Vessel Account Registration Request

OMB Control No. 0648-0620; Expires 1/31/2026

VESSEL ACCOUNT
REGISTRATION REQUEST

PACIFIC COAST GROUNDFISH
INDIVIDUAL FISHING QUOTA

UNITED STATES DEPARTMENT OF COMMERCE
National Oceanic and Atmospheric Administration
National Marine Fisheries Service, West Coast Region
Fisheries Permits Office
7600 Sand Point Way NE, Bldg. 1
Seattle, WA 98115-0070
Phone (206) 526-4353 Fax (206) 526-4461
www.westcoast.fisheries.noaa.gov

This form must be completed and submitted to the National Marine Fisheries Service (NMFS) at the address given
above to request a vessel account. To complete the request, any Economic Data Collection surveys due from the
vessel owner must be deemed complete by the NOAA/Northwest Fisheries Science Center and the vessel owner
must submit a complete trawl identification of ownership interest form. A vessel account is effective upon approval
by NMFS. NMFS will mail a user ID and password upon establishing the vessel account.
Please note that any change in vessel ownership requires the new owner to request a separate vessel
account in the name of the new owners. New vessel owners cannot use the prior owner’s vessel account to
cover the vessel’s catch.
1. Limited Entry Permit Number

2. Vessel Name

3. USCG or State Registered Vessel Number

GF
4. Legal Name of Vessel Owner

5. Business Mailing Address

6. Business Phone Number

Street or PO Box
7. Business Fax Number (optional)

City

State

Zip Code

8. Business Email

Please sign below to certify that the above information is true, correct and complete to the best of your knowledge and
return with a complete, trawl identification of ownership interest form.

______________________________________________________________________________________________
Signature of Authorized Representative
Title (If corporate officer)
Date
____________________________________
Printed Name of Authorized Representative
WARNING STATEMENT: A false statement on this form is punishable by permit sanctions (revocation, suspension, or modification) under 15 CFR Part 904, a civil
penalty up to $100,000 under 16 USC 1858, and/or criminal penalties including, but not limited to, fines or imprisonment or both under 18 USC 1001.
PRIVACY ACT STATEMENT: Some of the information collection described above is confidential under section 402(b) of the Magnuson-Stevens Act and under NOAA
Administrative Order 216-100, Protection of Confidential Fisheries Statistics. Business phone number, fax number, and email are not released to the public. The
information collected is part of a Privacy Act System of Records, COMMERCE/NOAA #19, Permits and Registrations for United States Federally Regulated
Fisheries. An amended notice was published in the Federal Register on August 7, 2015 (80 FR 47457) and became effective on September 15, 2015 (80 FR
55327).
PRA STATEMENT: Public reporting burden for this collection of information is estimated to average 0.25 hours per response, including the time for reviewing the
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 suggestions for reducing this burden to NOAA/National Marine Fisheries Service, West Coast Region, Attn: Assistant
Regional Administrator, Sustainable Fisheries Division, 7600 Sand Point Way NE, Seattle, WA 98115. Notwithstanding any other provisions of the law, no person is
required to respond to, nor shall any person be subjected 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.