Pacific Highly Migratory Species Vessel Permit Applicati

West Coast Region Permit Family of Forms

Pacific Highly Migratory Species Vessel Permit Application

OMB: 0648-0204

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U.S. DEPARTMENT OF COMMERCE
NATIONAL ATMOSPHERIC AND OCEANIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE (NMFS)
PERMITS OFFICE
501 W. OCEAN BLVD., SUITE 4200
LONG BEACH, CA 90802
[email protected]

OMB 0648-0204
EXP XX/XX/20XX

PERMIT APPLICATION FEE: $26

PACIFIC HIGHLY MIGRATORY SPECIES VESSEL PERMIT APPLICATION
Please apply online directly at http://fisheriespermits.noaa.gov

SECTION A- VESSEL INFORMATIO N If submitting paper application, please print legibly or type.
US COAST GUARD DOC OR STATE REG. NUMBER

VESSEL NAME

HOME PORT AND STATE

HAIL PORT AND STATE

RADIO CALL SIGN

DOES THIS VESSEL HAVE A VESSEL MONITORING SYSTEM (VMS)?

YES

NO

REGISTERED LENGTH (FT)

REGISTERED BREADTH
(FT)

HOLD CAPACITY (SHORT TONS; 1 ST =
2000 LBS)

REFRIGERATION TYPE

PROPULSION TYPE

HORSEPOWER

GAS

DIESEL

ICE

(REQUIRED FOR VESSELS GREATER THAN 24M AND/OR VESSELS FISHING OUTSIDE 200NM)
REGISTERED DEPTH (FT)

BRINE

SPRAY BRINE

GROSS TONS

BLOWER/BLAST

HULL MATERIAL

NET TONS

OTHER

________________

CREW SIZE

OTHER

YEAR BUILT

LOCATION BUILT (CITY,STATE)

PREVIOUS VESSEL NAMES, VESSEL FLAGS, EFFECTIVE DATES

SECTION B- GEAR TYPE TO BE AUTHORIZED BY THIS PERMIT
RECREATIONAL CHARTER VESSEL

PASSENGER CAPACTY: ____________

COMMERCIAL: SELECT THE GEAR TYPES THE VESSEL WILL BE USING (Some gear types have additional requirements)
TROLL / JIG

BAIT BOAT

HARPOON

DRIFT GILLNET

SECTION C- VESSEL OWNERSHIP INFORMATION
PERMIT HOLDER / BUSINESS NAME

DEEP-SET
LONGLINE

SSN/EIN

PURSE SEINE

DEEP-SET
BUOY GEAR

DATE CORPORATION FILED

BUSINESS ADDRESS, CITY, STATE, ZIP CODE
TELEPHONE

FAX

CELL PHONE

EMAIL

MANAGING OWNER LAST NAME

FIRST NAME

MIDDLE

SUFFIX

DATE OF BIRTH (MONTH/DAY/YEAR)

SECOND OWNER LAST NAME

FIRST NAME

MIDDLE

SUFFIX

DATE OF BIRTH (MONTH/DAY/YEAR)

THRID OWNER LAST NAME

FIRST NAME

MIDDLE

SUFFIX

DATE OF BIRTH (MONTH/DAY/YEAR)

SECTION D- ELIGIBITY

IS EACH HOLDER OF THIS PERMIT A U.S. CITIZEN (INCLUDING ALL MEMBERS OF AN ASSOCIATION OR JOINT VENTURE)?
YES

NO

SECTION E- SIGNATURE

I CERTIFY THAT THE ABOVE INFORMATION IS COMPLETE, TRUE, AND CORRECT TO THE BEST OF MY KNOWLEDGE.
SIGNATURE _______________________________________ NAME (PRINTED) _________________________________ DATE ____________

Permit Application Processing Fee: $26.00 via debit or credit card
-To expedite application process, online applications and payment are now preferredRegister and apply at http://fisheriespermits.noaa.gov
If you wish to submit a check or money order for $26.00,
Mail to: Permits Office, 501 W Ocean Blvd., Suite 4200, Long Beach, CA 90802
Payable to: “US Department of Commerce – NOAA”
Please write your vessel name and Coast Guard/State Registration number in the memo section of your check.
Cash is not accepted.

