Deterring Marine Mammals: Mortality/Injury Reporting For

DETERRING MARINE MAMMALS: MORTALITY/INJURY REPORTING FORM

National Marine Fisheries Service, 1315 East-West Highway, Silver Spring, MD 20910

PLEASE PRINT NEATLY AND IN CAPITAL LETTERS

1. LAST NAME 2. FIRST NAME 3. MI

4.MAILING ADDRESS

5. EMAIL ADDRESS

6. CITY 7. PHONE NUMBER

8. STATE 9. ZIP 10. VESSEL NAME

11. VESSEL REGISTRATION. NO. 12. SALTWATER ANGLER REGISTRATION NO.

13. FISHING GEAR TYPE/TARGET SPECIES OR PROPERTY DESCRIPTION

_____________________________________________________________________________________

14. DATE OF MORTALITY/INJURY (MM DD YYYY) 15. APPROXIMATE TIME OF MORTALITY/INJURY

.

.

AM/PM

16. LOCATION OF MORTALITY/INJURY 17. VISUAL SCAN CONDUCTED

LATITUDE _o ‘ LONGITUDE _{o ‘ YES NO}

18. NUMBER OF ATTEMPTS 19. TYPE OF DETERRENT USED 20. MARINE MAMMAL SPECIES TARGETED

21. ENTER SPECIES CODE, TYPE OF MORTALITY/INJURY (SEE LIST OF CODES ON PREVIOUS PAGE), AND THE NUMBER OF EACH SPECIES INVOLVED. MAKE ONE ENTRY FOR EACH SPECIES INVOLVED IN THIS INCIDENT. YOU MAY INCLUDE UP TO THREE MORTALITY/INJURY CODES PER SPECIES.

SPECIES MORTALITY/INJURY CODE NUMBER

DESCRIPTION OF UNKNOWN SPECIES. CIRCUMSTANCES OF MORTALITY/INJURY INCIDENT, DETERRENT USE

Please provide a detailed description of the animal involved, including color patterns, length, and body shape and size (drawings are helpful), and photos if possible. State whether the animal involved was a whale, dolphin, porpoise, seal, sea lion. If a deterrent was used, please provide any other relevant information, such as specifications of the device, how it was deployed, the behavior of the animal in response to the deterrent, and the occurrence/behavior of other protected species in the area. You may also use this space for other comments regarding this incident.

NOAA/NMFS

OFFICE OF PROTECTED RESOURCES F/PR2 1315 EAST WEST HIGHWAY

SILVER SPRING MD 20910-9721

POSTAGE WILL BE PAID BY ADDRESSEE

NATIONAL OCEANIC & ATMOSPHERIC ADMINISTRATION NATIONAL MARINE FISHERIES SERVICE

OFFICE OF PROTECTED RESOURCES F/ PR2

1315 EAST WEST HIGHWAY

SILVER SPRING MD 20910-9721

1 • • 1 .111 • • • 1 .1• • • • • 11 11 • • • 1 .1• • 1 • • • 1 • • 1 .1• • • 11 1 .1• • 1

IMPORTANT!

MARINE MAMMAL REPORTING FORM

DETERRENT USE MARINE MAMMAL MORTALITY/INJURY REPORTING FORM

National Marine Fisheries Service, 1315 East-West Highway, Silver Spring, MD 20910

INSTRUCTIONS FOR COMPLETING THE MORTALITY/INJURY REPORTING FORM

This reporting form is required ONLY WHEN there is an incidental mortality or injury (M/I) to a marine mammal during use of a deterrent device. You are required to report the incidental mortality or injury within 48 hours after the end of the fishing trip or within 48 hours of an occurrence of mortality or injury.

PLEASE PRINT NEATLY AND IN CAPITAL LETTERS.

The reporting form should be detached from this instruction sheet, folded, and sealed prior to mailing. No postage is necessary for mailing. Forms may also be filled out online, emailed to nmfs.mireport@noaa.gov, or faxed to NMFS at 301-713-0376. Questions regarding completion of this form, and requests for additional forms, may be directed to the NMFS Office of Protected Resources, 1315 East-West Hwy., Silver Spring, MD 20910-3226, 301-427-8402.

MORTALITY/INJURY REPORT FIELD DEFINITIONS

VESSEL NAME: Enter the name of the vessel as it is identified for recreational fishing operations.

VESSEL REGISTRATION NUMBER: Enter the vessel’s Federal, state, or tribal registration numbers of the registered vessel OR

SALTWATER ANGLER REGISTRATION NUMBER: Enter the saltwater angler registration number if deterrence occurred during fishing.

FISHING GEAR TYPE AND TARGET SPECIES OR PROPERTY DESCRIPTION: If deterrence occurred during recreational fishing, enter the type of fishing gear used and the target species being fished when this deterrence occurred. If marine mammal was deterred from private or public property, enter a description of the property.

DATE OF MORTALITY/INJURY: Enter the date the mortality/injury occurred. For example: November 1, 2018 is entered as 11/01/2018.

