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Pacific Coast Groundfish ‐ Trawl Catch Shares
Cost Recovery Form
2013
Fee Collector's Name
Mailing Address
City
State
Zip
Phone Number
State Buyer Code
Month and Year of Landings
Fee Rate (%) Weight (lbs) Ex‐vessel Value ($) Fee Collected ($)
FOR LANDINGS IN
Sub‐account
Shorebased IFQ Program
MS Coop Program
XXXX‐###XX
XXXX‐###XX
X.X
X.X
C/P Coop Program
XXXX‐###XX
X.X
Total ($)
Fee Adjustment
By checking this box I certify that this payment is for a fee or price adjustment.
Instructions:
1. Complete the fee collector's name, address, telephone number, state buyer code (fish buyer/processor license
number), and month and year of landings ( MM/20XX).
2. Record the ex‐vessel value and fee collected for each fishery. The fee collected equals the applicable fee rate multiplied
by the ex‐vessel value of fish landed for each vessel trip.
3. Note that deliveries must occur within the same month. Use a separate report for a different month.
4. Check the fee adjustment box if this payment is for a fee or price adjustment.
5. Use Pay.gov to remit fee collected.
PRA STATEMENT:
The trawl cost recovery program is required by the Magnuson‐Stevens Act [16 USC §§ 1853a(e), 1854(d)(2)]. This collection of information is mandatory as
specified at 50 CFR 660.115. This collection of information accompanies and documents payment of fees due for that program. Public reporting burden for this
form 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 aspect of this collection,
including suggestions for reducing this burden, to NOAA/National Marine Fisheries Service, Northwest Region, Attn: Assistant Regional Administrator, Sustainable
Fisheries Division, 7600 Sand Point Way NE, Seattle, WA 98115.
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.
PRIVACY ACT STATEMENT:
Responses to this form are confidential under section 402(b) of the Magnuson‐Stevens Act. It is also confidential under NOAA Administrative Order 216‐100,
Protection of Confidential Fisheries Statistics. The information collected is part of a Privacy Act System of Records, COMMERCE/NOAA #19, Permits and
Registrations for United States Federally Regulated Fisheries. A notice was published in the Federal Register on April 17, 2008 (73 FR 20914) and became effective
on June 11, 2008 (73 FR 33065).
File Type | application/pdf |
File Title | Groundfish Cost Recovery Form 2013_11262012.xlsx |
Author | jamie.goen |
File Modified | 2012-12-07 |
File Created | 2012-12-07 |