Catcher vessel economic data survey

OMB Control No. 0648-0618 Expiration Date: 4/30/2015

Economic Data Collection (EDC) Form

WEST COAST GROUNDFISH

LIMITED ENTRY TRAWL

CATCHER VESSEL

2012

NOAA Fisheries – Northwest Fisheries Science Center

Who is responsible for submitting. All owners, lessees, and charterers of a catcher vessel registered to a limited entry trawl endorsed permit at any time in 2012

Complete all questions. If a question is not applicable, write "NA" in the answer box. The survey will not be considered complete unless there is an answer to every question.

Submit by September 1, 2013. Completed and signed EDC forms must be mailed and postmarked by or hand-delivered to NMFS no later than September 1, 2013. Mail or deliver to:

Economic Data Collection Program (FRAM Division),

Northwest Fisheries Science Center

2725 Montlake Boulevard East

Seattle, WA 98112

Retain a copy. Retain a copy of the completed form

Fillable forms and more information. www.nwfsc.noaa.gov/edc

Questions. Visit the website above or contact Erin Steiner at (866) 791-3726 or NWFSC.EDC@noaa.gov

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 Erin Steiner, 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.

I. Contact Information and Vessel Characteristics

1. Provide the following information about this vessel and its physical characteristics.

Item	Vessel Information
Vessel Name
USCG Vessel Number (if none exists enter State ID)
Home Port
Length Overall (feet)
Fuel Capacity (gallons)
Total Horsepower of Main Engines

2. Provide the contact information for the owner of the vessel in 2012. Please make sure that the name provided matches the name of the holder of the limited entry trawl permit registered to this vessel in 2012.

Name of Company, Partnership, or Other Business Entity
Business Mailing Address Street / PO Box			Business Phone ( )
			Business Fax ( )
City	State	Zip Code	Business Email

3. List the limited entry groundfish permit(s) registered to this vessel during 2012 in the West Coast fisheries (Washington, Oregon, and California) – do NOT include state fishing permits, e.g. shrimp, crab, or salmon.

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 ☐

1. Was the vessel leased or bareboat chartered during 2012?

Yes Continue to question 4b

No Skip to question 5 

2. If the vessel was leased or bareboat chartered during 2012, provide the contact information for the lessee or charterer of the vessel. If necessary, use the last page for additional lessees or charterers.

Name of Company, Partnership, or Other Business Entity
Business Mailing Address Street / PO Box			Business Phone ( )
			Business Fax ( )
City	State	Zip Code	Business Email

3. Provide the dates the vessel was leased or bareboat chartered in 2012. If necessary, use the last page for additional lessees or charterers.

Begin: _____/_____/__________ End: _____/_____/__________

mm dd yyyy mm dd yyyy

5. Provide the contact information for the individual completing this report. If your address, phone, and email are provided in the owner or lessee/charterer information, you do not need to repeat them here but please provide your name and title.

Vessel Owner or Designated Representative Vessel Lessee or Charterer or Designated Representative
Name			Title
Business Mailing Address Street / PO Box				Business Phone ( )
				Business Fax ( )
City	State	Zip Code		Business Email

6. 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 form and that it is true and complete to the best of my knowledge.
Signature	Date signed _____/_____/_________ mm dd yyyy

7. Did you harvest (catch) any fish (including shellfish) using this vessel during the 2012 calendar year?

Yes No

8. Answer the following questions related to the current marine survey 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?	Yes No
Did the survey values given above include the value of quota associated with the vessel at the time of the survey?	Yes No
Did the survey values given above include the value of all fishing gear on the vessel at the time of the survey?	Yes No

9. For the remainder of the survey, report values from your 2012 fiscal year. When did this vessel’s 2012 fiscal year begin?

_____/_____/__________

mm dd yyyy

Please report values from your 2012 fiscal year for the remainder of this survey.

10. Did you have this vessel hauled out in 2012?

Yes No

11. Provide this vessel’s average fuel use 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) in 2012.

• 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 fuel used for propulsion or other uses

• If you did not participate in a particular activity, please write “NA”

Activity	Fuel Use	Speed While Fishing	Crew Size (not including captain)
West Coast whiting trawl gear (not including other groundfish)	__________ gal/day	___________ knots	____________
West Coast groundfish trawl gear (not including whiting)	__________ gal/day	___________ knots	____________
West Coast groundfish fixed gear	__________ gal/day		____________
West Coast shrimp trawl gear	__________ gal/day	___________ knots	____________
West Coast crab	__________ gal/day		____________
West Coast halibut (Pacific or California)	__________ gal/day		____________
West Coast salmon	__________ gal/day	___________ knots	___________
West Coast tuna	__________ gal/day	___________ knots	___________
Steaming between the West Coast and Alaska	__________ gal/day	___________ knots	___________

12. How many gallons of fuel did this vessel use (for all uses) during 2012 on the West Coast (Washington, Oregon, and California)?

