Vessel Fuel Survey

OMB Control No. 0648-XXXX
Expiration Date: XX/XX/XX

ANNUAL

AMENDMENT 91
AFA POLLOCK FISHERY
VESSEL FUEL SURVEY
CALENDAR YEAR 2011
This form can be downloaded from
http://www.fakr.noaa.gov

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 4 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 Assistant
Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, P.O. Box
21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of 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 for groundfish under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et
seq.) as amended by the Magnuson-Stevens Fishery Management and Conservation Reauthorization Act of
2006; 3) Responses to this information request are confidential under section 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 confidentiality of fishery statistics.

ANNUAL AFA POLLOCK VESSEL FUEL SURVEY
Introduction
An owner or leaseholder of an AFA permitted vessel must submit a Vessel Fuel Survey (VFS)
for each vessel used to harvest pollock in the Bering Sea in the year listed on this form. It is
the responsibility of the vessel owner/leaseholder to submit all completed surveys to NMFS.
This survey is intended to provide information to fishery managers to evaluate the
effectiveness of Chinook salmon bycatch management measures.
The survey collects information on the quantity and cost of all fuel consumed by each AFA
vessel harvesting or processing pollock during the calendar year.
Please contact Brian Garber-Yonts at the NMFS Alaska Fisheries Science Center with any
questions regarding this survey. He can be contacted at (206) 526-6301 or brian.garberyonts@noaa.gov.

PART 1: CERTIFICATION PAGE
This is a required form. Provide all information requested below.
AFA Vessel Owner or Vessel Leaseholder Information
Record the name and NMFS ID for the AFA Vessel Owner/Leaseholder here. NMFS ID for all AFA

participating entities can be accessed at http:/XXX
AFA Vessel Owner/Leaseholder Name

Vessel Owner/Leaseholder NMFS ID

Select one of the following statements and provide any requested information. Check one box below.
 1. You were the AFA permit holder or leaseholder for one or more AFA vessels that harvested or
processed pollock during the calendar year 20XX.
Complete and submit entire form for the 20XX calendar year.
 2. You were the AFA permit holder for an AFA vessel that did not harvest or process AFA pollock
during the calendar year 20XX.
Complete and submit the Certification Page only.

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 report and that it is true
and complete to the best of my knowledge.
Signature
Date signed

Part 2: Vessel Fuel Consumption and Cost
In Table 2, for each vessel operated by you in the AFA pollock fishery during calendar year
20XX, report the following information:
1. AFA Vessel Permit Number
2. Average rate of fuel consumption. For each vessel, report the average rate of fuel
consumption under average operating conditions during the calendar year. Report the fuel
consumption rate separately for operating while towing and operating while transiting (traveling
between points on fishing grounds, but not towing). Report fuel consumption rates for the
pollock fishery only. For motherships, report the rate of fuel consumption for transiting only. If
you do not have equipment on the vessel for actively monitoring the rate of fuel usage, provide
the most accurate estimate you can based on the best information you have available.
3. Annual Fuel Loaded and Total Cost. For each vessel, report the total amount of fuel loaded
to the vessel, in gallons, during the calendar year and total cost of fuel for this vessel during
the calendar year. Include all fuel that was loaded and invoiced, even if not completely used or
paid for during the calendar year. Do not include lubrication and fluids costs other than fuel.

Table 2: Vessel Fuel Consumption and Costs
Average Rate of Fuel Consumption
(gallons per hour)
AFA Vessel Permit
Number
Fishing
Transiting (not fishing)

Annual Fuel Loaded
(gallons)

Annual Fuel Cost
($ US)