Western Pacific Lobster Sales Report\

OMB Control No.: 0648-0214
Expiration Date: 11/30/2006

No. 000001
NOAA FISHERIES SERVICE

WESTERN PACIFIC LOBSTER SALES REPORT
Vessel Name_____________________________ Permit Number_____________________
Name of First Level Buyer____________________________________________________
(Fill out a separate form for each buyer)
Business Address
Telephone number: (____)__________________ FAX number: (____)_________________
E-mail address:
All lobsters off-loaded to this buyer (yes/no)__________
Port of Landing__________________ Date of landing_________________
Location of off-load__________________Date all lobsters off-loaded__________________

SALES INFORMATION
Species

Frozen Tails
Sold
(circle
one)
No. or
Wt. (lbs)

Value
Total
value of
product
sale ($$$)

Not Sold
(circle
one)
No. or
Wt. (lbs)

Live
Sold
(circle
one)
No. or
Wt. (lbs)

Value
Total
value of
product
sale ($$$)

Other product form
(specify)
Not Sold
(circle
one)
No. or
Wt. (lbs)

Sold
(circle
one)
No. or
Wt. (lbs)

Value
Total
value of
product
sale ($$$)

Not Sold
(circle
one)
No. or
Wt. (lbs)

Spiny
Lobster
Slipper
Lobster
Octopus
Other
(specify)
Other
(specify)
Other
(specify)
PACKING/WEIGHOUT DOCUMENTATION ATTACHED TO THIS REPORT?: YES___/NO___

I certify that the above information is complete and true to the best of my knowledge.
Vessel Captain/operator: (Print name) _________________________
(signature) _________________________ Date: ______________
Please submit to: NMFS Pacific Islands Fisheries Science Center, ATTN: FMAP, 2570 Dole St., Honolulu, HI 96822

Paperwork Reduction Act Information
Public reporting burden for this collection is estimated to average 5 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 aspect of this collection of information,
including suggestions for reducing this burden, to Regional Administrator, Pacific Islands Region, NMFS, 1601 Kapiolani Blvd.,
Suite 1110, Honolulu, HI 96814.
This information is being collected to provide information needed by NMFS to regulate and monitor bottomfish management unit
species under the Fishery Management Plan for Bottomfish in the Western Pacific Region (FMP) and to evaluate the
effectiveness of management by assessing the status of stocks and the status of the fisheries. The information will provide a basis
for determining whether changes in management are need to sustain the productivity of the stocks or to respond to interactions
between fishing vessels and protected species and to address economic problems in the fishery. The information is also used to
provide a basis for evaluating the magnitude and distribution of impacts resulting from changes to the regulations. Responses to
the collection are required under 50 CFR 665.14. Propriety data provided concerning the vessel and/or business of the
respondents are handled as confidential under the Magnuson-Stevens Fishery Conservation and Management Act (Sec. 402(b)).
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.

OMB Control No.: 0648-0214
Expiration Date:11/30/2006

INSTRUCTIONS FOR COMPLETING THE WESTERN PACIFIC
LOBSTER SALES REPORT
VESSEL NAME: Name of fishing vessel.
PERMIT NUMBER: Western Pacific Crustacean Fishery Permit number.
NAME OF FIRST LEVEL BUYER: Name of the first level buyer, i.e. initial buyer of the
product from the permit holder.
BUSINESS ADDRESS: Address of first level buyer.
TELEPHONE NUMBER: Business or other contact telephone number of first level buyer
First level buyer: (1) the first person who purchases, with the intention to resell management unit
species or portions thereof that were harvested by a vessel that holds a valid permit or is otherwise
regulated under Subpart D of 50 CRF Part 660; or (2) a person who provides recordkeeping, purchase,
or sales assistance in the first transaction involving management unit species (such as the services
provided by a wholesale auction facility).

FAX NUMBER: FAX number of the first level buyer.
E-MAIL ADDRESS: e-mail address of first level buyer.
ALL LOBSTERS OFFLOADED TO THIS BUYER: Yes or No.
PORT OF LANDING: Port of vessel return (e.g., Honolulu, Hilo, Kodiak, Los Angeles, etc.).
DATE OF RETURN: Date of vessel return to port.
LOCATION OF OFF-LOAD: Port of off-load (e.g., Honolulu, Hilo, Kodiak, Los Angeles, etc.).
DATE ALL LOBSTERS OFF-LOADED: Date of completion of offloading.

SALES INFORMATION
Values should be input into the correct column matching the species and product form.
SPECIES: If species is not listed then fill in the species in the “Other (specify)” box.
Sold (circle one) No. or Wt. (lbs): List total number or weight sold, circle No. or Wt. to indicate
unit of measure.
Not Sold (circle one) No. or Wt. (lbs): List total number or weight not sold, circle unit i.e. No. or
Wt. to indicate unit of measure.
Value: Total value ($) of the product.
PACKING/WEIGHOUT DOCUMENTATION ATTACHED TO THIS REPORT: Circle
Yes or No. If yes, then attach the packing/weighout documentation to this form.
VESSEL CAPTAIN/OPERATOR: Print full name, sign on signature line, date of report
completion.

VESSEL REPORTING OBLIGATION REQUIREMENTS
The vessel captain/operator must submit to the National Marine Fisheries Service, within 72 hours
of offloading of lobster, an accurate and complete lobster sales report (one for each first level
buyer) and attach packing/weighout documentation if provided by the first level buyer(s).
Upon request any first level buyer must allow an authorized officer of the National Marine
Fisheries Service or designee of the Regional Administrator to access, inspect, and copy all records
relating to the harvest, sale, or transfer of any product taken by a vessel that has permits issued
under 50 CRF 660.41.

OMB Control No.: 0648-0214
Expiration Date:11/30/2006