• Exclude fuel use for activities related to charter of vessel

• Exclude fuel use for activities in Alaska and 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 2012 in each of the following activities. Please note that there is a special category for days at sea steaming between the West Coast and Alaska. (This information will be used to allocate some expenses and expenditures between the different fisheries in which the vessel participated.)

• Count partial days as full days

• If you did not participate in a particular activity, please write “0”.

Activity	Days at Sea
West Coast whiting trawl gear (not including other groundfish)	____________ days
West Coast groundfish trawl gear (not including whiting)	____________ days
West Coast groundfish fixed gear	____________ days
West Coast shrimp trawl gear	____________ days
West Coast crab	____________ days
West Coast halibut (Pacific or California)	____________ days
West Coast salmon	____________ days
West Coast tuna	____________ days
Other West Coast fisheries	____________ days
West Coast chartering, research, or tendering	____________ days
Alaska chartering, research, or tendering	____________ days
Alaskan fisheries	____________ days
Steaming between the West Coast and Alaska	____________ days

14. Provide the number of one-way trips (count a round trip as 2 one-way trips) this vessel made steaming between the West Coast and Alaska during 2012.

______ one-way trips

II. Annual Capitalized Expenditures

15. Provide the 2012 capitalized expenditures (all expenditures made in 2012 that will be depreciated) associated with each of the following categories for this vessel. Note that some capitalized expenditures are for All Fisheries the vessel participates in (West Coast, Alaska, and Other) and others are for West Coast Fisheries only fisheries (Washington, Oregon, and California). Round all answers to the nearest 100 dollars.

Capitalized Expenditure Category	Capitalized Expenditures in All Fisheries West Coast, Alaska, and Other	Capitalized Expenditures in West Coast Fisheries Only Washington, Oregon, and California
Vessel and On-board Equipment Include the purchase of a new or used vessel, electronics, safety equipment, and machinery not used to harvest or process fish Include any major upgrades, repairs, or maintenance to the vessel or equipment Exclude fishing gear and processing equipment
New or used vessel and on-board equipment (Regardless of where the vessel fished, enter all expenditures for vessel and on-board equipment under the All Fisheries column)	$______________
Fishing Gear Include nets, doors, traps, pots, cables, and fishing machinery used for the West Coast fisheries Exclude any fishing gear that was only used in Alaska
Fishing gear used only in West Coast Fisheries		$______________
Fishing gear shared by West Coast, Alaska and other fisheries (if you only fished in the West Coast, enter “NA”)	$______________
Processing Equipment Include any equipment used to process or head and gut fish on-board the vessel
Processing equipment used only in West Coast Fisheries		$______________
Processing equipment shared by West Coast, Alaska and other fisheries (if you only fished in the West Coast, enter “NA”)	$______________

III. Quota and Permit Costs

16. Provide the total amount you paid for lease or purchase of quota shares, quota pounds, and fishing permits during 2012 in the West Coast limited entry fisheries. Purchase of quota or permits reflects a permanent transfer, whereas lease implies a temporary transfer. If you did not incur a particular expense, please write “0”.

	Purchase Costs	Lease Costs
Quota Shares	$_____________	$_____________
Quota Pounds	$_____________	$_____________
Limited Entry Trawl Permit	$_____________	$_____________
Limited Entry Fixed Gear Permit	$_____________	$_____________

IV. Annual Expenses

17. Provide the total amount expensed during 2012 in each of the following categories for this vessel. Note that some expenses are for All Fisheries the vessel participates in (West Coast, Alaska and other) and others are for West Coast fisheries only (Washington, Oregon, and California). Round all answers to the nearest 100 dollars.

• Include all chartering expenses, even if directly reimbursed

• If you do not track expenses for captain and crew separately, report the combined expenses under captain, and put “NA” under Crew

Expenses Category	Expenses in All Fisheries West Coast, Alaska, and Other	Expenses in West Coast Fisheries Only Washington, Oregon, and California
Captain (include wages, bonuses, benefits, payroll taxes, and unemployment insurance)		$______________
Crew (include wages, bonuses, benefits, payroll taxes, and unemployment insurance)		$______________
Crew or captain travel not deducted from wages		$______________
Observer fees and electronic monitoring		$______________
Fishing association and commission costs		$______________
State licensing and Federal permit fees		$______________
Fuel and lubrication (do not include steaming between West Coast and Alaska)		$______________
Food		$______________
Ice		$______________
Bait		$______________
Off-load expenses (cross-dock fees, port tariffs, hoist fees, etc.)		$______________
Freight to the vessel on supplies		$______________
Other supplies (cleaning, clothing, safety, etc.)		$______________
Communications, including VMS, satellite phone, skymate		$______________
Trucking of fish to buyer		$______________

