| OMB Control # 0648-0376 Expires 06/30/2018 |
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| BSAI Crab Buyback Loan Fee Collection Report |
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| Fee Collector's Name |
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| Mailing Address |
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| City |
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| State |
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| Zip |
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| Phone Number |
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| Registered Crab Receiver Permit No. |
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| Settlement Date |
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| Month and Year of Landings |
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| FOR LANDINGS OF: |
Sub-account |
Fee Rate (%) |
Catch (lbs.) |
Gross Value ($) |
Fee Collected ($) |
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| BSAI C. opilio and C. bairdi |
BBCA-002OB |
5.00% |
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| Aleutian Islands red king |
BBCA-002AI |
5.00% |
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| Bristol Bay red king |
BBCA-002BB |
2.50% |
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| Pribilof red king and blue king |
BBCA-002PB |
5.00% |
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| St. Matthew blue king |
BBCA-002SM |
5.00% |
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| Only enter late charges for which you have received a Bill of Collection. |
Late Charges ($) |
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Total Fees ($) |
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| Price Adjustment Verification: |
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By checking this box I certify that this payment is for an adjustment |
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| Instructions: |
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| 1. Complete the fee collector's name, address, phone number, Registered Crab Receiver number, and month and year of landings. |
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| Check the price adjustment box if applicable. |
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| 2. Record the catch in pounds, gross value, and fee collected for each fishery. The fee collected equals the applicable |
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| fee rate multiplied by the gross value of crab landed for each vessel trip. |
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| 3. Note that deliveries must occur within the same month. Use a separate report for a different month. |
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| 4. Payment of late charges for which you have received a Bill of Collection can be included with the fee payment. |
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| Do not pay late charges in advance of receiving a Bill of Collection. |
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| 5. Use Pay.gov to remit the fees collected or mail a check payable to: "NMFS BSAI Crab Buyback Loan" |
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| in the amount of the total fees collected to: US Department of Commerce-NOAA, Attention-BSAI Crab Buyback, |
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| P.O. Box 979008, St. Louis, MO 63197-9000. |
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| 6. Fees must reach NMFS by the 7th day after the end of each calendar month when fees have been collected. |
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| Paperwork Reduction Act Statement: |
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| Public reporting burden for this collection of information is estimated to average one hour per response, |
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| including the time for reviewing instructions, searching existing data sources, gathering and maintaining the |
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| data needed, and completing and reviewing the collection of information. Send comments regarding this |
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| burden estimate or any other suggestions for reducing this burden to Chief, Financial Services Division, NMFS, MB5 |
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| 1315 East West Highway, Silver Spring, MD 20910. |
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| Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be |
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| subjected to a penalty for failure to comply with, a collection of information subject to the requirements of the |
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| Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number. |
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| OMB Control # 0648-0376 Expires 06/30/2018 |
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| Privacy Act Statement: |
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| Authority: The authority regarding establishment of Fishing Capacity Reduction Programs is 16 U.S.C. §1861 (b)-(e). |
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| §§ 600.1000-600.1017 provides the Fishing Capacity Reduction Framework. Specific Fishery or Program Fishing |
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| Capacity Regulations authorizations are §§ 600.1100-600.1108. |
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| Purpose: NMFS requests information from fish buyers and sellers to ensure accurate management and repayment of |
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| buyback loans. |
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| Routine Uses: NMFS will enforce the collection of all fee payments and bring legal actions for collection enforcement |
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| against any fish seller or fish buyer who fails to pay, collect, deposit, and/or disburse the fee in accordance with the |
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| regulations. NMFS will audit ex-vessel landing records and fish buyer records for the purpose of determining and enforcing |
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| compliance. NMFS will use this information to determine compliance with §§ 600.1000-600.1017. Disclosure of this |
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| information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS’ Financial |
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| Services Division. Disclosure of this information is also subject to all of the published routine uses as identified in |
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| Commerce/NOAA-21, Financial Services Division. (http://www.osec.doc.gov/opog/PrivacyAct/SORNs/noaa-21.html) |
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| Disclosure: Furnishing this information is mandatory; failure to provide complete and accurate information may result in |
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| penalties as described in §§ 600.1100-600.1108. |
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