Form MA-1077 Quarterly Readiness Report Form

OMB No. 2133-NEW
Expiration Date: __________

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A federal agency may not conduct or sponsor, and a person is not required to respond to,
nor shall a 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 current valid OMB Control Number. The OMB
Control Number for this information collection is 2133-NEW. Public reporting for this
collection of information is estimated to be approximately 1 hour per response, including
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information. All responses to this collection of information are mandatory. Send
comments regarding this burden estimate or any other aspect of this collection of
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Clearance Officer, Maritime Administration, MAR-390, 1200 New Jersey Avenue, SE,
Washington, DC 20590.

Form MA-1077

Clear Form
OMB No. 2133-NEW
Expiration Date:
Form No. MA-1077

TO:

DOT/MARITIME ADMINISTRATION, ATTN: _____________________________________
Telephone: _________________

FAX: _________________

Email: ____________________

Select --->
From: Port of --__________________________________

POC Name: __________________________
Telephone: _______________________

Signature: _________________________
Email: _______________________

Date: _______________________
Subject: Quarterly Readiness Report on Facilities Listed in Port Planning Order (PPO) Number:
-Select & Modfy -->
___________________.

1. As of the above date, can the port make the PPO required port facilities listed below available to DOD
within either _______ hours of notification from SDDC, or within the PPO required phased timeline?

YES
below)

NO

After
notification:
Identify the
specific Berths
available to
DoD:
Identify the
Staging Area
Location &
Acres available
to DoD:

(Only if No, list the time-phased availability of the PPO facilities and explain reason
48 hours

72 hours

96 hours

Reason:

For Official Government Use Only

120 hours

2. Can the port make the PPO facilities available to DoD for a period of up to _______ days IAW PPO?
YES

NO

(Only if no, explain reason below and insert the period the PPO facilities can be

available to DoD: ______ days)
Reason:

3. Are ___________ feet of straight-line rail spurs available inside port to offload DoD cargo from railcars?
YES

NO

(Only if No, explain reason below and insert the available length of straight line

rail spurs: ___________ feet)
Reason:

4. Is minimum water depth of ___________ feet available? Access Channel: YES
PPO Berths: YES

NO

NO

(Only if No, explain reason below and insert the minimum available

water depth: ___________ feet)
Reason:

5. List any other current, or anticipated, issues (including but not limited to land or water access, structural
deficiency, congestion, equipment, trained labor, lease/contract changes, significant commercial disruption,
etc…), which may impact the PPO facilities’ readiness to meet all SDDC requirements.

6. Identify the port’s recommended alternatives or proposed actions to correct the readiness deficiencies and
issues noted above in Items # 1 thru 5:

Note: Please insert additional page(s) if necessary. Thank you for your continuing port readiness support.

For Official Government Use Only