Schedule A

OMB Control No. 0648-0090

Expiration Date: 01/31/2014

SCHEDULE A

ELIGIBLE VESSEL

CASE NO.

A. NAME OF VESSEL: OFFICIAL NO.

B. NAME OF OWNER:

C. PERCENT OF OWNERSHIP: % DATE ACQUIRED:

D. NAME OF LESSEE (If applicable):

E. DATE VESSEL LAST DOCUMENTED:

F. TRADE(S) VESSEL DOCUMENTED FOR:

G. DATE VESSEL CONSTRUCTED:

H. PLACE CONSTRUCTED (CITY & STATE):

I. NET TONNAGE: TONS NUMBER OF CHARTER

PASSENGERS:

J. GROSS TONNAGE: TONS

K. LENGTH (OVERALL/REGISTERED): FEET

TENDER/

L. VESSEL TYPE: CATCHER ( ) PROCESSOR ( ) TRANSPORTER ( ) CHARTER ( )

M. GEAR TYPE (Seine, Trawl, Pots, etc.):

N. FISHERY OF OPERATION (salmon, king crab, etc.):

O. AREA OF OPERATION:

Date:

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The information collected is confidential under the Magnuson-Stevens Fishery Conservation and Management Act, as amended in 2006, NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics and 15CFR259.38(b).

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