Mothership Survey

OMB Control No. 0648-0618 Expiration Date: 04/30/2024

Economic Data Collection (EDC) Form

WEST COAST GROUNDFISH

LIMITED ENTRY TRAWL

MOTHERSHIP VESSEL

2023

NOAA Fisheries – Northwest Fisheries Science Center

Who is responsible for submitting: All owners, lessees, and charterers of a mothership vessel registered to an MS permit at any time in 2023.

Complete all questions. If a question is not applicable, write "NA" in the answer box. The survey will not be considered complete unless there is an answer to every question.

Submit by September 1, 2024.

Submissions: Completed EDC web forms must be submitted electronically or submitted as paper forms mailed and postmarked by, or hand-delivered to NMFS no later than September 1, 2024. Mail or deliver to

Economic Data Collection Program (FRAM Division)

Northwest Fisheries Science Center

2725 Montlake Boulevard East

Seattle, WA 98112

Retain a copy. Retain a copy of the completed form.

More information & questions: www.nwfsc.noaa.gov/edc or contact Erin Steiner at (866) 791-3726 or NWFSC.EDC@noaa.gov.

Public Reporting Burden Statement

Public reporting burden for this collection of information is estimated to take 8 hours per response, including time for reviewing the instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden to Erin Steiner, National Marine Fisheries Service, Northwest Fisheries Science Center, 2725 Montlake Blvd E, Seattle, WA 98112.

Additional Information

Before completing this form, please note the following: 1) Notwithstanding any other provision 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 to the requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing efforts under 50 CFR part 660 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under 402(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect the confidentiality of fishery statistics.

Privacy Act Statement

The Department of Commerce Privacy Impact Assessment (PIA) requires that forms used to collect Business Identifiable Information (BII) be notified of their protections under the Privacy Act.

Authority to Collect : All participants of the West Coast Groundfish Trawl Fishery must complete an annual Economic Data Collection (EDC) form as required by the Magnuson-Stevens Fishery Conservation and Management Act (50 CFR 660.114). Purpose The web-based system contains the EDC forms required to be submitted by regulation 50 CFR 660.114. Fishery participants use the system to submit EDC forms. The information is used for economic analysis of the West Coast Groundfish Trawl Fishery. Routine Uses: The data submitted are confidential under the Magnuson-Stevens Fishery Conservation and Management Act and NOAA Administrative Order 216-100. Disclosure of this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS offices, for use in economic analysis of the West Coast Groundfish Trawl Fishery. Disclosure of this information is also subject to all of the published routine uses as identified in and managed as identified in the Privacy Act System of Records Notice COMMERCE/NOAA-23. The individual level data will only be studied by NMFS employees or their contractors. Disclosure: Furnishing this information is mandatory. Failure to provide accurate information may prevent renewal of limited entry trawl permits or first receiver site licenses, changes in vessel registration, and/or participation in the West Coast Groundfish Trawl Fishery; or result in a violation of the Magnuson-Stevens Fishery Conservation and Management Act or regulations promulgated under the Act.

I. Contact Information and Vessel Characteristics

1. Provide the following information about this vessel and its physical characteristics.

Item	Vessel Information
Vessel Name
USCG Vessel Number
Home Port
Length Overall (feet)
Fuel Capacity (gallons)
Horsepower of Main Engines

2. Provide the contact information for the owner of the mothership vessel.

Name of Company, Partnership, or Other Business Entity
Business Mailing Address Street / PO Box			Business Phone ( )
			Business Fax ( )
City	State	Zip Code	Business Email

3. If the vessel was leased or bareboat chartered during 2023, provide the contact information for the lessee or charterer of the mothership vessel. If necessary, use the last page for additional lessees or charterers.

Name of Company, Partnership, or Other Business Entity
Business Mailing Address Street / PO Box			Business Phone ( )
			Business Fax ( )
City	State	Zip Code	Business Email

4. List the mothership permit(s) used with this vessel during 2023 in the West Coast whiting fishery (West Coast includes Washington, Oregon, and California).

