Shoreside processor check-in/check-out report and instru

Revised: 03/31/2015

OMB Control No. 0648-0213 Expiration Date: 03/31/2018

CHECK-IN/CHECK-OUT REPORT
SHORESIDE PROCESSOR

[_] Original Report
[_] Revised Report

Processor Name

NOAA Fisheries
National Marine Fisheries Service
P.O. Box 21668
Juneau, AK 99802
Fax: 907-586-7131
Telephone: 907-586-7228
ADF&G Processor Code
Federal Processor Permit Number

Representative Name

Business Telephone Number
Business Fax Number
Business E-mail Address

Check
One

Check-in:

Enter date facility will begin to receive groundfish

Check-out:

Enter date facility ceased to receive or process groundfish

If this is a check-in report, check (a) or (b)
[_] (a) Beginning of fishing year
[_] (b) Restart after plant check-out report

If a stationary floating processor, give
latitude and longitude of position
where receiving groundfish:

FISH OR FISH PRODUCT HELD AT PLANT (Check lb or mt)
SPECIES
CODE

PRODUCT
CODE

PRODUCT
WEIGHT
[_] lb
[_] 0.001 mt

SPECIES
CODE

Shoreside Processor Check-in/Check-out Report
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PRODUCT
CODE

PRODUCT
WEIGHT
[_] lb
[_] 0.001 mt

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PUBLIC REPORTING BURDEN STATEMENT
Public reporting for this collection of information is estimated to average 8 minutes per response, including the time for reviewing
the instructions, searching the 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 Assistant Regional Administrator, Sustainable Fisheries Division, NOAA
National Marine Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) Notwithstanding any other provision of 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 efforts under 50 CFR part 679 and
under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) The information collected is confidential under
section 402(b) of the Magnuson-Stevens Act, as amended in 2006. They are also confidential under NOAA Administrative Order
216-100, which sets forth procedures to protect confidentiality of fishery statistics.
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