17. (Continued)

Expenses Category	Expenses in All Fisheries West Coast, Alaska, and Other	Expenses in West Coast Fisheries Only Washington, Oregon, and California
Vessel and on-board equipment purchases, upgrades, repair and maintenance (expensed during 2012)	$______________
Fishing gear purchases, upgrades, repairs or maintenance used only in the West Coast Fisheries (expensed during 2012)		$______________
Fishing gear purchases, upgrades, repairs or maintenance shared by the West Coast, Alaska and other fisheries (if you only fished in the West Coast, enter “NA”) (expensed during 2012)	$______________
Processing equipment purchase, repair, and maintenance (expensed during 2012)	$______________
Insurance premium payments (hull and machinery, protection and indemnity, and pollution insurance)	$______________
Moorage	$______________
Lease or bareboat charter of this vessel	$______________
Total depreciation (vessel, on-board equipment, processing equipment, and quota share) taken during 2012	$______________

18. Provide the total round weight of all fish landings made by this vessel in Alaska during 2012. 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 in Alaska

19. Were any of the fish harvested by this vessel on the West Coast (Washington, Oregon, and California) during 2012 processed or headed and gutted on-board?

Yes No

V. Annual Earnings

20. For each of the earnings sources listed below, indicate the income earned during 2012.

• Landings revenue should include taxes, buyback program fees, and post-season adjustments for fish harvested in 2012.

Earnings Source	Total Revenue
West Coast shoreside landings: this information will be obtained from fish ticket data
West Coast at-sea deliveries to motherships	$_______________
Alaska shoreside landings and at-sea deliveries of fish harvested with the vessel	$_______________
Sale of West Coast limited entry trawl permits	$_______________
Lease of West Coast limited entry trawl permits	$_______________
Sale of West Coast limited entry fixed gear permits	$_______________
Lease of West Coast limited entry fixed gear permits	$_______________
Sale of West Coast limited entry quota shares	$_______________
Lease of West Coast limited entry quota shares	$_______________
Sale of West Coast limited entry quota pounds	$_______________
Lease of West Coast limited entry quota pounds	$_______________
Salmon disaster relief payments	$_______________
Leasing of vessel	$_______________
West Coast chartering, research, or tendering: include direct reimbursements	$_______________
Alaska chartering, research, or tendering: include direct reimbursements	$_______________
Other:______________________________	$_______________

VI. Crew Share

21. Did this vessel use a crew share system to pay its crew when operating in the West Coast groundfish limited entry trawl fisheries during 2012?

Yes

No Skip to question 23

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 limited entry trawl fisheries during 2012?

Expense Category	Deducted from Crew Share?
Crew or captain travel not deducted from wages	Yes No
Observer fees and electronic monitoring	Yes No
Fishing association and commission costs	Yes No
State licensing and Federal permit fees	Yes No
Buyback fees	Yes No
Fuel and lubrication	Yes No
Food	Yes No
Ice	Yes No
Bait	Yes No
Off-load expenses	Yes No
Freight to the vessel on supplies	Yes No
Other supplies	Yes No
Communications	Yes No
Trucking of fish to buyer	Yes No
Insurance premium payments	Yes No
Lease or charter of this vessel	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

23. On what percentage of fishing trips did the vessel owner serve as captain in the West Coast groundfish limited entry trawl fisheries during 2012?

_______%

24. On trips when the vessel owner served as captain in the West Coast groundfish limited entry trawl fisheries, please indicate the share of net revenue (revenue minus the deductions listed in Question 22) going to the vessel, captain, crew, and if applicable, Other.

    • The column should sum to 100%.

    • If this vessel did not use a crew share system to pay its crew, enter “NA” in each of the boxes below.

Vessel share	_______%
Captain share	_______%
Crew share	_______%
Other___________	_______%
Other___________	_______%
Total	100 %

25. On trips when the vessel owner did not serve as captain in the West Coast groundfish limited entry trawl fisheries, please indicate the share of net revenue (revenue minus the deductions listed in Question 22) going to the vessel, captain, crew, and if applicable, Other.

    • The column should sum to 100%.

    • If this vessel did not use a crew share system to pay its crew, enter “NA” in each of the boxes below.

Vessel share	_______%
Captain share	_______%
Crew share	_______%
Other___________	_______%
Other___________	_______%
Total	100 %

Questionnaire Comments:

Revised: 12/12/12: v1

Revised: 3/2/11

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