Economic Expenditure Survey of Wreckfish Fishermen in th

OMB Control No. 0648-XXXX Expires XX/XX/XXXX

2012 Economic Survey of Federal South Atlantic Wreckfish Permit Holders

Permit owner name: «Primary_Mailing_Recipient»

Vessel name: «vchar_vessel_name»

Survey #: «Survey»

Vessel ID: «vchar_official_number»

How long is your primary wreckfish fishing vessel? _______________

Please complete this survey. Enter “0” if you did not have any expenses in a category.

Do not leave blank!

2012 Average PER-TRIP Expenses:

On this page we would like you to enter the financial expenses (actual dollar payments) you incurred during a normal or average trip 2012 for the operation of the vessel listed above.

Pay:

1. Was the owner also the captain of this vessel?  Yes  No

2. If owner was captain, was the owner paid a captain’s share?  Yes  No  N/A

If Yes, % of captain’s share: ____________________

3. AVERAGE AMOUNT paid to hired crew PER TRIP FOR this vessel: $____________________

(Not to Owner! For example: from IRS Form(s) 1099-MISC or equivalent)

4. AVERAGE CREW SIZE ____________________

Average PER TRIP Expenses continued:

5. AVERAGE AMOUNT paid PER TRIP for fuel and oil used by this vessel in 2012: $______________

About how many gallons of fuel is that? _______________

6. AVERAGE AMOUNT paid PER TRIP for bait used by this vessel in 2012: $________________

7. AVERAGE AMOUNT paid PER TRIP for ice/boxes used by this vessel in 2012:$______________

8. AVERAGE AMOUNT paid PER TRIP for unloading the catch in 2012: $_______________

9. AVERAGE AMOUNT paid PER TRIP for replacing/repairing gear in 2012: $________________

(common per-trip costs of cables, hooks, leaders, weights, etc)

10. AVERAGE AMOUNT paid PER TRIP on the vessel in 2012: $________________

(common per-trip costs of repairs or maintenance)

11. AVERAGE AMOUNT paid PER TRIP for groceries on this vessel in 2012:$________________

12. AVERAGE other expenses paid PER TRIP in 2012: $________________

2012 Total ANNUAL Boat Expenses:

On this page we would like you to enter the total financial expenses (actual dollar payments) you incurred during 2012.

For each question enter the sum of all 2012 expenses.

13. TOTAL AMOUNT paid for any vessel maintenance, repair, new purchase or upgrade (including engine, fixed gear, electronics, etc.) in 2012. These were annual costs, not included in the per-trip costs on the previous page.

$________________

14. TOTAL AMOUNT paid for vessel insurance in 2012 (premium): $________________

15. TOTAL AMOUNT paid for dock fees in 2012 (premium): $________________

16. TOTAL AMOUNT paid for property taxes on fishing business in 2012:$________________

17. TOTAL AMOUNT paid for any other fishing business costs in 2012: $________________

Please Exclude: loan payments, insurance payments, depreciation, and income taxes.

18. Please estimate the CURRENT MARKET VALUE OF THE FISHING VESSEL you use to harvest wreckfish: engines, FIXED fishing gear and electronics (this is the amount that you probably would get if you decided to sell your boat and equipment: your best guess is fine)

$________________

19. Did you have any loan(s) on your vessel at any time during 2012:  Yes  No

If Yes: a) Total amount you still owe at the end of 2012: $________________

b) Monthly loan payments in 2012: $________________

I certify that the information contained on this form is accurate and complete to the best of my knowledge:

_____________________________________ ________________

Signature of person completing report Date

_____________________________________ (_____)_______________

Printed name of person signing report Phone number

Please return this completed form in the enclosed prepaid envelope!

[Mail to: Scott Crosson, NOAA/SEFSC, 75 Virginia Beach Dr, Miami, FL 33149]

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 Dr. Scott Crosson, SEFSC/NOAA, 75 Virginia Beach Dr, Miami FL 33149.

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.

Any information provided will be considered private and will be treated as confidential in accordance with NOAA Administrative Order 216-100, Confidential Fisheries Statistics and section 402(b) of the MSA (16 U.S.C. 1801, et seq.).

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