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pdfOMB Control No. 0648-#### Expiration Date: ##/##/####
WEST COAST LIMITED ENTRY
CATCHER VESSEL QUESTIONNAIRE
2011
NOAA Fisheries – Northwest Fisheries Science Center
Retain a completed copy of this questionnaire for your records.
I. Contact Information and Vessel Characteristics
1. Verify the following information on record about this vessel’s physical characteristics. If the information on record
is correct, please place a check mark in the Corrections column. If the information on record is incorrect or there is
no information on record, please provide the correct information in the Corrections column.
Item
Information on Record
Vessel Name
Vessel Name
USCG Vessel Number
123456
Home Port
Newport, OR
Length Overall (feet)
80
Fuel Capacity (gallons)
300
Total Horsepower of Main Engines
500
Corrections
2. Provide the contact information for the owner of the vessel.
Name of Company, Partnership, or Other Business Entity
Business Mailing Address
Street / PO Box
Business Phone
(
)
Business Fax
(
City
State
Zip Code
)
Business Email
This form can be downloaded from http://www.nwr.noaa.gov.
If you have any questions, please contact us at (###) ###-#### or First.Last@noaa.gov.
Submit by 9/1/12 to EDC Program, FRAM Division, Northwest Fisheries Science Center, 2725 Montlake Blvd E, Seattle, WA 98112.
3. If the vessel was leased or bareboat chartered during 2011, provide the contact information for the leaseholder or
charterer of the vessel.
Name of Company, Partnership, or Other Business Entity
Business Mailing Address
Street / PO Box
Business Phone
(
)
Business Fax
(
City
State
Zip Code
)
Business Email
4. List the limited entry permit(s) used with this vessel during 2011 in the West Coast (Washington, Oregon, and
California) fishery below.
Limited Entry Permit Number
Permit Owned or Leased?
Owned
Leased
Limited Entry Permit Number (2)
Permit Owned or Leased?
Owned
Leased
Limited Entry Permit Number (3)
Permit Owned or Leased?
Owned
Leased
Limited Entry Permit Number (4)
Permit Owned or Leased?
Owned
Leased
5. Provide the contact information for the individual completing this report. If your address, phone, and email are
provided in the Owner or Leaseholder information above, you do not need to repeat them here but please provide your
name and title.
Vessel Owner (or Designated Representative)
Vessel Leaseholder or Charterer (or Designated Representative)
Name
Title
Business Mailing Address
Street / PO Box
Business Phone
(
)
Business Fax
(
City
State
Zip Code
)
Business Email
[ Page 2 ]
6. Did you harvest any fish using this vessel during the 2011 calendar year?
Yes
Complete and submit the entire questionnaire for your 2011 fiscal year.
No
Complete and submit the questionnaire through this page only.
7. Read the following statement and sign and date the box below.
I certify under penalty of perjury that I have reviewed all the information in this questionnaire and that it is
true and complete to the best of my knowledge.
Signature
Date signed
_____/_____/_________
mm
dd
Please proceed to the next page if you harvested any fish in this vessel during 2011
yyyy
[ Page 3 ]
8. Answer the following questions related to the most recent marine survey value of the vessel.
What was the year of this vessel's last value survey?
_________
yyyy
What was the market value of the vessel from the survey,
rounded to the nearest 100 dollars?
$ ________________
What was the replacement value of the vessel from the survey,
rounded to the nearest 100 dollars?
Did the survey values given above include the value of permits
associated with the vessel at the time of the survey?
Did the survey values given above include the value of quota
associated with the vessel at the time of the survey?
Did the survey values given above include the value of all fishing
gear on the vessel at the time of the survey?
$ ________________
Yes
No
Yes
No
Yes
No
9. For the remainder of the survey, report values from your 2011 fiscal year. On what day did this vessel’s 2011 fiscal
year begin?
_____/_____
mm dd
Please report values from your 2011 fiscal year for the remainder of this survey.
10. Was this vessel hauled out in 2011?
Yes
No
11. Provide this vessel’s average fuel use (for propulsion or other uses) per day, speed, and crew size (not including
captain) when engaged in each of the following activities on the West Coast (Washington, Oregon, and California).
