Monument fishing lob

OMB Control No: 0648-XXXX

Expiration Date: xx/xx/xxxx

National Marine Fisheries Service – Pacific Islands Region

PACIFIC MARINE NATIONAL MONUMENT

DAILY FISHING LOG

Name of Vessel __________________________

Permit Number _________________________

Paperwork Reduction Act Information

Public reporting burden for this collection is estimated to average 20 minutes per response, including 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 aspects of this collection of information, including suggestions for reducing this burden, to Pacific Islands Regional Administrator, NOAA Fisheries Service, 1601 Kapiolani Blvd. Suite 1110, Honolulu, Hawaii 96814-4700.

This information is being collected to provide information needed by NMFS to regulate and monitor fishing activities in the monument area and to evaluate the effectiveness of management by assessing the status of stocks and the status of fisheries. The information will provide a basis for determining whether changes in management are needed to sustain the productivity of the stocks or to respond to interactions between fishing vessels and protected species. The information is also used to provide a basis for evaluating the magnitude and distribution of impacts resulting from changes to the regulations. Responses to the collection are required under 50 CFR 665.14. Proprietary data provided concerning the vessel and/or business of the responders are handled as confidential under the Magnuson-Stevens Fishery Conservation and Management Act (Sec. 402(b)), and NOAA Administrative Order 216-100. Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject 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.

OMB Control No: 0648-XXXX Expires month/day/year

Pacific Marine National Monument– Daily Fishing Log

Pacific Islands Region, NOAA National Marine Fisheries Service

1. Operator:
2. Vessel:	3. Vessel Official Number:
4. Monument Permit Number:
5. Permit Type (Check one): [ ] Recreational Charter [ ] Non-commercial

6. Monument Area (Check one): [ ] Rose Atoll [ ] Uracus (Farallon de Pajaros) [ ] Maug [ ] Asuncion [ ] Howland [ ] Baker [ ] Jarvis [ ] Kingman [ ] Palmyra [ ] Wake [ ] Johnston
7. Date of Fishing:
8. Location: Lat.: ___________ º ______' N/S (circle one) ; Lon.: ____________ º ______' E/W (circle one)
9. Departure Date:	Departure Port:
10. Return Date:	Return Port:

FISHNG EFFORT			SPECIES CAUGHT	FISH KEPT (RETAINED)		FISH RELEASED		FISH LOST
11.	12.	13.	14.			15.		16.
Fishing method	Hours fished	Number of poles, lines, hooks used	Species name	Number of fish kept	Estimated total weight of fish kept	Alive	Dead	Lost

17. Protected Species	Species Name	Number Not Injured	Number Injured	Number Dead
Marine Mammals
Sea Turtles
Sea Birds

I certify that the above information is complete and true to the best of my knowledge:

18. Vessel Operator Signature: ______________________________________ Date: _________________

Please Submit to: NMFS Pacific Islands Fisheries Science Center, ATTN: FMSD, 2570 Dole St. Honolulu, HI 96822

Instructions for the Monument Non-Commercial Daily Fishing Log

1. Write in the full name (first, middle initial, and last) of the vessel operator (captain) who is preparing and submitting the report.

2. Write in the vessel name.

3. Write in either the U.S. Coast Guard documentation number, or state/territorial agency vessel registration number.

4. Write in the operator’s permit number.

5. Indicate type of permit.

6. Identify the Monument area fished. Submit a separate report for each island area fished.

7. Write in the date which fishing activities covered by this report took place.

8. Write in the latitude and longitude of the fishing area. Use degree º and minute '; circle N for north or S for south latitude; circle E for east and W for west longitude.

9. Write in the date and port vessel departed.

10. Write in the date and port vessel returned.

11. Identify the fishing method used.

12. For each fishing method, enter the number of hours fished.

13. Enter the number of poles, lines/line haulers, and or hooks used, if appropriate.

14. For each fishing method, enter the type (species) of fish caught (one per row), the number of fish caught and the estimated total weight caught of that species.

15. If you released any fish you caught, identify the species and write in the number you released alive or dead.

16. If you lost any fish of this species due to sharks. other predators, or other reasons, write in the number lost.

17. Enter the type of each protected species you released uninjured, injured or dead.

18. Sign and date the daily log and return it to the address shown.