Pacific Highly Migratory Species Vessel Permit Renewal A

Expiration Date ^EXP_DATE

UNITED STATES DEPARTMENT OF COMMERCE

National Oceanic and Atmospheric Administration

NATIONAL MARINE FISHERIES SERVICE

West Coast Region Permits Office 501 West Ocean Blvd., Suite 4200 Long Beach, CA 90802

wcr-permits@noaa.gov

OMB#: 0648-0204 APPROVAL EXPIRES: 01/31/2020

_{PERMIT APPLICATION} FEE: $19

Pacific Highly Migratory Species Vessel Permit Renewal Application

Please write-in any changes or corrections

VESSEL INFORMATION
USCG Documentation or State Registration Number Vessel_id
Vessel Name VESSEL_NA	ME
Home Port and State HOM	E_PORT Hail Port and State HAIL_PORT
Radio Call Sign IRCS	VMS	VMS
Registered Length (Ft.) LE	NGTH Registered Breadth (Ft.) BREADT	H Registered Depth (Ft.) DEPT
Gross Tons GROSS_TONS	Net Tons NET_TONS	CFPV Passenger Cap. CPFV
Hold Capacity (Short tons, 1 ST= 2,000 lbs.) HOLD_CAPACITY
Refrigeration Type REFRIG	ERATION Propulsion Type PRO	PULSION Horsepower HORS
Hull Material HULL_MATE	RIAL
Year Built YEAR_BUILT	Location Built LOCATION_BUILT	Crew Size CREW
Previous Vessel Name/Flag/Effective Dates
Gear Type Authorized by the HMS Permit (Addition of gear types i subject to further authorization)

GEAR_TYPES

H

EPOWER

VESSEL OWNERSHIP INFORMATION
Permit Holder and/or Company Name PERMIT_HOLDER
Mailing Address ADDRESS
Telephone (Bus) TELEPHONE	_BUS Telephone (Ind)TELEPHONE	_IND Mobile MO
Email Address EMAIL	Fax FAX
Additional Information or changes (write-in). Include birthdates for new individuals.

BILE

SIGNATURE

I certify that the above information is complete, true, and correct to the best of my knowledge and belief. Name (Print legibly) Signature Date

Permit application fee: $19.00 payable to “US Department of Commerce – NOAA” Mail to: Permits Office, 501 W Ocean Blvd. Suite 4200, Long Beach, CA 90802

Instructions - To make changes, cross out the existing information and write-in necessary changes.

Verify that vessel information is as it appears on the Coast Guard documentation or, if the vessel is not Coast Guard documented, as it appears on the state registration certificate, vessel tonnage certificate, or marine survey. To make changes, cross out the existing information and write-in necessary changes. Sign and date this renewal form to verify that all information is complete, true, and correct to the best of your knowledge and belief.

New vessels must complete a NEW Highly Migratory Species permit application form.

PAC # ^PAC

Online Renewals: To renew online, visit http://fisheriespermits.noaa.gov. Instructions can be found at: http://www.westcoast.fisheries.noaa.gov/fisheries/migratory_species/pacific_hms_pemits.html

General - This information is being collected by the National Marine Fisheries Service to ensure that timely and accurate records are available concerning the fishing vessels of the U.S. that participate in Pacific Ocean fisheries for highly migratory species, consistent with the requirements of the Fishery Management Plan for

U.S. West Coast Fisheries for Highly Migratory Species. The collection of information concerning U.S. fishing vessels harvesting tuna in the eastern Pacific Ocean is also necessary for the U.S. to comply with its obligations as a member of the Inter-American Tropical Tuna Commission.

This permit is required for commercial fishing vessels and recreational charter vessels that harvest any of the species that are included in the FMP. They are: Billfish/Swordfish: striped marlin (Tetrapturus audax), swordfish (Xiphias gladius); Sharks: common thresher shark (Alopias vulpinus), shortfin mako or bonito shark (Isurus oxyrinchus), blue shark (Prionace glauca); Tunas: north Pacific albacore (Thunnus alalunga), yellowfin tuna (Thunnus albacares), bigeye tuna (Thunnus obesus), skipjack tuna (Katsuwonus pelamis), northern bluefin tuna (Thunnus orientalis); and dorado or dolphinfish (Coryphaena hippurus).

Privacy Act Statement: Federal Regulations (at 50 CFR Part 660) authorize collection of this information. This information is used to verify the identity of the applicant(s) and to accurately retrieve confidential records related to federal commercial fishery permits. Where the requested information is a Social Security Number, disclosure is mandatory in accordance with the Debt Collection Act (31 U.S.C. 7701).

Paperwork Reduction Act - Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining data, and completing and reviewing the collection of information. 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Regional Administrator, National Marine Fisheries Service, 501 West Ocean Blvd., Suite 4200, Long Beach, CA 90802-4213.