NEFOP captain interview form

OMB Control No.: 0648-0593
Expires on: 09/30/2012

CAPTAIN INTERVIEW FORM
Observer ID

Interviewed by

Date of Trip/s

Date of Interview

Vessel Name

Operator Name

Trip Date Sail

Trip Date Land

Hull Number

Permit Number

Conducted In Person?
Y
Was the Observer on time?
Did the Observer clearly explain his/her duties to you?
Did the Observer give you the Observer Duties Sheet?
Did the Observer explain their duties in regards to incidental takes of
protected species (marine mammals, seabirds, and turtles)?
Was there a marine mammal, marine turtle or seabird caught during this trip?
Did the Observer measure the gear (i.e., codend if this is a trawl trip)?
Did the Observer weigh the catch?
Did the observer take lengths (or shell heights) and biological samples from
the catch?
Did the observer wear their PFD (life vest) while on deck?
Did the Observer hinder your operations in any way?
Did the Observer get along well with you and your crew?
Is the Observer welcome on your vessel again?
Did the Observer offer the captain a copy of the data?

N

Did the Observer offer the captain a comment card?
If no, please explain:

Additional Comments:

PAPERWORK REDUCTION ACT STATEMENT: The information provided on this form will be
used by the National Marine Fisheries Service (NMFS) to improve observer training under section
403(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.), which will assist NMFS to collect
information that is used in analyses that support the conservation and management of living marine
resources and that are required under the Magnuson-Stevens Fishery Conservation and Management
Act (MSA), the Endangered Species Act (ESA), the Marine Mammal Protection Act (MMPA), the
National Environmental Policy Act (NEPA), the Regulatory Flexibility Act (RFA), Executive Order
12866 (EO 12866), and other applicable law. The public reporting burden for this form is estimated to
average 15 minutes per response, including the time for completing, reviewing, and transmitting the
information on the form. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing the burden to: Amy Van Atten, National
Marine Fisheries Service, Northeast Fisheries Science Center, Northeast Fisheries Observer Program,
166 Water Street, Woods Hole MA 02543-1026. Providing the requested information is voluntary. All
identifying data submitted will be handled as confidential material in accordance with NOAA
Administrative Order 216-100, Protection of Confidential Fishery Statistics. Other information
collected on this form may be subject to public release under various statutes. 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. This is an approved information collection under OMB Control No. 0648-0593
through 09/30/2012.