: PRA Officer, National Marine Fisheries Service, F/SER26, 263 13th Avenue
South, St. Petersburg, FL 33701.
Privacy Act Statement - Authority: The collection of this information is authorized under the MagnusonStevens Fishery Conservation and Management Act (16 U.S.C 1801 et seq.), the High Seas Fishing
Compliance Act, the Tuna Conventions Act of 1950, the Antarctic Marine Living Resources Convention
Act, the Western and Central Pacific Fisheries Convention Implementation Act (16 U.S.C. 6901 et seq.),
the Marine Mammal Protection Act, the Endangered Species Act and the Fur Seal 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 National Marine Fisheries Service (NMFS) requires the
use of permits or registrations by participants in the United States. Information on NMFS 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, as part
of Fishery Management Council (FMC) analysis to support FMC decisions.
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.