Mothership Permit Number	Permit Owned or Leased? Owned Leased
Mothership Permit Number (2)	Permit Owned or Leased? Owned Leased
Mothership Permit Number (3)	Permit Owned or Leased? Owned Leased

5. Provide the contact information for the individual responsible for follow-up questions pertaining to this report. If your address, phone, and email are provided in the owner or lessee/charterer information, you do not need to repeat them here, but please provide your name and title.

Mothership Vessel Owner or Designated Representative Mothership Vessel Lessee or Charterer or Designated Representative
Name			Title
Business Mailing Address Street / PO Box				Business Phone ( )
				Business Fax ( )
City	State	Zip Code		Business Email

Please proceed to the next page

6. Answer the following questions related to the most recent marine survey of the vessel.

What was the year of this vessel's last marine survey?	_________ yyyy
What was the market value of this vessel from the survey, rounded to the nearest 100 dollars?	$ ________________
What was the replacement value of this vessel from the survey, rounded to the nearest 100 dollars?	$ ________________
Did the survey values given above include the value of permits associated with this vessel at the time of the survey?	Yes No
Did the survey values given above include the value of quota associated with this vessel at the time of the survey?	Yes No
Did the survey values given above include the value of all processing equipment on this vessel at the time of the survey?	Yes No
Did the survey values given above include the value of all fishing gear on this vessel at the time of the survey?	Yes No

7. For the remainder of the survey, report values from your 2023 fiscal year. When did this vessel’s 2023 fiscal year begin?

_____/_____/__________

mm dd yyyy

Please report values from your 2023 fiscal year for the remainder of this survey.

8. Was this vessel hauled out in 2023?

Yes No

9. Provide this vessel’s average fuel use per day (for propulsion or other uses) when engaged in each of the following activities in 2023.

• West Coast includes Washington, Oregon, and California.

• Exclude participation in the tribal sector of the whiting fishery.

• Fuel use should include all fuels used for propulsion or other uses.

Activity	Fuel Use
Processing and steaming in the West Coast whiting fishery	__________gal/day
Steaming between the West Coast and Alaska	__________gal/day

10. How many gallons of fuel did this vessel use (for propulsion or other uses) during 2023 in the West Coast whiting fishery?

• Exclude activities in the tribal sector, Alaska, and steaming between the West Coast and Alaska.

Type of Fuel	Gallons
Diesel	__________gal
Bunker oil	__________gal
Fish oil	__________gal

11. Provide the number of days this vessel was at sea during 2023 in each of the following activities. (This information will be used to allocate certain expenses and expenditures between the West Coast and Alaska).

• Count partial days as full days.

• Exclude participation in the tribal sector.

Activity	Days at Sea
Processing in the West Coast whiting fishery	__________days
Steaming in the West Coast whiting fishery	__________days
Off-loading in the West Coast whiting fishery	__________days
Steaming between the West Coast and Alaska	__________days
All Alaska fisheries	__________days

12. Provide the number of one-way trips (count a round trip as 2 one-way trips) this vessel made steaming between the West Coast and Alaska during 2023.

______ one-way trips

13. Provide the average number of processing crew members and the average number of non-processing crew members (including the captain) when the vessel was operating in the West Coast whiting fishery during 2023.

• Processing crew includes line workers, fishmeal crew, quality control, technicians, cleanup, mechanics who work on processing equipment, factory manager, and combis.

• Non-processing crew includes captain, wheelhouse, deckhands, engine room, and galley.

Fishery	Average Number of Processing Crew	Average Number of Non-Processing Crew
West Coast whiting	____________	____________

14. Provide the total number of individuals who worked on this vessel during 2023 while processing in the West Coast whiting fishery.

• This value should represent the total number of individuals who worked at any point during the year, rather than the number of positions reported in Question 13. Do not include observers.

