Pacific Coast Groundfish Buyback Program 2024 Mothership

OMB Control # 0648‐0376 Exp. 10/31/20XX 

Pacific Coast Groundfish Buyback Program 
2024 Mothership Landings 
INSTRUCTIONS:  Pursuant to 50 CFR 600.1102(i)(5) and 50 CFR 600.1014(e-g), please provide an annual

report containing the information listed below (pounds purchased and value) during 2024 for all
groundfish subject to Buyback Fee for each At-Sea Mothership vessel.
Annual report due date: January 15, 20XX – Return via Email to [email protected]
Owner of vessel: __________________________________________________________________________
Vessel #:______________________ Vessel name: ______________________________________________

Total Annual Weight Bought (lbs) =
Total Annual Delivery Value ($) =
Total Annual Fee Amount Collected/Paid ($) =

Month

Year

January

2024

February

2024

March

2024

April

2024

May

2024

June

2024

July

2024

August

2024

September

2024

October

2024

November

2024

December

2024

Total:

Weight
Bought (lbs)

Delivery Value ($)

$

Buyback Fee
Amount
Collected/Paid ($)

$

Pursuant to 50 CFR 600.1017(a)(14), making false statements to NMFS is prohibited.
Signature

Date Submitted

Printed Name

Title

In case of questions regarding this report, NMFS should contact:
Phone (Required):

Email (Required):

Date
Disbursed
to NMFS

Paperwork Reduction Act Statement:
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a
penalty for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995
unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this
information collection is 0648-0376. Without this approval, we could not conduct this information collection. Public reporting for
this information collection is estimated to be approximately four hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
information collection. All responses to this information collection are required to obtain benefits. Send comments regarding
this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the
Financial Services Division (F/MB5) Office of Management and Budget, 1315 East West Highway-13th Floor, Silver Spring,
MD 20910, Attn: Elaine Saiz/Financial Services Division Chief and [email protected].
Confidential name and address information may be released via a NOAA website for informational purposes. All other data
submitted will be handled as confidential material in accordance with NOAA Administrative Order 216-100, Protection of
Confidential Fisheries Statistics. Notwithstanding any other provisions 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 requirements of the Paperwork
Reduction Act, unless that collection of information displays a currently claim OMB Control Number.
Privacy Act Statement:
Authority: The authority regarding establishment of Fishing Capacity Reduction Programs is 16 U.S.C. §1861 (b)-(e). §§
600.1000-600.1017 provides the Fishing Capacity Reduction Framework. Specific Fishery or Program Fishing Capacity
Regulations authorizations are §§ 600.1100-600.1108.
Purpose: NMFS requests information from fish buyers and sellers to ensure accurate management and repayment of buyback
loans.
Routine Uses: NMFS will enforce the collection of all fee payments and bring legal actions for collection enforcement against
any fish seller or fish buyer who fails to pay, collect, deposit, and/or disburse the fee in accordance with the regulations. NMFS
will audit ex-vessel landing records and fish buyer records for the purpose of determining and enforcing compliance. NMFS will
use this information to determine compliance with §§ 600.1000-600.1017. Disclosure of this information is permitted under the
Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS’ Financial Services Division. Disclosure of this
information is also subject to all of the published routine uses as identified in Commerce/NOAA-21, Financial Services
Division. (http://www.osec.doc.gov/opog/PrivacyAct/SORNs/noaa-21.html)
Disclosure: Furnishing this information is mandatory; failure to provide complete and accurate information may result in
penalties as described in §§ 600.1100-600.1108.