Application for Emergency Medical Transfer

Alaska Individual Fishing Quotas for Pacific Halibut, Sablefish and Crab

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0272 can be found here:

Documents and Forms

Document Name Document Type
Application for Emergency Medical Transfer Form and Instruction
Emergency medical transfer form 0272 medical transfer form 5 15 06.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Emergency Medical Transfer	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Emergency medical transfer form	0272 medical transfer form 5 15 06.doc		Yes	No	Fillable Printable

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 211	Number of Respondents for Small Entity: 211

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	211	211
Annual IC Time Burden (Hours)	422	422
Annual IC Cost Burden (Dollars)	1,154	1,154

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.