______ individuals on this vessel (processing crew)

______ individuals on this vessel (non-processing crew)

II. Capitalized Expenditures

15. Provide the 2023 capitalized expenditures associated with each of the following categories for this vessel. Note that some capitalized expenditures are for All Fisheries the vessel participates in (West Coast, Alaska, and other) and others are for West Coast whiting fishery only (excluding tribal sector participation). Round all answers to the nearest 100 dollars. (Capitalized expenditures shared across fisheries will be allocated to the West Coast based on days or tonnage).

Capitalized Expenditure Category	Capitalized Expenditures in All Fisheries West Coast, Alaska, and Other	Capitalized Expenditures in West Coast Fisheries Only Washington, Oregon, and California
Vessel and On-board Equipment Include the purchase of a new or used vessel, electronics, safety equipment, and machinery not used to harvest or process fish. Include any major upgrades, repairs, or maintenance to the vessel or equipment. Exclude fishing gear and processing equipment.
New or used vessel and on-board equipment (Regardless of where the vessel operated, enter all expenditures for vessel and on-board equipment under All Fisheries)	$______________
Fishing Gear Include nets, cables, doors, and fishing machinery used in the West Coast whiting fishery. Exclude any fishing gear that is not used at least partially in the West Coast whiting fishery.
Fishing gear used only in the West Coast whiting fishery		$______________
Fishing gear shared by the West Coast whiting and other fisheries	$______________
Processing Equipment Exclude all equipment, machines, and buildings based primarily on shore. Exclude any processing equipment that is not used at least partially in the West Coast whiting fishery. Include on-board freezers, storage equipment, packing equipment, conveyers, and on-board cargo handling equipment.
Processing equipment used only in the West Coast whiting fishery		$______________
Processing equipment shared by the West Coast whiting and other fisheries	$______________

III. Permit Costs

16. Provide the total amount paid for the purchase or lease of mothership endorsed permits during 2023 for use in the West Coast whiting fishery.

Purchase or Lease of Permits	Total Cost
Purchase of mothership endorsed permit	$_______________
Lease of mothership endorsed permit	$_______________

IV. Annual Expenses

17. Provide the total amount expensed during 2023 in each of the categories below. Note that some expenses are for All Fisheries (West Coast, Alaska and other) and others are for the West Coast whiting fishery only (excluding tribal sector participation). Round all answers to the nearest 100 dollars.

Expenses Category	Expenses in All Fisheries West Coast, Alaska, and Other	Expenses in West Coast Fisheries Only Washington, Oregon, and California
Processing crew (include wages, bonuses, benefits, payroll taxes, and unemployment insurance)		$______________
Non-processing crew (include wages, bonuses, benefits, payroll taxes, and unemployment insurance)		$______________
Crew travel not deducted from crew wages		$______________
Observer fees		$______________
Mothership co-op dues		$______________
Fuel and lubrication (do not include steaming between West Coast and Alaska)		$______________
Food		$______________
Non-fish ingredients (additives)		$______________
Packing materials		$______________
Freight to the vessel on supplies		$______________
Other supplies (linens, clothing, cleaning, etc.)		$______________
Communications		$______________
Offload expenses (cross-dock fees, port tariffs, etc.)		$______________
On-board cargo / product/ protection and indemnity insurance		$______________
Fishing gear purchases, upgrades, repairs, or maintenance used only in the West Coast whiting fishery (expensed during 2023)		$______________
Fishing gear purchases, upgrades, repairs, or maintenance shared by West Coast whiting fishery and Alaska (expensed during 2023)	$______________
Processing equipment purchases, upgrades, repairs, or maintenance (expensed in 2023)	$______________

17. (Continued)

Expenses Category	Expenses in All Fisheries West Coast, Alaska, and Other	Expenses in West Coast Fisheries Only Washington, Oregon, and California
Vessel and on-board equipment purchases, upgrades, repairs, or maintenance (expensed in 2023)	$______________
Insurance premium payments (hull and machinery, pollution insurance)	$______________
Moorage	$______________
Lease or bareboat charter of this mothership vessel	$______________
Depreciation (vessel, on-board equipment, and processing equipment) taken during 2023	$______________

18. Loan Payments.

a. Were there any loan(s) on this vessel at any time during 2023?

