Partial observer coverage request

Revised: 03/28/2019

OMB Control Number 0648-0318, Expiration Date: 03/31/2022

Catcher/Processor
Observer
Partial Coverage Request

NOAA/National Marine Fisheries Service (NMFS)
Alaska Region
Sustainable fisheries Division (SF)
P.O. Box 21668
Juneau, Alaska 99802-1668
Telephone: 1-(800) 304-4846 #3 toll free or
(907) 586-7228
FAX: (907) 586-7465

This request must be filed annually before July 1 of the year prior to fishing activity.
Notice: NMFS will provide written notification of request approval or denial. If approved, you will receive instructions
and necessary information to log trips in the Observer Declare and Deploy System (ODDS).
REQUEST ACKNOWLEDGEMENT
1. By marking this box, I verify that the vessel named in Block B is eligible to be placed in the
observer partial coverage category as described at 50 CFR part 679.51; and I request this vessel be
placed in the partial coverage category for the fishing year indicated in Box 2.

1. Owner Name:

2. Fishing Year:

BLOCK A -- OWNER INFORMATION
2. Company Name (if any):

3. Business Mailing Address:

4. Business Telephone Number:

1. Vessel Name:

5. Business Fax Number:

6. Business E-Mail Address:

BLOCK B -- VESSEL INFORMATION
2. Federal Fisheries Permit Number:

BLOCK C – APPLICANT CERTIFICATION
Under penalties of perjury, I hereby declare that I, the undersigned, completed this application, and the information
contained herein is true, correct, and complete to the best of my knowledge and belief.
1. Applicant Name (please print or type) If representative, attach authorization
2. Signature:

3. Date:

For Administrative use only:
Approved
Denied
Date______________________

Date Received______________
Date Notified ______________
Same as previous year Y / N

Notes:

Catcher/Processor Observer Partial Coverage Request
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Instructions
CATCHER/PROCESSOR
OBSERVER PARTIAL COVERAGE REQUEST
NMFS will place a catcher/processor in the partial observer coverage category if the vessel owner requests placement by
the annual deadline specified and the vessel meets the production threshold of 79,000 lb (35.8 mt) of average weekly
groundfish production (excluding groundfish caught with trawl gear).
Complete this form only if you are requesting to have your vessel placed in the partial coverage category for all fishing
activity, excluding participation in a Limited Access Privilege Program that requires additional observer coverage as
described at 50 CFR part 679.51(a)(2)(iv).
This form is available through the Internet on the NMFS Alaska Region website at
https://www.fisheries.noaa.gov/alaska/fisheries-observers/north-pacific-observer-program.
Type or print legibly in ink; retain a copy of completed application for your records.
When application is complete,
Mail to:

NMFS Alaska Region
Sustainable Fisheries Division
P.O. Box 21668
Juneau, AK 99802-1668

Fax to:

(907) 586-7465

If you need additional information, contact Sustainable Fisheries Division at 1-(800) 304-4846, #3 toll free, or
(907) 586-7228.
Please allow at least 10 working days for your application to be processed. Items will be sent by first class mail, unless
you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account number for
express delivery.
COMPLETING THE REQUEST
REQUEST ACKNOWLEDGEMENT
1. Check the box to indicate that you request your vessel be placed in the partial coverage category for observer
coverage for fishing activity that occurs in year indicated in box 2.
2. Enter the four digit year in which you would like your vessel to conduct fishing activity in the partial coverage
category.
BLOCK A — OWNER INFORMATION
1. Name. Enter the full name(s) of the owner(s) of the vessel listed in Block B.
Note: If there is more than one owner, list the principal owner first.
2. Company Name. Enter the name of the company, other than the owner, that manages the operations of the vessel
(if any).
3. Business Mailing Address. Enter your complete permanent business mailing address, including street or P.O. box,
city, state, and zip code. Notification that your vessel has been placed in the partial coverage category will be sent
to this address, unless otherwise notified.
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4–6. Telephone Number, Fax Number, and e-mail Address.
For telephone and/or fax numbers, include the area code.
Enter contact information where you can be reached. It is very important that you provide a number where we can
contact you, or where we can leave a message for you. If questions arise concerning your application, and we are
unable to contact you, the placement of your vessel in the partial coverage category will be delayed.
BLOCK B — VESSEL INFORMATION
1. Vessel Name. Enter the complete vessel name as displayed in the official documentation.
2. Federal Fisheries Permit Number. Enter the vessel’s current FFP number.
BLOCK C — APPLICANT CERTIFICATION
The owner or authorized representative must print name, sign, and date the application certifying that all information is
true, correct, and complete to the best of his or her knowledge and belief. The application will be considered
incomplete without this signature. If authorized representative, attach authorization.
__________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 30 minutes per paper 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 the 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 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.) as amended by Public Law 109-479; 3) Responses to this information request are
confidential under section 402(b) of the Magnuson-Stevens Act. They are also confidential under NOAA Administrative Order
216-100, which sets forth procedures to protect confidentiality of fishery statistics.
____________________________________________________________________________________________________________
PRIVACY ACT STATEMENT
AUTHORITY: The collection of this information is authorized under the Magnuson Stevens Fishery Conservation and Management
Act, 16 U.S.C. 1801 et seq.
PURPOSE: NMFS uses information submitted in this form to determine which catcher/processor vessels will be placed in the partial
coverage category for the upcoming fishing year. This information is necessary for the Agency’s analysis and observer deployment
planning process.
ROUTINE USES: This information is used for analytical and compliance purposes and is not disclosed to the public.
DISCLOSURE: Providing information in this form is required for a small catcher/processor to be placed in the partial coverage
category of the North Pacific Observer Program. Requesting placement in the partial coverage category is voluntary, and a
catcher/processor would remain in the full coverage category if this request is not submitted.

__________________________________________________________________________________________________
Accessibility of this Document: Every effort has been made to make this document accessible to individuals of all
abilities and compliant with Section 508 of the Rehabilitation Act. The complexity of this document may make access
difficult for some. If you encounter information that you cannot access or use, please email us at
[email protected] or call us at 907-586-7228 so that we may assist you.

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