Reimbursement for assistance with bluefin tuna sampl

OMB Control #0648-0593. Expires 09/30/2012

NMFS/SEFSC/POP

REIMBURSEMENT INVOICE FOR CONTRACT OBSERVERS
VESSEL NAME

TRIP NUMBER

ORGANIZATION CODE

DATES OF TRIP

TASK NUMBER

TO

RATE

DAYS AT SEA

MEAL EXPENSES
$25 / DAY

X

RATE

Crew Sampling Assistance

SUBTOTAL
# BLUEFIN TUNA

$200 / BLUEFIN TUNA

X

CORPORATION / OWNER NAME

TIN (Taxpayer Identification Number)

MAILING ADDRESS

PHONE

DATE

SIGNATURE

TOTAL

PAPERWORK REDUCTION ACT STATEMENT: The information provided on this form will be used toreimburse
you for specific expenses during the observed trip identified on the form. That trip was observed in orderto collect
information that is used in analyses that support the conservation and management of living marineresources and
that are required under the Magnuson-Stevens Fishery Conservation and Management Act (MSA), theEndangered
Species Act (ESA), the Marine Mammal Protection Act (MMPA), the National Environmental PolicyAct (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 10 minutes per response, including the time forcompleting,
reviewing, and transmitting the information on the form. Send comments regarding this burden estimateor any other
aspect of this collection of information, including suggestions for reducing the burden to: NationalMarine Fisheries
Service, F/SF1, National Observer Program,1315 East West Highway,Silver Spring, MD20910.Providing the
requested information is required to have the Central Administrative Support Center (CASC) andUnited States
Treasury process and pay the reimbursement. The information on this form will be kept confidential asrequired
under Section 402(b) of theMSA (18 U.S.C. 1881a(b)) and regulations at 50 C.F.R. Part 600, Subpart E.
Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be
subjectto a penalty for failure to comply with a collection of information subject to the requirements of the
PaperworkReduction Act, unless that collection of information displays a currently valid OMB Control Number.
This is anapproved information collection under OMB Control No. 0648-0593 through 09/30/2012.