	Yes		Continue to Question 18.b
	No		Skip to Question 19

2. If you answered “Yes” to Question 18.a, record total amount still owed (remaining balance) at the end of 2023.

$______________

2. Provide the total amount paid to service loans associated with this vessel. Split total loan payments into amount paid to interest and principal. If you do not know how the payments were split, record the total payments under “Principal repaid” and record “NA” for “Interest paid.”

	Loan Payments
Principal repaid in 2023	$______________
Interest paid in 2023	$______________

19. Provide the weight and the cost of fish purchased from catcher vessels in the West Coast whiting fishery (excluding tribal sector participation) during 2023. Round weights to the nearest metric ton.

• Please include any post-season adjustments for purchases of fish that were harvested in 2023.

• Total cost should include taxes and vessel-buyback program fees paid on behalf of catcher vessels.

Type of Fish	Total Weight of Fish Received but Not Paid For (for size or other reasons)	Total Weight of Fish Purchased	Total Cost of Fish Purchases
Whiting	________________mt	________________mt	$_______________
All other West Coast species	________________mt	________________mt	$_______________

20. Provide the total round weight of all fish processed by this vessel during 2023. Round to the nearest metric ton. (This information will be used to allocate certain expenditures between the West Coast and Alaska in order to avoid asking more detailed information about the vessel's activity in Alaska).

Fishery	Total Round Weight as a Catcher-Processor	Total Round Weight as a Mothership
West Coast whiting fishery (exclude tribal)		________________mt
All Other fisheries (include tribal)	________________mt	________________mt

V. Annual Earnings

21. Provide the total weight and value of production in the West Coast whiting fishery (exclude participation in tribal sector) during 2023. Report weights to the nearest metric ton.

• Do not include any additional payment you received to cover any shipping, handling, or storage costs associated with the sale beyond the FOB port of discharge.

• Please include any post-season adjustments for products produced in 2023.

• For products produced in 2023 and held in inventory at the end of the year, estimate the value based on the average price received for similar products sold during the year.

• Include products shipped to other establishments of your company.

• Do not include revenue associated with fish caught in any fishery except the West Coast whiting fishery.

Type of Fish	Total Weight of Production	Total Value of Production
Whiting
Surimi	mt	$
Fillets	mt	$
H&G	mt	$
Round (unprocessed)	mt	$
Fishmeal	mt	$
Fish oil	mt	$
Roe	mt	$
Minced	mt	$
Stomachs	mt	$
Other (specify):___________	mt	$
Other (specify):___________	mt	$
Other Species
All other species on the West Coast	mt	$

22. Provide the percentage, by value, of all products off-loaded from this mothership vessel in the West Coast whiting fishery (exclude deliveries related to participation in tribal sector) at each of the following locations. The column should sum to 100%.

Location	Percentage of Total Off-load Value
Seattle	________________%
Blaine / Bellingham	________________%
Port Angeles	________________%
Astoria	________________%
Coos Bay	________________%
Tacoma	________________%
At sea (tramper)	________________%
Other (specify):______________________	________________%

23. For each of the earnings sources listed below, indicate the income earned during 2023.

Earnings Source	Revenue Received
Sale of West Coast mothership endorsed permits	$_______________
Lease of West Coast mothership endorsed permits	$_______________
Lease or bareboat charter of this vessel	$_______________
Insurance settlements	$_______________

VI. Certification

24. Read the following statement and sign and date the box below.

I certify under penalty of perjury that I have reviewed all the information in this form and that it is true and complete to the best of my knowledge.
Signature	Date signed _____/_____/_________ mm dd yyyy
Print Name

Questionnaire Comments:

Revised: 11/23/11

Revised: 11/23/11

Revised: 11/23/11

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