BSAI Crab Buyback Loan Fee Collection Report

OMB Control No.: 0648-0376; Expiration Date: 08/31/2008

BSAI Crab Buyback Loan Fee Collection Report
Fee Collector's Name
Mailing Address
City
State
Zip
Phone Number
Crab Receiver Permit
Month of Landings
Check this box if payment is a
Price Adjustment
Fee Rate

FOR LANDINGS OF

Sub-account

(%)

Aleutian Islands brown king
BSAI C. opilio and C. bairdi

BBCA-002BK
BBCA-002OB

5.0
5.0

Aleutian Islands red king

BBCA-002AI

5.0

Bristol Bay red king
Pribilof red king and blue king

BBCA-002BB
BBCA-002PB

2.5
5.0

St. Matthew blue king

BBCA-002SM

5.0

Catch (lbs.)

Gross Value ($)

Fee Collected ($)

Total Fees ($)
Price Adjustment Verification:

By checking this box I certify that the payment I am making is for the purposes
of BSAI crab price adjustment, and I confirm I am not avoiding late payment
fees on any previous month's unreported landings.

Instructions:
1. Complete the fee collector's name, address, phone number, crab receiver permit, and month of landings.
Check both the price adjustment box and verification box, if applicable.
2. Record the catch in pounds, gross value, and fee collected for each fishery. The fee collected equals the applicable
fee rate multiplied by the gross value of crab landed for each vessel trip.
3. Note that deliveries must occur within the same month. Use a separate report for a different month.
4. Use Pay.gov to remit fee collected or mail a check payable to: "NMFS BSAI Crab Buyback Loan"
in the amount of the total fees collected to: P O Box 979060, St. Louis, MO 63197-9000.

Paperwork Reduction Act Statement:
Public reporting burden for this collection of information is estimated to average one hour 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 Leo Erwin, Chief, Financial
Services Division, NMFS, MB5, 1315 East West Highway, Silver Spring, MD 20910.
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.