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Medical Transfer Application
Alaska Individual Fishing Quota Temporary Transfers
OMB: 0648-0569
IC ID: 180929
OMB.report
DOC/NOAA
OMB 0648-0569
ICR 200805-0648-005
IC 180929
( )
Documents and Forms
Document Name
Document Type
Medical Transfer Application
Form and Instruction
Application for medical transfer of IFQ
MTPH form 062907.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Medical Transfer Application
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
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
Application for medical transfer of IFQ
MTPH form 062907.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Natural Resources
Subfunction:
Conservation, Marine and Land Management
Privacy Act System of Records
Title:
NOAA-17, Permits and Registrations for Fisheries of the EEZ off the Coast of Alaska
FR Citation:
70 FR 10362
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
211
0
0
0
0
211
Annual IC Time Burden (Hours)
422
0
0
0
0
422
Annual IC Cost Burden (Dollars)
1,163
0
0
0
0
1,163
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.