EM Service Provider - EM System Certification Form

West Coast Region Groundfish Trawl Fishery Electronic Monitoring Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0785 can be found here:

Documents and Forms

Document Name Document Type
EM Service Provider - EM System Certification Form Form
EM System Certification Form EM System Certification Form.docx Form

Information Collection (IC) Details

IC Title:	EM Service Provider - EM System Certification Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 660.603(k)(1)(v)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	N/A	EM System Certification Form	EM System Certification Form.docx		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 5

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	58	58
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	38	38

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.