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00 - AMMOP Forms (All)

AMMOP: Alaska Marine Mammal Observer Program

OMB: 0648-0593

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OMB Control No. 0648-0593

Expiration Date: xx/xx/20xx

NOAA National Marine Fisheries Service Alaska Marine Mammal Observer Program
DATA RELEASE FORM FOR COPIES OF TRIPS
1. The only individuals, excluding authorized NOAA Fisheries personnel, who may request and
receive copies of completed AMMOP data forms include: the ADFG fishing permit holder, or a
person acting as an authorized representative for the permit holder.
2. Any request for copies of observer forms must be submitted in writing on a form letter (see
reverse side), which may be obtained from a NMFS observer or the address below. All signed
requests must be sent to the following address:
Program Coordinator, Alaska Marine Mammal Observer Program National Marine
Fisheries Service Office of Protected Resources
P.O. Box 21668, Room 461 Juneau, Alaska 99802
3. Upon release of the requested data, the authorized recipient then becomes responsible for it.
4. Data may not be released upon an oral request, or without first completing and signing the
authorized release letter mentioned above.
5. Release of data for trips in which more than one fishing permit was observed may only occur if
both permit holders or authorized representatives complete and sign data release requests.
6. All letters should be completed in pen, not pencil.
PAPERWORK REDUCTION ACT STATEMENT: The information provided on this form will be
used to ensure that the data for a specific trip is not provided to a person who does not have authority
to obtain that data under the confidentiality requirements of the Magnuson-Stevens Fishery
Conservation and Management Act (MSA) and the Marine Mammal Protections Act (MMPA).
Meeting those confidentiality requirements is critical for collecting information that is used in
analyses that support the conservation and management of living marine resources and that are
required under the MSA, the Endangered Species Act (ESA), the MMPA, the National
Environmental Policy Act (NEPA), the Regulatory Flexibility Act (RFA), Executive Order 12866
(EO 12866), and other applicable law. The public reporting burden for this form is estimated to
average 5 minutes per response, including the time for completing, reviewing, and transmitting the
information on the form. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing the burden to: Program Coordinator,
Alaska Marine Mammal Observer Program, National Marine Fisheries Service, Office of Protected
Resources, P.O. Box 21668, Room 461 Juneau, Alaska 99802. Providing the requested information
is required to obtain the observer data you have requested. The information on this form will be kept
confidential as required under Section 402(b) of the MSA (18 U.S.C. 1881a(b)) and regulations at 50
C.F.R. Part 600, Subpart E, or as required under Section 118(d)(8) of the MMPA (16 U.S.C.
1387(d)(8)) and regulations at 50 C.F.R. Part 229, Subpart A. 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.
NOAA National Marine Fisheries Service Alaska Marine Mammal Observer Program

DATA RELEASE FOR COPIES OF TRIPS FORM
_______________________
(Date of Request)
Program Coordinator, Alaska Marine Mammal Observer Program
National Marine Fisheries Service
Office of Protected Resources
P.O. Box 21668, Room 461
Juneau, Alaska 99802
Dear AMMOP Coordinator:
I, _______________________________, a set gillnet permit holder or authorized representative
(Print complete name)
(circle one) of set gillnet permit number #_______________________________ request and
(set net permit number)
authorize the release to myself of data recorded at my set gillnet site by an observer from the
National Marine Fisheries Service, Alaska Marine Mammal Observer Program.
The information I request is from the _________________________________________ fishery.
(Name of Fishery)
This information was collected on _____________________ in_________________________.
(Date)
(Fishing Location)
I am making this request as the permit holder or the authorized representative of the owner(s), of the
said permit. I understand that I am responsible for these data upon release to me by NOAA
Fisheries. I further understand that the data I receive may be preliminary, and not yet completely
reviewed by the Alaska Marine Mammal Observer Program.
____________________________
(SIGNED NAME)
____________________________
(PRINTED NAME)
Address to Which Data should be sent:
Street/ PO Box ____________________________________
City, State, Zip ____________________________________
OFFICE USE ONLY:
Date requested data received/ issued ______________________
Signature of data releaser ________________________________________
Printed name of data releaser ________________________________________
FORM AMMOP 021-05

Alaska Marine Mammal Observer Program
Gillnet Fisher Effort Log

Please fill out this form for each 24-hr period of active salmon gillnet fishing for each ADF&G management subdistrict. If
you move from one subdistrict to another in single day, begin a new record on a new line.
Submit form within 7 days via text message or by email to: __________________________________________________
Start Date: the date when active fishing began
Start Time: the time to nearest minute that active fishing began
End Time: the time that active fishing stopped even if into the early morning of the next day
Qty Sets: the number of gillnet sets during the active fishing period. Can be tally.
Location: the ADF&G management district/subdistrict where active fishing took place. If THA or SHA, write in name.
Bycatch Witnessed: Number of bycaught animals.
Comments: any comments. For example, other bycaught marine mammal species, description of entanglement, if active
fishing was stalled for any reason, duration of motoring time if large, ect…
Name _________________________________________________
Start Date

Start time

End time

#

Sets

Permit # ____________________________

Location/
Subdistrict

Quantity Bycatch Witnessed
Harbor
Seabird Other
porpoise
marine
mammal

1 6 8a 8b 11 15
THA/SHA _____________
1 6 8a 8b 11 15
2
THA/SHA _____________
1 6 8a 8b 11 15
3
THA/SHA _____________
1 6 8a 8b 11 15
4
THA/SHA _____________
1 6 8a 8b 11 15
5
THA/SHA _____________
1 6 8a 8b 11 15
6
THA/SHA _____________
1 6 8a 8b 11 15
7
THA/SHA _____________
1 6 8a 8b 11 15
8
THA/SHA _____________
1 6 8a 8b 11 15
9
THA/SHA _____________
1 6 8a 8b 11 15
10
THA/SHA _____________
Comments (please indicate the row number that relates to your comment, if applicable)
1

