Drift gillnet trip expense form

Observer Program Economic Trip Cost Form
“Why do we collect economic data?”…“Because the National Marine Fisheries Services is required to conduct economic analysis.”

(LJ 07-17-08)

DRIFT GILLNET TRIP EXPENDITURE FORM
(Ask information on the way to port and after offloading)

1. TRIP INFORMATION

VESSEL NAME

COAST GUARD DOCUMENT NUMBER

STATE REGISTRATION PLATE NUMBER

‰ SWORDFISH

TRIP TYPE (Check One)

TRIP NUMBER

_______________________________

‰ THRESHER SHARK

DATE OF DEPARTURE
2
DAY

MONTH

TIME OF DEPARTURE

YEAR

DATE OF RETURN

HOUR

MINUTES

TIME OF RETURN
2

DAY

:

0

MONTH

:

0

YEAR

HOUR

MINUTES

DAYS FISHED

FISH TICKET NUMBER

DATE OF OFFLOADING
2

DAY

FISH TICKET NUMBER

MONTH

0

YEAR

DATE OF OFFLOADING
2

DAY

FISH TICKET NUMBER

MONTH

0

YEAR

DATE OF OFFLOADING
2

DAY

MONTH

0

YEAR

2. FUEL
PRICE PER GALLON
$

GALLONS USED

.

,

3. ENGINE OIL

UNIT (Check One)
1 GALLON
5 GALLONS (1 BAG/BUCKET)
55 GALLONS (1 DRUM)

$

PRICE PER UNIT
$

TOTAL COST OF FUEL

.

,

.

QUANTITY PER UNIT USED
TOTAL COST OF OIL
GALLONS
$
BAGS
.
DRUMS
Revised 05/14/09

Observer Program Economic Trip Cost Form
“Why do we collect economic data?”…“Because the National Marine Fisheries Services is required to conduct economic analysis.”

4. REGRIGERATION
DO YOU HAVE REFRIGERATION ONBOARD?

‰ YES

‰ NO

DO YOU USE BRINE OR BRINE SPRAY?

‰ YES

‰ NO
IF YES, WHAT IS THE TOTAL COST?
$

.

,

5. ICE (Check One) ‰ ICE MAKER

‰ NO ICE MAKER

UNIT (Check One)

PRICE PER UNIT

BLOCKS
TONS
LBS

$

UNITS USED

.

.

.

TOTAL LIGHTSTICK COST
$

IF YOU USE REUSABLE LIGHTSTICKS,
LIGHTSTICKS USED LIGHTSTICKS REPLACED

,

$

6. LIGHTSTICKS
DO YOU USE LIGHTSTICKS?
‰ YES
‰ NO
IF YES,
DO YOU USE DISPOSABLE LIGHTSTICKS?
‰ YES
‰ NO
IF YES,
PRICE PER LIGHTSTICK
NUMBER USED
$

TOTAL COST

.

PRICE PER LIGHTSTICK REPLACED TOTAL REPLACEMENT COST
$

.

7. REGULATORY COST
ACOUSTIC PINGERS
PINGERS USED PINGERS REPLACED PRICE PER PINGER REPLACED
$

.

$

,

.

TOTAL REPLACEMENT COST
$

,

.

BATTERIES USED BATTERIES REPLACED PRICE PER BATTERY REPLACED TOTAL REPLACEMENT COST
$

.

$

,

.

8. FISHING GEAR COSTS (i.e. replaced items such as net, line, floats, raingear, etc. for this trip)
$

,

.
Revised 05/14/09

Observer Program Economic Trip Cost Form
“Why do we collect economic data?”…“Because the National Marine Fisheries Services is required to conduct economic analysis.”

9. PROVISIONS COSTS (i.e. groceries, bottled water, etc. for this trip)
$

,

.

10. TOTAL SHARED COSTS (i.e. cost subtracted from gross revenue prior to calculating crew share payments for this
trip)
$

,

.

