OMB #0648-0372
Expires 11/30/2016
Installer’s Signature:________________________________________ Date:____________
Under the provisions of the Paperwork Reduction Act of 1995 (PL 104-13) and the Privacy Act of 1974 (PL 93-579), you are advised that disclosure of
the information requested in the Vessel Monitoring System (VMS) certification statement is mandatory for the purpose of managing the Atlantic HMS
fisheries. The certification statement is used to ensure proper operation of the VMS unit. Reporting burden for the collection of information is
estimated to average 4 hours per installation, including time for reviewing instructions, searching existing data sources, gathering and maintaining data
needed, and completing and reviewing the information. The burden for submission of this certification statement is estimated at 5 minutes per response.
Confidentiality of the information provided will be treated in accordance with NOAA Administrative Order 216-100. It is the policy of the National
Marine Fisheries Service not to release confidential data, other than in aggregate form, as the MSA protects the confidentiality of those submitting data.
Whenever data are requested, NMFS ensures the information identifying the pecuniary business activity of a particular individual is not identified. This
information collection has been issued a valid OMB control number, and is subject to the requirements of the Paperwork Reduction Act and penalties
associated with non-compliance. Send comments regarding this burden estimate or suggestions for reducing this burden to: NMFS, Office of Law
Enforcement, 8484 Georgia Avenue, Suite 415, Silver Spring, MD 20910.
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