OMB Control No. 0648-0593 Expiration Date: xx/xx/20xx

Last updated: 7/13/23

VESSEL/PLANT OPERATOR COMMENT FORM
NORTH PACIFIC OBSERVER PROGRAM
The information on this form will be used by the National Marine Fisheries Service to evaluate how well the observers are performing their duties and to serve as a line
of communication between the fishermen and the Observer Program.
Public reporting burden for this collection of information is estimated to average 30 minute 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.
All identifying data submitted will be handled as confidential material in accordance with NOAA Administrative Order 216-100, Protection of Confidential Fishery
Statistics. 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.

INSTRUCTIONS
Anonymous responses have little value in this process, so please fill in the identifying information completely. If you don’t remember the
Observer’s name, please fill in the rest of the identifying information and indicate whether the Observer was the Primary or Secondary
observer (if known).
In addition to answering Yes or No to each question, please use the Comments section to provide additional information about your answer.
If the answer is neither Yes nor No, please use the Comments section to record the appropriate answer (i.e. Sometimes or N/A [not
applicable]).
Though this form’s primary intent is to allow you to provide information regarding specific observers, the second page affords you an
opportunity to provide feedback and ask questions about the Observer Program in general or to open up a line of communication between
you and a member of our staff.
Please take the time to answer this Comment Form completely.
Thank you for your time!

Vessel/Plant Operator Comment Form
Page 1 of 5

Date Revised: Jan 2018

VESSEL/PLANT OPERATOR COMMENT FORM

OMB Control No.0648-0593
Expiration Date: xx/xx/20xx

Vessel/Plant Operator______________________________ Vessel/Plant Name_______________________________ Today’s Date_______________________________
Observer_________________________________________ Observer Provider_______________________________ Dates observer onboard_______________________
Questions about your observer

Did the observer interact with you and your crew in a
professional manner?

Yes

No

Comments

Did the observer discuss his/her work needs with you
and your crew?
Did the observer follow vessel/plant rules or policies?
If not, please elaborate.
Did the observer participate fully in safety drills? If
not, why not?
Did the observer inform you of any suspected
violations of regulations when these were witnessed?
Did the observer put himself/herself in any unsafe
situations? If yes, please elaborate.
Did you have any issues with the observer’s duties
and responsibilities? If yes, please elaborate.
Did you discuss any issues regarding observer duties
with the observer?

How were the issues resolved?

Did you discuss any issues regarding observer duties
with anyone else? (please circle)
Observer Program staff

Please identify the person you spoke with and whether the issues were resolved.

Observer provider

My fishing company
Vessel/Plant Operator Comment Form
Page 2 of 5

Did the observer do anything specific that you
appreciated? Please elaborate.

Yes

No

Comments

Questions about the program
Do you have questions about the work performed by
observers? (sampling methods, work schedules, etc)
Did you ask the observer?
Would you like to ask a member of our staff?
Would you like someone on our staff to contact you?
(If yes, please provide contact information below)
In general, are you satisfied with the observers you
have had on your vessel or at your plant? Please use
this space to provide any relevant comments or
suggestions.

If you would like us to contact you, please provide:
Phone_______________________Email____________________________Address____________________________________________________
Vessel/Plant Operator Comment Form
Page 3 of 5

________________________________________________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing the instructions, searching the existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other
aspect of this collection of information, including suggestions for reducing the burden, to Jennifer Ferdinand, Director, Fisheries Monitoring and Analysis Division, NOAA
National Marine Fisheries Service, 7600 Sand Point Way NE, Seattle, WA 98115.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of 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 voluntary and will be used to improve observer training under section 403(b) of the Magnuson-Stevens Act (16
U.S.C. 1801, et seq.); 3) All identifying data submitted will be handled as confidential material in accordance with NOAA Administrative Order 216-100, Protection of
Confidential Fishery Statistics. Other information collected on this form may be subject to public release under various statutes.
________________________________________________________________________________________________________________________________________________

Vessel/Plant Operator Comment Form
Page 4 of 5

________________________________________________________________________________________________________________________
Thank you for taking the time to fill out this Vessel/Plant Operator Comment Form. Filling out this form allows you to provide us with feedback
regarding your recent Observer and your experience with the Observer Program as a whole. Your feedback is important to us. We are committed to
responding to each Comment Form we receive.
We also have an electronic version of this form available on our website (https://www.fisheries.noaa.gov/resource/document/north-pacific-observerprogram-vessel-or-plant-operator-comment-form) if you prefer to email a copy to us instead.
Please mail all completed hard copy forms to:
Jennifer Ferdinand
Fisheries Monitoring and Analysis Division
Alaska Fisheries Science Center, National Marine Fisheries Service
National Oceanic and Atmospheric Administration, Department of Commerce
7600 Sand Point Way N.E., Building 4
Seattle, Washington 98115
F/AKC6
________________________________________________________________________________________________________________________

Vessel/Plant Operator Comment Form
Page 5 of 5


File Typeapplication/pdf
File TitleMicrosoft Word - Data Release Form.doc
Authormsternfeld
File Modified2023-12-13
File Created2009-06-01

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