11. OTHER TRIP COSTS (i.e. docking/offloading fees if separate from broker fee, crew travel/lodging, etc. for this trip)
$

,

.

12. MISCELLANEOUS TRIP COSTS (i.e. unexpected or “one-time” cost)

$

,

.

13. BROKERAGE EXPENSE, IF ANY

$

,

.

OR

BROKERAGE PERCENTAGE

$

%

14. TOTAL ESTIMATED TRIP COSTS (Ask, Don’t Add!)
$

,

.

15. OPERATOR OF THIS TRIP (Check One)
‰ Owner Operated ‰ Hired Captain
16. NUMBER OF CREW (Excluding Captain)

17. NUMBER OF FOREIGN CREW

18. CREW SHARE
DO YOU USE CREW SHARE?

‰ YES ‰ NO
IF YES,
OWNER’S SHARE

%
CAPTAIN’S SHARE

%
Revised 05/14/09

Observer Program Economic Trip Cost Form
“Why do we collect economic data?”…“Because the National Marine Fisheries Services is required to conduct economic analysis.”
CREW SHARE 1

CREW SHARE 2

%

%

OTHER

%
IF NO, HOW ARE CREW PAID?

19. DID YOU USE A HARPOON?

‰ YES ‰ NO
HOW MANY SWORDFISH DID YOU HARPOON?
DID YOU HARPOON ANY OTHER SPECIES?
IF YES, WHAT SPECIES, AND HOW MUCH WAS CAUGHT?

20. DID YOU USE ANY OTHER GEAR?

‰ YES ‰ NO
IF YES, WHAT TYPE OF GEAR, WHAT SPECIES, AND HOW MUCH WAS CAUGHT?

21. NOTES OR EXPLANATIONS

Please remember to fill out #22 . . .

22. STATUS OF ECONOMIC DATA COLLECTION (For the Observer only)
Data Collected By Observer
Contact Information
of Trip Operator

Revised 05/14/09

Observer Program Economic Trip Cost Form
“Why do we collect economic data?”…“Because the National Marine Fisheries Services is required to conduct economic analysis.”

PAPERWORK REDUCTION ACT STATEMENT: Information collected through the observer program will
be used to: (1) monitor catch and bycatch; (2) understand the population status and trends of fish stocks and
protected species, as well as the interactions between them; (3) determine the quantity and distribution of net
benefits derived from living marine resources; (4) predict the biological, ecological, and economic impacts of
existing management actions and proposed management options; and (5) ensure that the observer programs can
safely and efficiently collect the information required for the previous four uses. In particular, the observer
program provides information that is used in analyses that support the conservation and management of living
marine resources and that are required under the Magnuson-Stevens Fishery Conservation and Management Act
(MSA), the Endangered Species Act (ESA), the Marine Mammal Protection Act (MMPA), the National
Environmental Policy Act (NEPA), the Regulatory Flexibility Act (RFA), Executive Order 12866 (EO 12866),
and other applicable law. Most of the information collected by observers is obtained through “direct
observation by an employee or agent of the sponsoring agency or through non-standardized oral communication
in connection with such direct observations". Under the Paperwork Reduction Act (PRA) regulations at 5
C.F.R. 1320.3(h)(3), facts or opinions obtained through such observations and communications are not
considered to be "information" subject to the PRA. The public reporting burden for responding to trip
expenditures questions is estimated to average 10 minutes per trip, including the time for hearing and
understanding the questions. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to: National Marine Fisheries Service,
F/SF1, 1315 East West Highway, Silver Spring, MD 20910. Providing the requested information is mandatory
under regulations at 50 C.F.R. 600.746 for the safety questions and at 50 C.F.R. Part 665.28, Conditions for Atsea observer coverage for all other questions, excluding the economic questions. Providing the requested
economic information is voluntary. All information collected by observers 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.
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.

CA-OR DGN Observer addon.doc
OMB Control No. 0648-xxxx through xx/xx/2012

Revised 05/14/09