INSTRUCTIONS

Important- This information is being collected by the National Marine Fisheries Service (NMFS) 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 (HMS), consistent
with the requirements of the Fishery Management Plan for U.S. West Coast Fisheries for Highly Migratory Species. This collection of information
concerning U.S. fishing vessels harvesting tuna in the eastern Pacific Ocean (EPO) is also necessary for the U.S. to comply with its
obligations as a member of the Inter-American Tropical Tuna Commission (IATTC).
This permit is required for commercial fishing vessels and recreational charter vessels that harvest any of the species that are included in the
HMS Fisheries Management Plan. They are: striped marlin (Tetrapturus audax), swordfish (Xiphias gladius), common tresher shark (Alopias
vulpinus), shortfin mako or bonito shark (Isurus oxyrinchus), blue shark (Prionace glauca), north Pacific albacore (Thunnus alalunga), yellowfin
tuna (Thunnaus albacares), bigeye tuna (Thunnus obess), skipjack tuna (Katsuwonus pelamis), northern Bluefin tuna (Thunnus orientalis),
and dorado or dolphinfish (Coryphaena hippurus). Other: dorado, mahi mahi or dolhpinfish (Coryphaena hippurus).
Section A- VESSEL INFORMATION: Enter vessel information as it appears on the Coast Guard documentation, or if the vessel is not
documented, as it appears on the state registration, vessel tonnage certificate, and/or marine survey. Provide all other information required to
the best of your ability.
Home Port: City and state where the vessel is customarily kept, not necessarily the home port list on the certificate of documentation.
Radio Call Sign – Leave blank if your vessel does not have one.
Operational Vessel Monitoring System (VMS) – Global positioning system using satellites to track vessel movements, required for vessels
fishing in the high seas (outside 200 nm) and commercial vessels greater than 24 m (78.74 ft.). Contact the permits office at [email protected] for more information.
Section B- GEAR ENDORSEMENTS: For commercial fishing vessels, mark only gears that the vessel will use to harvest HMS. Some gear
types are subject to additional requirements prior to authorization. It is not necessary to list any gear for recreational charter or commercial
passenger fishing vessels (CPFV).
Section C- VESSEL OWNERSHIP: Enter the owner's Social Security Number, if individual, or Tax Identification Number, if business. The
owner’s date of birth will be used as an additional identifier and to establish the two-year renewal date for the permit. Contact information
for all vessel owners is required.
Section D- ELIGILIBITY: The following vessel owners are eligible to hold a Pacific HMS permit:
(1) An individual who is a citizen of the United States.
(2) An association, trust, joint venture, or other entity if—(A) each of its members is a citizen of the United States; and (B) it is capable
of holding title to a vessel under the laws of the United States or a State.
(3) A partnership if—(A) each general partner is a citizen of the United States; and (B) the controlling interest in the partnership is
owned by citizens or the United States.
(4) A corporation if—(A) it is incorporated under the laws of the United States or a State; (B) its chief executive officer, by whatever
title, and the chairman of its board of directors are citizens of the United States; and (C) no more of its directors are noncitizens
than a minority of the number necessary to constitute a quorum.
(5) The United States Government.
(6) The government of a State.
SECTION C- SIGNATURE: The authorized agent must sign and date the application. By signing and dating the application, the authorized
agent certifies that all information set forth in the application is true, correct, and complete to the best of the applicant's knowledge and belief.
The application will not be considered without the authorized agent’s signature.
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 - 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 0648-0204.
Without this approval, we could not conduct this information collection. Public reporting for this information collection is estimated to be approximately
20 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. Some of the information collection described above is confidential under section 402(b) of the
Magnuson-Stevens Act. It is also confidential under NOAA Administrative Order 216-100, Protection of Confidential Fisheries Statistics. Phone
number, fax and email information and TIN are not released to the public. All responses to this information collection are mandatory/required to obtain
benefits pursuant to 50 CFR 660. Send comments regarding this burden estimate or any other aspect of this information collection, including
suggestions for reducing this burden to the National Marine Fisheries Service at: 501 W. Ocean Blvd., Suite 4200, Long Beach, CA 90802, Attn:
Permits Office, [email protected].
For more information, please visit https://www.fisheries.noaa.gov/permit/pacific-highly-migratory-species-permits
Regulations and Compliance Guide available at https://media.fisheries.noaa.gov/dam-migration/wcr-hms-fmp-complianceguide2019.pdf


File Typeapplication/pdf
File TitlePacific Highly Migratory Species Vessel Permit Applicati
AuthorShannon Penna
File Modified2022-08-26
File Created2019-11-01

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