Declaration Worksheet

OMB Control No. 0648-0573; Expires XX/XX/20XX

Declaration Report Worksheet

This worksheet is for your own use and is intended to help you organize information that will be submitted in a declaration report.

Please do not submit this worksheet to NMFS.

1. Dial 1-888-585-5518 to connect to the West Coast Groundfish Declaration Line.

2. You will be connected to a live operator during normal business hours to file a declaration or be asked to leave a voice mail declaration after hours, on weekends or holidays.

3. Provide your vessel identification number to the operator or voicemail.

Vessel Number

4. Provide your 5 digit vessel pass code to the operator or voicemail.

5. Provide the two digit code from the list below, to the operator or voicemail.

10. - Limited entry fixed gear, not including shorebased IFQ

11. - Limited entry groundfish non-trawl, shorebased IFQ

20. - Limited entry midwater trawl gear, non- whiting shorebased IFQ,

21. - Limited entry midwater trawl, Pacific whiting shorebased IFQ

22. - Limited entry midwater trawl, Pacific whiting catcher/processor sector

23. - Limited entry midwater trawl, Pacific whiting mothership sector (catcher vessel or mothership) 30 - Limited entry bottom trawl, shorebased IFQ, not including demersal trawl or selective flatfish trawl

31 - Limited entry demersal trawl, shorebased IFQ

32 - Limited entry selective flatfish trawl, shorebased IFQ

33 - Open access bottom contact hook-and-line gear for groundfish (e.g., bottom longline, commercial vertical hook-and-line, dinglebar)

34 - Open access groundfish trap or pot gear 35 - Open access non-bottom contact hook and line gear for groundfish (e.g., troll, weighted jig gear, rod & reel gear)

36 - Open access non-bottom contact stationary vertical jig gear

37. - Open access non-bottom contact troll gear

40. - Non-groundfish trawl gear for ridgeback prawn

41. - Non-groundfish trawl gear for pink shrimp 42 - Non-groundfish trawl gear for CA halibut 43 - Non-groundfish trawl gear for sea cucumber 50 - Tribal trawl gear

60. - Open access prawn trap or pot gear,

61. - Open access Dungeness crab trap or pot gear, 62 - Open access Pacific Halibut longline gear

63. - Open access salmon troll gear

64. - Open access California halibut line gear 65 - Open access sheephead trap or pot gear

66. - Open access Highly Migratory Species line gear

67. - Open access Coastal Pelagic Species net gear 68 - Open access California gillnet complex gear 69 - Other, a gear that is not listed above

70 - Gear testing, Trawl Rationalization fishery

6. For your records, record the confirmation number provided by the operator. Re-enter the confirmation number in the area provided below.

Confirmation Number

7. Ask the operator to review the information in your declaration. Once you confirm that your declaration report is correct you may disconnect from the West Coast Groundfish Declaration Line.

Public reporting burden for this collection of information is estimated to average 4 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other suggestions for reducing this burden to Karen Palmigiano, National Marine Fisheries Service/Northwest Region, at karen.palmigiano@noaa.gov.

This information is confidential under Section 402 of the Magnuson-Stevens Fishery Conservation and Management Act. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected 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 currently valid OMB Control Number.