NOAA88-166 Fishermen's Contingency Fund 15-day Report

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U.S. DEPARTMENT OF COMMERCE
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NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION

FISHERMEN'S CONTINGENCY FUND 15-DAY REPORT

Claimant’s Name

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NOAA FORM 88-166
Revised 05-2021
OMB Approved NO. 0648-0082
EXPIRES 05-31-2021
SSN

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Business Name

Tax ID#

Mailing Address

Phone (w)

City

I State

I Zip

Cell

Email Address

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Phone (h)

Vessel Name

I Vessel #

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Date

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Locational coordinates of obstruction (GPS)
Description of the nature of the damage or loss

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Description of what caused the damage or loss (i.e. What did the vessel/gear hang on?)

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Damage or loss discover on
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(date) and

I Vessel returned to port on __________ (date).

Remarks, additional information, comments, etc.

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INSTRUCTIONS AND INFORMATION
You must report the above information within 15 days after the date your vessel first returned to port after discovering
such damage or loss to the Fishermen's Contingency Fund (FCF) at 301.427.8725 or to the address below.
You must also file a completed Claim Application within 90 days of the loss or damage. NOAA Form 88-164, FCF
Claim Application Form, may be used or see the FCF Regulations at 50 CFR Part 296.
In order to gain a presumption that your damage or loss was caused by an item related to Outer Continental Shelf oil
and gas activities, you must submit the above information to National Marine Fisheries Service (NMFS) within the 15day period. If the report is not submitted within the 15-day period, the presumption exception will not be allowed and
you will have to prove that the obstruction causing the loss or damage was related to the oil and gas activities.
Attach additional sheet(s) as needed.
Claimant must agree to repay all or any part of the award if the award should be subsequently reduced.
Privacy Act Statement.
Authority: The collection of this information is authorized by Title 45 U.S.C. 1177 and CFR Part 259. The data is for
the evaluation of eligibility for compensation from the Fishermen’s Contingency Fund. Compensation will not be
considered unless all requested information is furnished.
Purpose: In order to determine eligibility for the Fishermen’s Contingency Fund, the NOAA National Marine
Fisheries Service (NMFS) requires financial information, vessel owner contact data, vessel and licensing information,
damage estimates, replacement invoices, verification of payments, fish ticket data, economic and fuel loss estimates,
snag information, and other data as relevant.
Routine Uses: NMFS will use this information to determine eligibility for compensation from the Fishermen’s
Contingency Fund. Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a),
to be shared within NMFS’ Financial Services Division. Disclosure of this information is also subject to all of the
published routine uses as identified in Commerce/NOAA-21, Financial Services Division.
Disclosure: Furnishing this information is voluntary; however, failure to provide complete and accurate information
will prevent the determination of eligibility and compensation from the program.
A Federal Agency my 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 an information collection subject to the requirements of the Paperwork
Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved
OMB Control Number for this collection is 0648-0082. Without this approval we could not conduct this information
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collection. Public reporting for this information is estimated to be approximately 15 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the information collection. All responses to this information collection are required to
receive benefits. Send comments regarding this burden estimate or any other aspect of this information collection,
including suggestions for reducing this burden to the Financial Services Division (F/MB5) Office of Management
and Budget, 1315 East West Highway-13th Floor, Silver Spring, MD, 20910, Attn: Elaine Saiz/Financial Services
Division Chief and Elaine.saiz@noaa.gov.
8. Confidential name and address information may be released via a NOAA website for informational purposes. All
other data submitted will be handled as confidential material in accordance with NOAA Administrative Order 216100, Protection of Confidential Fisheries Statistics. Notwithstanding any other provisions 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 requirements of the Paperwork Reduction Act, unless that collection of information displays a
currently claim OMB Control Number.
FCF Staff Initials
Contact information: NMFS F/MB5 FCF, 1315 East West Highway, 13th Floor, Silver Spring,
MD 20910. Telephone: 301.427.8725. Fax: 301.713.1306. Additional information at:
www.nmfs.noaa.gov/mb/financial_services/fcf.htm