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 | OMB No. 2133-0514 | 
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 | Expires 10/31/2013 | 
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		| Instructions for Form MA-1025, Vessel Data and Capital Costs | 
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		| A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure | 
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		| to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information | 
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		| displays a current valid OMB Control Number.  The OMB Control Number for this information collection is 2133-0514.  Public reporting for | 
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		| this collection of information is estimated to be approximately 1 hour per response, including the time for reviewing instructions, completing | 
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		| and reviewing the collection of information.  All responses to this collection of information are voluntary.  Send comments regarding this | 
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		| burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to:  Information Collection | 
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		| Clearance Officer, Maritime Administration, MAR-390, 1200 New Jersey Avenue, SE, Washington, DC  20590. | 
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		| This information is required by 46 CFR Part 382.2.  The information requested must be completed with the company's initial filing to Maritime Administration. | 
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		| After the initial filing, this information need only be resubmitted when changes occur.  Speed and fuel consumption and capitalization should be reevaluated | 
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		| on an annual basis but need not be reported unless changes occur.  Use additional sheets as necessary. | 
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		| Vessel Name: | Current Official Name. | 
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		| Vessel DWT: | Summer deadweight tons per classification society. | 
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		| Vessel Official Number: | U.S. Coast Guard Official No. | 
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		| Date Built: | Date of delivery. | 
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		| Date Purchased: | Date vessel was purchased if different from date of delivery. | 
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		| Date Rebuilt: | Date of redelivery if vessel was substantially reconstructed. | 
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		| Canal Tonnages: | Suez and Panama as applicable | 
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		| Normal Operating Speed: | Normal operating speeds, loaded and ballast. | 
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		| Daily Fuel Consumption: | Fuel consumed by specific type of fuel per day at sea and in port. | 
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 | Tankers should provide standing and pumping separately. | 
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 | Provide fuel consumption in metric tons or gallons. | 
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		| Capitalized Vessel Costs: | For each capitalized item, provide the amount of capitalization | 
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 | and the interest rate associated with the capitalization, if secured | 
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 | by mortgage.  If the interest rate is variable, provide the formula. | 
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 | If the interest rate is subject to change or renegotiation, provide | 
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 | the new interest rate prior to implementation of the change. | 
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		| Certification Statement: | All information submitted to MARAD must be certified by a | 
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 | responsible officer of the company.  A cover letter listing all | 
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 | enclosures by vessel and certifying their accuracy can be used | 
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 | as an alternative to vessel by vessel certifications. | 
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