Economic Survey for A. Samoa, a Trip Cost Information Ad

Opportunistic.
Interview not completed.

Page (____/____)

Department of Marine and Wildlife Resources
Boat-based Survey Boat Log (Participation)

Date: _________________
Type Day: (1)WD (2)WE/H
Interview Time: _______ Interview #: ______ Charter (Y/N): _____ Port: ______________________
Boat/Name:__________________________ Reg. Number:____________________ # of Fishers: _________
CATCH EFFORT DATA FOR ONE FISHING METHOD:
Method (circle one):
Trip Begin Date/Time: _________@ ____
(2) - Troll
Number of Gears:_________
(4) - Bottom
Hours Fished:_______
(5) - Troll/Bottom
Days Fished:_________
(6) - Spear (Free Dive)
Total Trip Pounds: _____________
(8) -Atule-mix
Area Fished: ____________
(16) - Longline
Home Island: Tutuila / Manu`a / Aunu`u
(62) - Other: _________________
Landed Condition code: W: Whole fish, 1:GG, 2: HG, 3:GHT, 4:Gutted, 5: Headed, 6: Sharbite

Species Name

Length
(Cm)

Species
weight
(Pounds)

Number

Pieces

For Longlining:

# Set:
# Hours per set:
# Hooks per set:

Economic Survey for A.Samoa
OMB Control No. 0648-0773 Expiration Date: XX/XX/20XX

Trip Cost Information
Gal.
Gallons of fuel used
$
Price per gallon
Cost of ice used
$
free
Cost of bait & chum used $
Cost of fishing gear lost $
Engine type 2s / 4s / Diesel

Landed

Condition

Disposition

$ / Lb

Comments

BY-CATCH (Fish that released or discarded): YES / NO (write LIVE or DEAD/INJURED in Disposition)

Paperwork Reduction Act Statement. NOAA’s Pacific Islands Fisheries Science Center (PIFSC) is collecting this economic information to improve its ability to conduct the analyses
required by the Magnuson-Stevens Fishery Conservation and Management Act (MSA) and other applicable law. The PIFSC and the Western Pacific Fishery Management Council
will use this information to monitor, explain and predict changes in the economic performance and impacts of the American Samoa commercial fisheries. Among other things, this
will enable fisheries managers and the public to more fully consider the economic effects of proposed and existing regulations for these important fisheries. 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 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
information collection is 0648-0773 and its expiration date is XX/XX/20XX. Without this approval, we could not conduct this information collection. Public reporting for this
information collection is estimated to be approximately 10 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 voluntary. Send comments regarding this
burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the NOAA Fisheries at: 1845 Wasp Blvd., Building 176,
Honolulu, HI 96818, Attn: Minling Pan, and Minling.Pan@noaa.gov if desired.

Captain’s/Crew’s Signature:
_______________________