IFQ Landing Report

OMB ControlOMB
No.No.
0648-0272
0648-0272
Expiration
4/30/08
Expiration Date:
Date: 04/30/2008

Revised:
Revised:08/19/2005
10/28/05

MANUAL LANDING REPORT
HALIBUT & SABLEFISH IFQ/CDQ
NOAA Office For Law Enforcement
P.O. Box 21767, Juneau, AK 99802
Data Clerk: (800) 304-4846 or (907) 586-7163

Landing Information

REVISION*

ORIGINAL

*All Revisions must have written approval from a clearing officer.
FAX: 907-586-7313

Date

Time of Report

Location (latitude / longitude if at sea)

IFQ Cardholder Name

Halibut IFQ/CDQ Permit No.
Sablefish IFQ/CDQ Permit No.

Registered Buyer Name

Registered Buyer Permit No.

Vessel Name

ADF&G No.
5 - Hand Troll
15 - Power Gurdy Troll

Gear Code
(Check only one)

25 - Dinglebar Troll
26 - Jigs

61 - Hook and Line
91 - Pot Gear

Use a separate line for each area, species, and product code. Use a second page if necessary.
ADF&G Statistical
Area (6 digit)

Is Ice and
Is
Slime
Halibut
Present? Incidental?*

Fish Ticket
Number

Species
Code

Product
Code

Product Weight
Sold (lb.)

Product Weight
Retained (lb.)

* Is Halibut Incidental to Salmon or Lingcod Harvested with Dinglebar Gear?

Registered Buyer Signature

IFQ/CDQ Card Holder Signature

FAX #
Contact #
NOAA Enforcement Signature
Instructions: This form must be accurately completed by the Registered Buyer. This form will constitute receipt by NOAA Office For
Enforcement of the IFQ/CDQ Landing Report and that the cardholder’s account was properly debited ONLY when all three of the
above signatures are included. The landing report is not complete without all three signatures.
PUBLIC REPORTING BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 12 minutes per response, including the time for reviewing the
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden,
to Sue Salveson, Assistant Regional Administrator, Sustainable Fisheries, National Marine Fisheries Service, P.O. Box 21668, Juneau, AK 99802.

ADDITIONAL INFORMATION

Before completing this form, please note the following: 1) Notwithstanding any other provision of law, no person is required 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 diplays a currently valid OMB Control Number; 2) This information is mandatory, is required to manage
commercial fishing effort under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq); 3) Responses to
this information request are confidential under section 402(b) of the Magnuson-Stvens Act (16 U.S.C. 1801, et seq). It is also confidential under
NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.