Pacific cod exvessel volume and value form

Revised: 11/16/2015 OMB Control No. 0648-0711 Expiration Date: 01/31/2018

Pacific Cod Ex-Vessel Volume and Value Report

U.S. Department of Commerce/NOAA National Marine Fisheries Service (NMFS) Restricted Access Management (RAM) P.O. Box 21668 Juneau, Alaska 99802-1668 (800) 304-4846 toll free / 586-7202 (907) 586-7354 fax

Submit this form On-line Only

https://alaskafisheries.noaa.gov/webapps/efish/login.

(shown here for information only)

Each shoreside processor and mothership that accepts deliveries of unprocessed Pacific cod harvested from the BSAI is required to submit this report electronically to NMFS for the reporting period January 1 to October 31 each year.

Deadline: no later than November 10 of the year in which the landings were made.

BLOCK A – IDENTIFICATION OF PROCESSOR
1. Name of Shoreside Processor		2. Federal Processor Permit Number
3. Name of Mothership		4. Federal Fisheries Permit Number
5. Taxpayer ID (Employer ID No. or SSN)		6. NMFS Person ID
7. Business Mailing Address Permanent [ ] or Temporary [ ]
8. Business Telephone No.	9. Business Fax No.		10. Business E-mail Address

BLOCK B – POUNDS PURCHASED AND VALUES PAID

Deliveries by Gear Type	Pounds Purchased (round weight) January - October	Total Ex-vessel Value Paid (US dollars) January - October
Trawl Gear Pacific Cod Deliveries
Fixed Gear Pacific Cod Deliveries

BLOCK C – CERTIFICATION
Under penalties of perjury, I declare that I have examined this submission of material, and to the best of my knowledge and belief, the information presented here is true, correct, and complete.
1. Printed Name of Shoreside Processor or Mothership or authorized representative. If representative, attach authorization.
2. Signature of authorized representative	3. Date

This information is used to verify the identity of the applicant(s) and to accurately retrieve confidential records related to federal permits. The primary purpose for requesting the SSN/TIN is for the collection and reporting on any delinquent amounts arising out of such person’s relationship with the government pursuant to the Debt Collection Improvement Act of 1996 (Public Law 104-134). Personal information is confidential and protected under the Privacy Act (5 U.S.C. 552a). Business information may be disclosed to the public.

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PUBLIC REPORTING BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 1 minute per response, including the time for reviewing the 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 of information, including suggestions for reducing the burden, to: NOAA, National Marine Fisheries Service, Alaska Region, Sustainable Fisheries Division, P.O. Box 21668, Juneau, AK 99802-1668.

ADDITIONAL INFORMATION

Before completing this form please note the following: 1) Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject 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; 2) This information is mandatory and is required to manage commercial fishing effort under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act as amended in 2006. It is also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.

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INSTRUCTIONS FOR

PACIFIC COD EX-VESSEL VOLUME AND VALUE REPORT

Submit this form On-line Only

https://alaskafisheries.noaa.gov/webapps/efish/login.

(shown here for information only)

GENERAL INFORMATION

Each shoreside processor and mothership that accepts deliveries of unprocessed Pacific cod harvested from the BSAI and that paid an ex-vessel price to the harvesting vessel for delivering unprocessed Pacific cod caught using fixed or trawl gear is required to submit this report electronically to NMFS no later than November 10 of the year in which the landings were made.

NOTE: if no ex-vessel sale occurs (e.g., if the processor accepted fish for special processing),

do not include that sale on this form.

Ex-vessel Volume and Value reports will be used when an ex-vessel price is paid to the harvesting vessel for delivering unprocessed Pacific cod caught using either fixed or trawl gear. Each shoreside processor and mothership that accepts deliveries of unprocessed Pacific cod harvested under an Amendment 80 Cooperative Quota permit is required to submit this report electronically to NMFS no later than November 10 of the year in which the landings were made.

This information would allow NMFS to collect price data on unprocessed Pacific cod from January 1 to October 31 each year. The information submitted would be summarized to estimate an annual standard ex-vessel price for Pacific cod. Annual Pacific cod shorebased and mothership deliveries of fixed gear and trawl gear ex-vessel prices will be used as a proxy for the fixed gear and trawl gear catcher/processor harvests.

The Pacific Cod Ex-vessel and Volume Report is available on the Alaska Region website at http://www.alaskafisheries.noaa.gov/ram.

When completed, submit the application:

♦ Online at https://alaskafisheries.noaa.gov/webapps/ifqaccounts/Login

If you need assistance in completing this form or need additional information, call Restricted Access Management (RAM) at (800) 304-4846 (Option #2) or (907) 586-7202 (Option #2).

Note: It is important that all blocks are completed and all necessary documents are attached. Failure to answer any of the questions or provide attachments could result in delays in the processing of your application.

COMPLETING THE REPORT

BLOCK A - IDENTIFICATION OF PROCESSOR

1-2. Name of shoreside processor and Federal Processor Permit Number, if applicable.

3-4. Name of mothership and Federal Fisheries Permit Number, if applicable.

5. Enter Taxpayer Identification number (EIN or SSN).

6. Enter NMFS person ID.

7. Business Mailing Address, including zip code.

If you check Permanent Address, we will update the database.

If you check Temporary Address, we will use it for this one report and will not change the RAM database.

8-10. Business telephone number, business fax number, including area code, and business e-mail address.

BLOCK B - POUNDS PURCHASED AND VALUES PAID

Pounds Purchased (round weight)

Enter the total weight of Pacific cod that was landed at the shoreside processor or mothership and purchased during the period January 1 through October 31.

Total Ex-Vessel Value Paid

Enter the total gross ex-vessel value, in U.S. dollars, of Pacific cod that was landed and purchased during the period January 1 through October 31.

Retro-payments

The total U.S. dollar amount of any Pacific cod retro-payments made in the current year to vessels for landings made during the previous calendar year;

BLOCK C - CERTIFICATION

1. Printed name of the Shoreside Processor or Mothership or the Authorized Representative; if Representative, attach authorization.

2. Signature of Authorized Representative.

3. Enter the date the application was signed.

Pacific Cod Ex-vessel Volume & Value Report

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