VMS check-in report

OMB Control No. 0648-0445
Expiration Date: October 31, 2006

Please fax this completed form to:
NOAA Fisheries Service
Office for Law Enforcement
VMS Fax number: 907-586-7703

VMS Fax
Note: Please register your VMS unit
with an approved service provider prior to using this fax.

Date: ____________________
Vessel Name: _____________________________________
Coast Guard Doc. #: ________________________________
Federal Fisheries Permit #: ___________________________
OR
Federal Crab Vessel Permit #: ________________________
Contact Person: ____________________________________
Contact Telephone: _________________________________
Thrane & Thrane Inmarsat IMN: _______________________
OR
Orbcomm Skymate Serial #: __________________________

PUBLIC REPORTING BURDEN STATEMENT Public reporting burden for this
collection of information is estimated to average 0.2 hours per response, including the 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 aspect of this collection of information, including suggestions for reducing the burden, to Sue
Salveson, Assistant Regional Administrator, Sustainable Fisheries Division, Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802
(Attn: Lori Durall).
ADDITIONAL INFORMATION Before completing this form please note the
following: 1) NMFS cannot conduct or sponsor this information request, and you are not required to respond to this information request,
unless the form displays a currently valid OMB control number; 2) This information is mandatory and is required to manage the VMS data
collection program for groundfish under 50 CFR part 679 and CR crab fisheries under 50 CFR part 680, and under section 402(a) of the
Magnuson-Stevens Act (16 U.S.C. 1801 et seq.) and 16 U.S.C. 1862(j) ; 3) Federal law and regulations require and authorize NMFS to
manage commercial fishing effort; 4) Responses to this information request are not confidential.