U.S. Purse Seine Discard From

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EXPIRES__________________________

FOR OFFICE USE ONLY
FORM UNIQUE IDENTIFIER: [WIN + DATE] ____________________________________________________________________________________________

U.S. PURSE SEINE DISCARD FORM
Section 1: Vessel Information
Vessel Name:

International Radio Call Sign:

License Number (WCPFC Area Endorsement Number):
Section 2: Personnel Information
Name of Vessel Operator:

Nationality of Vessel Operator:

Name of Observer on Board:
Section 3: Discard Information
Date and Time of Discard in MM/DD/YYYY/HOUR Format:
Location of Discard (Latitude and Longitude Coordinates to the Nearest Minute of Arc):
Date and Time of Set in MM/DD/YYYY/HOUR Format:
Location of the Set (Latitude and Longitude Coordinates to the Nearest 0 Minute of Arc):
Type of Set (Check One): Unassociated □
Drifting Raft, FAD or Payao □

Feeding on Baitfish □

Anchored Raft, FAD or Payao □

Drifting Log, Debris or Dead Animal □
Live Whale □

Live Whale Shark □

Other □
Reason for Discard (Check All that Apply):
Fish Unfit for Human Consumption □

Insufficient Well Space □

Serious Equipment Malfunction □

Amount of Discarded Fish, by Species (in metric tons):
Skipjack tuna

Yellowfin tuna

Bigeye tuna

Amount of Retained Fish from the Set, by Species (in metric tons):
Skipjack tuna

Yellowfin tuna

Section 4: Optional Additional Information

Bigeye tuna

Instructions for U.S. Purse Seine Discard Form: This form must be completed by operators of
fishing vessels of the United States equipped with purse seine gear that discard bigeye tuna, yellowfin tuna, or skipjack
tuna caught in the Western and Central Pacific Fisheries Convention Area. One form must be completed for each set from
which any fish are discarded. The form must be completed and submitted to the Executive Director of the Western and
Central Pacific Fisheries Commission (WCPFC) within 48 hours of each discard at the following address: E-Mail
(Donald.David@wcpfc.int) or Fax (+691 320-1108).
A copy of the form must be submitted to the NMFS American Samoa Field Station within 48 hours of each such discard at
the following address: E-Mail (Gordon.Yamasaki@noaa.gov and Elia.Henry@noaa.gov) or Fax (684-633-1400).
Section 1: Vessel Information
Enter the current name of the vessel.
Enter the vessel’s International Radio Call Sign, which is the unique radio station identifier assigned to the vessel by the
Federal Communications Commission.
Enter the WCPFC Area Endorsement number of the vessel (issued by NMFS under 50 CFR 300.212). Enter “none” if
none.
Section 2: Personnel Information
Enter the name of the vessel operator (the master or other individual aboard and in charge of the vessel).
Enter the nationality of the vessel operator.
Enter the name of the observer on board. Enter “none” if none.
Section 3: Discard Information
Enter the date and time of the discard in MM/DD/YYYY/HOUR format. The time should be entered using a 24 hour clock
(e.g., 2:16 pm would be 14:16) in Coordinated Universal Time (UTC).
Enter the location of the discard (latitude and longitude coordinates to the nearest minute of arc).
Enter the date and start time for the set from which the fish is discarded in MM/DD/YYYY/HOUR format. The time should
be entered using a 24 hour clock (e.g., 2:16 pm would be 14:16) in Coordinated Universal Time (UTC).
Enter the location of the set (latitude and longitude coordinates to the nearest minute of arc).
Check the appropriate box for the type of the set. If you check “Other,” provide a brief description of the set type on the
adjacent line.
Check the appropriate box or boxes for the reason(s) for the discard.
Enter the amounts, in metric tons, of all bigeye tuna, yellowfin tuna, and skipjack tuna discarded from the set, broken
down by species.
Enter the amounts, in metric tons, of all bigeye tuna, yellowfin tuna, and skipjack tuna retained from the set, broken down
by species.
Section 4: Optional Additional Information
If there is any other information you wish to include, please do so in this section.

Public reporting burden for this collection of information is estimated to average 30 minutes 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
suggestions for reducing this burden to Michael D. Tosatto, Regional Administrator, NMFS Pacific Islands Regional Office,
1601 Kapiolani Blvd., Suite 1110, Honolulu, HI 96814. Information submitted to NMFS will be managed as confidential
data consistent with the requirements of NOAA Administrative Order 216-100, Section 506(d) of the WCPFC
Implementation Act, and regulations under 50 CFR Part 300. Information submitted to the WCPFC will be subject to the
procedures, policies, and practices adopted by the WCPFC, but NOAA and NMFS 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.