Fuel use per day should be an average that includes steaming to the fishing grounds, harvesting fish, and steaming
back to port and should include all fuels used for propulsion or other uses
Activity
West Coast groundfish trawl
(not including whiting)
West Coast whiting trawl
(not including other groundfish)
West Coast shrimp trawl
West Coast groundfish fixed
gear
Fuel Use
Speed
While Fishing
(not including captain)
___________ gal/day
_________knots/hr
____________
___________ gal/day
_________knots/hr
____________
___________ gal/day
_________knots/hr
____________
Crew Size
___________ gal/day
____________
West Coast crabbing
___________ gal/day
____________
West Coast halibut (Pacific or
California)
___________ gal/day
____________
West Coast salmon
___________ gal/day
_________knots/hr
____________
West Coast tuna
___________ gal/day
_________knots/hr
____________
Steaming between the West
Coast and Alaska
___________ gal/day
_________knots/hr
____________
[ Page 4 ]
12. How many gallons of fuel did this vessel use (for propulsion or other uses) during 2011 on the West Coast
(Washington, Oregon, and California)?
exclude any steaming between the West Coast and Alaska
Type of Fuel
Gallons
Diesel
______________ gal
Other:_______________
______________ gal
13. Provide the number of days this vessel was at sea during 2011 in each of the following activities. Please note that
there is a special category for days at sea traveling between the West Coast and Alaska. (This information will be
used to allocate some expenditures among the different fisheries in which the vessel participated.)
count partial days as full days
Activity
West Coast groundfish trawl (not including whiting)
Days at Sea
____________ days
West Coast whiting trawl (not including other groundfish)
____________ days
West Coast shrimp trawl
____________ days
West Coast groundfish fixed gear
____________ days
West Coast crabbing
____________ days
West Coast halibut (Pacific or California)
____________ days
West Coast salmon
____________ days
West Coast tuna
____________ days
Chartering / Research
____________ days
Steaming between the West Coast and Alaska
____________ days
All Alaska and other fisheries
____________ days
14. Provide the number of one-way trips this vessel made steaming between the West Coast and Alaska during 2011.
______ one-way trips
[ Page 5 ]
II. Capitalized Investments
15. Provide the 2011 capitalized expenditures associated with each of the following categories for this vessel. Note that
some capitalized expenditures are asked for all fisheries (West Coast, Alaska and other) and others are asked only for
the West Coast (Washington, Oregon, and California). Round all answers to the nearest 100 dollars. (Capital
investments on the vessel and gear shared across fisheries will be allocated to the West Coast based on days or
tonnage)
Capitalized Expenditure Category
Capitalized
Expenditures in
All Fisheries
West Coast,
Alaska, and Other
Capitalized
Expenditures in
All West Coast
Fisheries
Vessel and On-board Equipment
exclude fishing gear and processing equipment
include all electronics, safety equipment, and machinery not used to harvest fish
Capitalized expenditures on new and used vessel and on-board
$______________
equipment
Fishing Gear
include nets, doors, traps, pots, cables, and fishing machinery used for the West Coast fisheries
exclude any fishing gear that is not used at least partially for the West Coast fisheries
Capitalized expenditures on fishing gear used only for the West Coast
$______________
fisheries
Capitalized expenditures on fishing gear shared by the West Coast and
$______________
other fisheries
Processing Equipment
include any equipment used to process or head and gut fish on-board the vessel
Capitalized expenditures on processing equipment used only for the
$______________
West Coast fisheries
Capitalized expenditures on processing equipment shared by the West
$______________
Coast and other fisheries
III. Quota and Permit Expenses
16. Provide the total cost of quota shares, quota pounds, and catcher-processor permits purchased or leased during
2011 in the West Coast limited entry fishery.
Purchase or Lease of Quota and Permits
Total Cost
Purchase of quota shares
$_______________
Lease of quota shares
$_______________
Purchase of quota pounds
$_______________
Lease of quota pounds
$_______________
Purchase of limited entry trawl permit
$_______________
Lease of limited entry trawl permit
$_______________
Purchase of other West Coast permit
$_______________
Lease of other West Coast permit
$_______________
[ Page 6 ]
IV. Annual Expenses
17. Provide the total amount expensed during 2011 in each of the categories below. Note that some expenses are
asked for all fisheries (West Coast, Alaska, and other) and some expenses are asked only for the West Coast.
Round all answers to the nearest 100 dollars.
If you do not track expenses for captain and crew separately, report the combined expenses under captain
Include all chartering expenses, even if directly reimbursed
Expenses Category
Expenses in
All Fisheries
All West Coast,
Alaska, and Other
Expenses in
All West Coast
Fisheries
a. Captain (include wages, bonuses, benefits, payroll taxes, and
unemployment insurance)
$______________
b. Crew (include wages, bonuses, benefits, payroll taxes, and
unemployment insurance)
$______________
c. Crew or captain travel not deducted from wages
$______________
d. Observer fees
$______________
e. Fishing association dues
$______________
f.
Fuel and lubrication (do not include steaming between West Coast
and Alaska)
$______________
g. Food
$______________
Ice
$______________
Bait
$______________
Freight to the vessel on supplies
$______________
Other supplies (cleaning, clothing, safety, etc.)
$______________
Communications
$______________
h. Off-load expenses (cross-dock fees, port tariffs, hoist fees, etc.)
$______________
i.
Trucking of fish to buyer
$______________
j.
Repair and maintenance on fishing gear used only for the West
Coast (expensed during 2011)
$______________
k. Repair and maintenance on fishing gear shared by the West Coast
and other fisheries (expensed during 2011)
l.
