Emergency medical transfer form

Individual Fishing Quotas for Pacific Halibut and Sablefish in the Alaska Fisheries

⚠️ Notice: This information collection may be referencing outdated material.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
Emergency medical transfer form Form and Instruction
Application for emergency medical transfer of IFQ 0272 0569 merge medical trsfer form.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Emergency medical transfer form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 emergency medical transfer of IFQ	0272 0569 merge medical trsfer form.pdf		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 5	Number of Respondents for Small Entity: 5

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	5	5
Annual IC Time Burden (Hours)	10	10
Annual IC Cost Burden (Dollars)	30	30

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.