TIME OF MORTALITY/INJURY: Enter the approximate time of day the mortality/injury occurred. Indicate AM if the mortality/injury occurred between midnight & noon, or PM if the mortality/injury occurred between noon and midnight.

LOCATION OF MORTALITY/INJURY LATITUDE & LONGITUDE: Use standard entries in degrees and minutes.

VISUAL SCAN CONDUCTED: If seal bombs, underwater cracker shells, banging objects, pulsed power devices, or low frequency broadband devices were used check yes if a visual scan for certain marine mammals within 100-m was conducted before use, check no if a visual scan was not conducted before use.

NUMBER OF ATTEMPTS: Enter the number of times a deterrent was deployed.

TYPE OF DETERRENT USED: Describe the deterrent used when the mortality/injury occurred. Categories of deterrents include visual; physical barriers; tactile – projectiles, manual, electric, water; acoustic; explosive. Enter the category as well as the specific deterrent.

MARINE MAMMAL SPECIES TARGETED: Enter the species code for the marine mammal that was targeted to deter.

SPECIES INCIDENTALLY KILLED OR INJURED: Enter the species code and the mortality/injury code of the animal(s)

Involved. Refer to the species and mortality/injury code lists included on page 2 of these instructions. Enter the number of animals involved in each mortality/injury. You may enter up to three (3) injury codes per species. Make as many entries as apply to the date, time, and location entered in items 14-16.

DESCRIPTION OF UNKNOWN SPECIES, CIRCUMSTANCES OF M/I INCIDENT, DETERRENT USE: If you have entered a species code for an unidentified species, please provide a detailed description of the animal involved, including color patterns, length, any identifying marks (flipper tags, brands, etc.), body shape (drawings are helpful), and photos if possible. Photos can be emailed to nmfs.mireport@noaa.gov. State whether the animal involved was a cetacean (whale, dolphin, or porpoise) or a pinniped (seal or sea lion). Please provide any other relevant information such as specifications of the device, how the deterrent was deployed, the approximate distance between the deterrent and the animal, the behavior of the animal(s) that prompted the deterrence, the behavior of the animal(s) in response to the deterrent, and occurrence/behavior of other protected species in the area. You may also use this space for other comments regarding this incident.

DETERRENT USE MARINE MAMMAL MORTALITY/INJURY REPORTING FORM

National Marine Fisheries Service, 1315 East-West Highway, Silver Spring, MD 20910

SPECIES AND STOCK CODES FOR MARINE MAMMALS

Seals and sea lions Dolphins and porpoises Toothed and baleen whales

100-	Steller (northern) sea lion	047-	Atlantic white-sided dolphin	002-	North Atlantic right whale
101-	California sea lion	049-	Pacific white-sided dolphin	005-	Gray whale
105-	Northern (Pribilof) fur seal	053-	Common dolphin	007-	Fin whale
115-	Harbor seal	054-	Bottlenose dolphin	010-	Minke whale
116-	Spotted seal	055-	Grampus (Risso’s) dolphin	011-	Humpback whale
117-	Ringed seal	058-	Spotted dolphin	012-	Sperm whale
121-	Ribbon seal	060-	Spinner dolphin	016-	Beluga whale
124-	Gray seal	061-	Striped dolphin	038-	False killer whale
127-	Hawaiian monk seal	063-	Northern right whale dolphin	039-	Killer whale
129-	Northern elephant seal	068-	Harbor porpoise	221-	Pilot whale
130-	Bearded seal	072-	Dall’s porpoise	230-	Beaked whale
131-	Harp seal	073- R	Rough-toothed dolphin	231-	Bryde’s whale
132-	Hooded seal	235-	Unidentified small cetacean	232-	Dwarf sperm whale
203-	Unidentified sea lion		(porpoise or dolphin)	210-	Unidentified baleen whale
204-	Unidentified seal			220-	Unidentified toothed whale

MORTALITY/INJURY CODES FOR MARINE MAMMALS

01- Visible blood flow 08- Listlessness or inability to defend

02- Loss of/damage to appendage/jaw 09- Inability to swim or dive

3. Inability to use appendage(s) 10- Equilibrium imbalance

4. Asymmetry in shape of body or body position 11- Ingestion of gear or deterrent

05- Any noticeable swelling or hemorrhage (bruising) 12- Released trailing gear/gear perforating body 06- Laceration (deep cut) 13- Other wound or injury

07- Rupture or puncture of eyeball 14- Killed

COLLECTION MANDATE

This collection of information is mandated by the Marine Mammal Protection Act of 1972, as amended (16 U.S.C. 1361 et. seq.), and by implementing regulations contained at 50 CFR 216.116. The information supplied on this form will be used by the National Marine Fisheries Service to estimate levels of incidental mortalities and injuries related to use of deterrents.

Public reporting burden for this collection of information is estimated to average 0.25 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 this burden, to Director, Office of Protected Resources, National Marine Fisheries Service, 1315 East-West Hwy., Silver Spring, MD 20910-3226.

The National Marine Fisheries Service may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a current and valid OMB control number. The OMB control number for this form is 0648-0292, which expires on 12/31/2022.

OMB CONTROL NO. 0648-0292 (expires 12/31/2022)