Repair and maintenance on processing equipment (expensed during
2011)
$______________
$______________
[ Page 7 ]
Expenses in
All Fisheries
Expenses Category (continued)
All West Coast,
Alaska, and Other
m. Vessel and on-board equipment repair and maintenance (expensed
during 2011)
$______________
n. Insurance premium payments (hull and machinery, protection and
indemnity, and pollution insurance)
$______________
o. Moorage
$______________
p. Lease or bareboat charter of this vessel
$______________
q. Depreciation (vessel, on-board equipment, processing equipment,
and quota share)
$______________
Expenses in
All West Coast
Fisheries
18. Provide the total round weight of all fish landings made by this vessel in fisheries outside the West Coast (Alaska
and other) during 2011. Round to the nearest 100 pounds. (This information will be used to allocate some of your
expenditures between the different fisheries you participate in)
______________________lbs
19. Were any of the fish harvested by this vessel on the West Coast (Washington, Oregon, and California) during 2011
processed or headed and gutted on-board?
Yes
No
Please proceed to the next page
[ Page 8 ]
V. Annual Earnings
20. For each of the earnings sources listed below, indicate the income earned during 2011.
Landings should include taxes, buyback program fees, and post-season adjustments for fish harvested in 2011.
Include direct reimbursements received for chartering
Earnings Source
Landings and at-sea deliveries outside the West Coast (Alaska and other)
Total Revenue
$_______________
West Coast at-sea landings
$_______________
Sale of West Coast limited entry trawl permits
$_______________
Lease of West Coast limited entry trawl permits
$________________
Sale of other West Coast permits
$_______________
Lease of other West Coast permits
$_______________
Lease of West Coast limited entry quota shares
$_______________
Sale of West Coast limited entry quota shares
$_______________
Lease of West Coast limited entry quota pounds
$_______________
Sale of West Coast limited entry quota pounds
$_______________
Salmon disaster relief payments
$_______________
Chartering / research / leasing vessel
$_______________
Other:______________________________
$_______________
Other:______________________________
$_______________
VI. Crew Share
21. Did this vessel use a crew share system to pay its crew when operating in the West Coast groundfish fisheries during
2011?
Yes
No
[ Page 9 ]
22. Which of the following expenses were deducted from total revenue before calculating the crew share when this vessel
operated in the West Coast groundfish fisheries during 2011?
Expense Category
Deducted from
Crew Share?
Crew or captain travel not deducted from wages
Yes
No
Observer fees
Yes
No
Fishing association dues
Yes
No
Fuel and lubrication
Yes
No
Food
Yes
No
Ice
Yes
No
Bait
Yes
No
Freight to the vessel on supplies
Yes
No
Other supplies
Yes
No
Communications
Yes
No
Off-load expenses
Yes
No
Trucking of fish to buyer
Yes
No
Repair and maintenance on fishing gear
Yes
No
Repair and maintenance on processing equipment
Yes
No
Vessel and on-board equipment repair and maintenance
Yes
No
Insurance premium payments
Yes
No
Moorage
Yes
No
Lease or charter of this vessel
Yes
No
Depreciation
Yes
No
Quota pounds held at the start of the year
Yes
No
Quota pounds purchased or leased during the year
Yes
No
Quota shares purchased or amortized during the year
Yes
No
Limited entry trawl permit
Yes
No
Other West Coast permit
Yes
No
Other:________________________________________
Yes
No
[ Page 10 ]
23. On what percentage of fishing trips did the vessel owner serve as captain in the West Coast groundfish fisheries
during 2011?
_______%
24. On trips when the vessel owner served as captain, please indicate the share of net revenue (revenue minus the
deductions listed in question 22) going to the vessel, captain, and crew.
Vessel share
_______%
Captain share
_______%
Crew share
_______%
25. On trips when the vessel owner did not serve as captain, please indicate the share of net revenue going to the
vessel, captain, and crew.
Vessel share
_______%
Captain share
_______%
Crew share
_______%
[ Page 11 ]
Questionnaire Comments:
Public Reporting Burden Statement
Public reporting burden for this collection of information is estimated to take 8 hours per response, including time for reviewing
the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden to Todd Lee, National Marine Fisheries Service, Northwest
Fisheries Science Center, 2725 Montlake Blvd E, Seattle, WA 98112.
Additional Information
Before completing this form, please note the following: 1) 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; 2) This information is mandatory and is required to manage commercial fishing efforts under 50 CFR part 660 and under
section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential
under 402(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative
Order 216-100, which sets forth procedures to protect the confidentiality of fishery statistics.
[ Page 12 ]
| File Type | application/pdf |
| File Title | Mothership Vessel Questionnaire 2010 |
| Author | Leif Anderson |
| File Modified | 2010-07-19 |
| File Created | 2010-07-14 |