Schedule B - construction, acqusition and/or mortgage pa

OMB Control No. 0648-0041

Expiration Date: 3/31/2016

SCHEDULE B - QUALIFIED VESSEL FOR

CONSTRUCTION, ACQUISITION AND/OR MORTGAGE PAYMENTS

CASE NO.

A. NAME OF VESSEL: OFFICIAL NO.

B. NAME OF OWNER:

C. PERCENT OF OWNERSHIP: %

D. ANTICIPATED OR TOTAL ACTUAL COST OF VESSEL: $

E. PRINCIPAL MORTGAGE BALANCE $ , AS OF

F. DEPRECIABLE BASIS $ , AS OF

G. ANTICIPATED OR ACTUAL DATE OF ACQUISITION:

If acquisition of a used vessel, skip to Line K.

H. ANTICIPATED BEGINNING DATE OF CONSTRUCTION:

I. ANTICIPATED DELIVERY DATE:

(Must be within 18 months of beginning date)

J. CONSTRUCTION TO BE DONE BY: CONTRACT ( ) OWNER ( ) BOTH ( )

K. NET TONNAGE: TONS

NO. CHARTER

L. GROSS TONNAGE: TONS PASSENGERS:

M. LENGTH (OVERALL/REGISTERED): FEET

N. AGE (SHOW YEAR CONSTRUCTED):

TENDER/

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

P. GEAR TYPE (seine, trawl, pots, etc.):

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

R. AREA OF OPERATION:

( ) Withdrawal limited to Party's share of cost/share of ownership.

( ) Conditioned upon satisfying the requirements of 50 CFR '259.31.

DATE:

B PAGE

Public reporting burden for this collection of information is estimated to average 1 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 NOAA Fisheries, F/MB5, 1315 East West Hwy., Silver Spring, MD 20910.

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).

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.