Request for full observer coverage

Revised: 05/11/2016

OMB Control Number 0648-0731, Expiration Date: xx/xx/xxxx

Request for Full
Observer Coverage

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

SUBMIT ONLINE ONLY THROUGH ODDS
(http://odds.afsc.noaa.gov)
File annually by October 15 of the year prior to fishing activity.
NMFS will provide notification of approval or denial.
REQUEST ACKNOWLEDGEMENT
1. By marking this box, I verify that the vessel named in Block B is eligible to be placed in the
observer full coverage category as described at 50 CFR part 679.51; and I request this vessel be
placed in the full observer 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)

2. Signature:

3. Date:

Request for Full Observer Coverage
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PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 5 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.
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Request for Full Observer Coverage
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