Closed Area 1 Midwater Trawl Released Codend Affidavit

UNITED STATES DEPARTMENT OF COMMERCE

National Oceanic and Atmospheric Administration

NATIONAL MARINE FISHERIES SERVICE

NORTHEAST REGION

55 Great Republic Drive

Gloucester, MA 01930-2298

CLOSED AREA I MIDWATER TRAWL RELEASED CODEND AFFIDAVIT

This form must be completed following a released codend if any part of the tow occurred inside Closed Area I. Completed and signed forms must be submitted to NMFS at the conclusion of the trip.

To be Completed by Vessel Operator
Vessel Name		Permit Number
Fishing Vessel Trip Report (FVTR) Serial Number		Date & Time
Primary Reason for Release:	Vessel Safety		 Mechanical Problems
	Dogfish
Please provide any additional detail on why the codend was released:
	Pounds
Estimated total weight of tow:
Estimated total weight of all fish released (if less than the full tow):
Signature

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This form is required to be completed by the operator of any midwater trawl vessel which has declared an intention to fish in Closed Area I pursuant to 50 CFR 648.80(d)(5) if fish are released before being brought aboard and sampled by an observer. Signature of this form certifies that the vessel operator attests that the information provided on this form is true, complete and correct to the best of their knowledge, and made in good faith (18 U.S.C. 1001). Making a false statement on this form is punishable by law.

Information obtained from the affidavit is held confidential as required by NOAA Administrative Order 216-100, Confidentiality of Fisheries Statistics, and would be used only in summarized form (without identifying the source of data, i.e., vessel name, owner, etc.) for management of the fishery in the future.

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.

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the information. Send comments regarding this burden estimate or suggestions for reducing this burden estimate or any other aspect of this collection of information to NMFS, 55 Great Republic Drive, Gloucester, MA 01930.

OMB Approval No. 0648-0602

Expires XX/XX/XXXX