American Samoa Forms - All

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

AMERICAN SAMOA OBSERVER PROGRAM LONGLINE TRIP EXPENDITURE FORM

page 1 of 2

(Ask for information on the way home)

1. TRIP INFORMATION
DATE OF RETURN

DATE OF DEPARTURE

TRIP NUMBER

2 0

2 0

A S
VESSEL NAME

NO. OF SETS

2. FUEL
PRICE PER GALLON

$

GALLON USED

.

TOTAL COST OF FUEL

$

,

,

3. ENGINE OIL AND HYDRAULIC OIL
PRICE PER UNIT

UNIT (Check One)
Gallon

.

Bag/bucket (5 Gallons)

.

Drum (55 Gallons)

.

QUANTITY USED

TOTAL COST OF OIL

$

,

4. BAIT
TYPE OF BAIT (Check One)

Squid

Mackerel

Sardine

Anchovy

PRICE PER BOX

BOXES USED

TOTAL COST OF BAIT

$

$

,

Sanma

5. FREON AND OTHER FREEZER COSTS (amount spent for this trip to operate freezer)
$

,

6. FISHING GEAR COSTS (amount spent on re-supply vessel for this trip for hooks, lines, floats, raingear, etc.)
$

,

7. PROVISIONS COSTS (amount spent re-supply vessel for this trip on food, bottled water, cigarettes, etc.)
$
,
DON’T FORGET TO FILL OUT THE
BACKSIDE!
Form revised 1/20/15; OMB Control No. 0648-0593 exp. XX/XX/20XX

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

AMERICAN SAMOA OBSERVER PROGRAM LONGLINE TRIP EXPENDITURE FORM

page 2 of 2

(Ask for information on the way home)

8. TRIP COMMUNICATIONS COST (amount spent for this trip on satellite phone and/or data calls, email, etc.)
$

,

9. FREIGHT OR EXPORT COST (the cost of transporting fish to other markets other than canneries)
$

,

10. MISCELLANEOUS COSTS (please list the details)

Details of misc. costs
Items

$

Cost

1.
2.

,

3.

11. TOTAL ESTIMATED COSTS (ask, don’t add)
Fish price
$

Species

,

GG

Round

Price

1. Albacore
2. Yellowfin

12. CAPTAIN OF THIS TRIP (check one)
Owner Operated

3. Bigeye

Hired Captain

4. Skipjack
5. Wahoo

13. CREW INFORMATION
Number of crew (DO NOT include captain) Number of foreign crew

14. CREW INFORMATION
A. Observer Section
Observer number:_____________
Captain or trip operator phone number: (
B. Debriefer Section

)

_

Debriefer initials________________

Check only one box
Economic data provided by captain
Only observed data at sea

If no economic data provided by captain, please provide

Only observed data in office

Form revised 1/20/15; OMB Control No. 0648-0593 exp. XX/XX/20XX

OMB Control No. 0648-0593 exp. XX/XX/20XX

DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program

AS

Trip No.
Set No.

Gear Configuration
Hooks/Float

Fishing Techniques

06 Other
08 Offset Round Circle
09 Offset Flat Circle

Type Code

Target Species Code
Bait Code

Hook Characteristics
Hook Type
Code

Light Devices

Hook Sizes

0

0

00 None 01 Light Stick
No. Devices

Hook %

Color Code

No. Floats

Hooks per Float

01 Large Squid
02 Small Squid
03 Saury (Sanma)
04 Mackerel (Saba)
05 Mixed

No. Hooks Set

06 Other
07 Sardine
08 Milkfish
09 Herring

01 Blue
02 Green
03 Black
04 Pink
05 White

06 Yellow
07 Magenta

08 Mixed
09 Other
10 Clear

11 Red
12 Orange
13 Silver/Metal

Collect Information for Data Elements below for first set only unless there is a change on subsequent sets

Main Line
Material Code
01 Mono
02 Multi

Float Line

0

Branch Line

0

Material Code
03 Other

Diameter

.

01 Mono
02 Multi
mm

Color Code

Diameter
Measured Length

Material Code
03 Other

.

0

01 Mono
02 Multi

Material Code
03 Other

Diameter

mm

.

Leader

m

Measured Length

.

01 Mono
02 Wire
mm

.

Diameter
m

Color Code

01 Blue
02 Green
03 Black
04 Pink
05 White

06 Yellow
07 Magenta

09 Other
10 Clear

11 Red
12 Orange
13 Silver/Metal

01 Blue
02 Green
03 Black
04 Pink
05 White

06 Yellow
07 Magenta

Measured Length
Weight Size

0
03 Other

.

mm

.

m

g

11 Red
12 Orange
13 Silver/Metal

09 Other
10 Clear
form v. GC.21.08 AS

AS

DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program

From front of
this form

OMB Control No. 0648-0593 exp. XX/XX/20XX

Trip No.
Set No.

Gear Configuration Comments
Comments

Main Line

Float Line

Branch Line

Leader

Daily Hook Counts

form v. GC.21.08.AS.Back

DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program

OMB Control No. 0648-0593 exp. XX/XX/20XX

Observer ID

AS

Declared Trip Type

Trip No.
Observer Manual Version ID

A S .

.

.

.

.

Trip Specifications
Vessel Documentation No.

Vessel Name

Operator Name
First Name and Middle Initial

Last Name

Trip Times and Port Stops
Departure Date/Time

Departure Port

2 0

Trip Start
Day

Month

Day

Month

Year

Hour

Minute

Hour

Minute

Hour

Minute

Intermediate Port Stops
Stop
No.

Stopped
Day

High-grading?

Month

Year

Resumed
Hour

Minute

2 0

2 0

2 0

2 0

2 0

2 0

2 0

2 0

2 0

2 0

If checked document on back

Day

Trip End
Trip Issues?

Y Yes

(Debriefer Use Only)

N No

Year

If Y document on back

Month

Year

Stop Port

2 0
Arrival Date/Time

Arrival Port

Comments

form v. TS.20.01.AS

AS

DOC/NOAA Fisheries
Pacific Islands Region
Longline Observer Program

From front of
this form

OMB Control No. 0648-0593 exp. XX/XX/20XX

Trip No.

Trip Specifications Comments
Comments (cont. from the front of this form)

High-grading Comments

Trip Issues Comments (Debriefer Use Only)

form v. TS.20.01.AS.Back