Trip expenditure form (captain) -English

Why do we collect economic data? Because the National Marine Fisheries Service is required to conduct economic analyses.

HAWAII OBSERVER PROGRAM LONGLINE TRIP EXPENDITURE FORM

page 1 of 2

(Ask information on the way home)
1. TRIP INFORMATION
DATE OF DEPARTURE

TRIP NUMBER
L

DATE OF RETURN

2 0

L
DAY

MONTH

2 0

YEAR

DAY

VESSEL NAME:

MONTH

YEAR

TRIP TYPE (Check one):
SWORDFISH

2. FUEL
PRICE PER GALLON
$

GALLONS USED

.

TOTAL COST OF FUEL
$

,

3. ENGINE OIL
UNIT (Check one)
Gallon
Bag/Bucket (5 gallons)
Drum (55 Gallons)
4. BAIT
TYPE 1 (Check one):
Squid
Sardine
Sanma
TYPE 2 (Check one):
Squid
Sardine
Sanma
5. ICE (Check one):

PRICE PER UNIT
.
.
.

$

PRICE PER BOX
Mackerel
Anchovy

$

ICE MAKER

NO ICE MAKER

$

TOTAL COST OF OIL
$

.

TOTAL COST
$

BOXES USED

,

.

TOTAL COST
$

.

.

.

BOXES USED

.

PRICE PER UNIT

UNIT (Check one)
Blocks
Tons
Lbs

,

QUANTITY USED
Gallons
Per gal
Per bag
Bags
Per drum
Drums

PRICE PER BOX
Mackerel
Anchovy

TUNA

UNITS USED

,

.

TOTAL COST OF ICE
$

,

.

6. FISHING GEAR COSTS (amount spent to re-supply vessel for this trip [e.g. hooks, line, floats, raingear])
$

,

.

7. PROVISIONS COSTS (amount spent to re-supply vessel for this trip [e.g. groceries, bottled water, cigarettes])
$

,

.

DON’T FORGET TO FILL OUT
THE BACKSIDE!

Revised 1/01/11

OMB Control No. 0648-0593 exp. 11/30/2015

Why do we collect economic data? Because the National Marine Fisheries Service is required to conduct economic analyses.

HAWAII OBSERVER PROGRAM LONGLINE TRIP EXPENDITURE FORM

page 2 of 2

(Ask information on the way home)
8. TRIP COMMUNICATIONS COST (amount spent for this trip [e.g., satellite phone and/or data calls, email])
$

,

.

9. COST OF LIGHTSTICKS (for swordfish trips only)
PRICE PER CASE (500 LIGHTSTICKS)
$

CASES USED
.

.

TOTAL STICK COST
$

,

.

10. TOTAL ESTIMATED TRIP COSTS (Ask, Don’t Add!)
$

,

.

11. CAPTAIN OF THIS TRIP (Check one)
Owner Operated

Hired Captain

12. CREW INFORMATION
Number of crew (DO NOT Include captain)

13. STATUS OF ECONOMIC DATA COLLECTION

Number of foreign crew

(For observer / debriefer only)

A. Observer Section
Observer number:
Captain or trip operator phone number: (

)

B. Debriefer Section
Check only one box:
Data from Captain

Debriefer initials:
If no data from Captain, please provide REASON:

Observed data at sea
In office
Revised 1/01/11
OMB Control No. 0648-0593 exp. 11/30/2015