License Application Form

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OMB Control Number: 0648-0218
Expires: 11/30/2026
Information Collection Under the South Pacific Tuna Act
This collection of information is required under regulations at 50 CFR 300, Subpart D. These regulations are issued
under authority of the South Pacific Tuna Act of 1988 (SPTA), which implements the Treaty on Fisheries Between
the Governments of Certain Pacific Island States and the Government of the United States of America (Treaty).
Under these regulations, operators of U.S. purse seine vessels seeking licenses under the Treaty are required to
submit completed license application forms (and optionally, expressions of interest in such licenses) and FFA Vessel
Register applications/VMS registration forms (50 CFR 300.32). Operators of U.S. purse seine vessels licensed under
the Treaty are required to submit completed catch report forms and unloading logsheets (50 CFR 300.34).
Public reporting burden for this collection of information is estimated to average: (a) for the optional expressions of
interest in vessel licenses, 15 minutes per response for license renewals and 120 minutes per response for initial
licenses (with one optional response per year); (b) for the license application forms, 60 minutes per response (with
one response per year); (c) for the FFA Regional Register applications/VMS registration forms, 45 minutes per
response (with 1 response per year); (d) for the catch report forms, 60 minutes per response (with 7 responses per
year); and (e) for the unloading logsheet, 30 minutes per response (with 8 responses per year). These estimates
include 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 suggestions for reducing this burden to: Regional Administrator, NMFS, Pacific Islands Regional Office, 1845
Wasp Blvd., Bldg 176, Honolulu, Hawaii 96818
This information is collected by NMFS and transmitted to the Pacific Islands Forum Fisheries Agency (FFA)
pursuant to the Treaty and the SPTA. Confidentiality of the information collected in the catch report forms and the
unloading logsheets is maintained by NMFS pursuant to section 973j of the SPTA, and is treated in accordance with
NOAA Administrative Order 216-100, Protection of Confidential Fisheries Statistics. However, NOAA and NMFS
have no direct control over the confidentiality policies and practices of the FFA, so once the information is
transmitted to the FFA, NMFS and NOAA cannot provide any assurance of confidentiality.
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.
This collection of information has been approved by the Office of Management and Budget (OMB) under control
number 0648-0218.
Privacy Act Statement
Authority: The collection of this information is authorized under the Western and Central Pacific Fisheries
Convention Implementation Act (WCPFCIA; 16 U.S.C. 6901 et seq) and the South Pacific Tuna Act of 1988 (16
U.S.C. 973g and 973j).
Purpose: In order to fulfill obligations under the South Pacific Tuna Act of 1988, the NOAA National Marine
Fisheries Service (NMFS) requires the submission of an unloading logsheet by U.S. purse seine vessel owners and
operators operating in the Western and Central Pacific Ocean.
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, NOAA-6, Fishermen’s Statistical Data.
Disclosure: Furnishing this information is mandatory under 50 CFR 300.34.

SCHEDULE 1
TREATY ON FISHERIES BETWEEN THE
GOVERNMENTS OF CERTAIN PACIFIC ISLAND
STATES AND THE GOVERNMENT OF THE
UNITED STATES OF AMERICA
LICENSE APPLICATION FORM
Application is hereby made for a license authorizing the use of the vessel named in this application for fishing in
the Licensing Area.
1.

FULL NAME OF VESSEL:________________________________________________________________

2.

RADIO CALL SIGN OF VESSEL:__________________________________________________________

3.

REGIONAL REGISTER NUMBER OF VESSEL:______________________________________________
(If none, fill in and attach the FFA Regional Register form)

4.

FULL NAME AND ADDRESS OF EACH PERSON WHO IS AN OPERATOR OF THE VESSEL AND
STATE WHETHER OWNER, CHARTERER, MASTER OR OTHER. IF OTHER, SPECIFY DETAILS:
______________________________________________________________________________________
______________________________________________________________________________________

5.

FULL NAME AND ADDRESS OF INSURER FOR PURPOSES OF ARTICLE 4.3(a) OF THE TREATY:
______________________________________________________________________________________
______________________________________________________________________________________

6.

REGISTRATION NUMBER AND MAKE OF HELICOPTER, IF ANY, TO BE CARRIED ON VESSEL:
______________________________________________________________________________________

7.

REGISTRATION NUMBER, MAKE AND NAME AND ADDRESS OF OPERATOR OF ANY AIRCRAFT
TO BE USED IN ASSOCIATION WITH FISHING ACTIVITIES:
______________________________________________________________________________________
______________________________________________________________________________________

8.

STATE WHETHER OWNER OR CHARTERER IS INSOLVENT OR IN ANY BANKRUPTCY
PROCEEDING UNDER THE BANKRUPTCY LAW OF THE UNITED STATES:
______________________________________________________________________________________

9.

STATE WHETHER OPERATOR OF VESSEL HAS BEEN INVOLVED IN A VIOLATION OF THE
TREATY. IF YES, SPECIFY DETAILS:
______________________________________________________________________________________
______________________________________________________________________________________
For NOAA Office Use Only:

________________________
Date of Application

______________________________________
Administrator of the Pacific Islands Region
NOAA - National Marine Fisheries Service