Schedule A

Capital Construction Fund - Deposit/ Withdrawal Report

Sch_A

Capital Construction Fund Agreement

OMB: 0648-0041

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OMB Control No. 0648-0090

Expiration Date: 01/31/2014


SCHEDULE A

ELIGIBLE VESSEL


CASE NO.


A. NAME OF VESSEL: OFFICIAL NO.


B. NAME OF OWNER:


C. PERCENT OF OWNERSHIP: % DATE ACQUIRED:


D. NAME OF LESSEE (If applicable):


E. DATE VESSEL LAST DOCUMENTED:


F. TRADE(S) VESSEL DOCUMENTED FOR:


G. DATE VESSEL CONSTRUCTED:


H. PLACE CONSTRUCTED (CITY & STATE):


I. NET TONNAGE: TONS NUMBER OF CHARTER

PASSENGERS:

J. GROSS TONNAGE: TONS


K. LENGTH (OVERALL/REGISTERED): FEET

TENDER/

L. VESSEL TYPE: CATCHER ( ) PROCESSOR ( ) TRANSPORTER ( ) CHARTER ( )


M. GEAR TYPE (Seine, Trawl, Pots, etc.):


N. FISHERY OF OPERATION (salmon, king crab, etc.):



O. AREA OF OPERATION:



Date:



A PAGE


Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to NOAA Fisheries, F/MB5, 1315 East West Hwy., Silver Spring, MD 20910.


The information collected is confidential under the Magnuson-Stevens Fishery Conservation and Management Act, as amended in 2006, NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics and 15CFR259.38(b).


Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected 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.

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