Gulf of Mexico Shrimp Federal Permit Reporting Form

OMB No. 0648-0205 Exp.

Gulf of Mexico Shrimp Federal Permit Reporting Form

Permit Holder Name: Federal Permit No. ______________

Vessel Documentation Number (USCG or State issued number) ______________________________

Vessel or Boat Name_________________________________

Shrimp Landings Report:

Please report the total shrimp landings in pounds for the Year by Species and Condition (Head off or Head on) as it was landed in the Table provided:

Fishing Year January 1, 2006 through December 31, 2006

Species Head off Pounds Head on Pounds Value

Brown ________________ _________________ _______________

Pink ________________ _________________ _______________

White ________________ _________________ _______________

Rock ________________ _________________ _______________

Seabobs ________________ _________________ _______________

Royal Reds ________________ _________________ _______________

Other ________________ _________________ _______________

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Authorized Signature:

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Public reporting burden for this collection of information is estimated to average 5 minutes per 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 this burden estimate or any other aspects of this burden to Jason Rueter, National Marine Fisheries Service, 263 13^th Avenue South, St. Petersburg, Florida 33701. This reporting is required under and is authorized under 50 CFR 622.5(a)(5)(i). Information submitted will be treated as confidential in accordance with NOAA Administrative Orders. Notwithstanding any other provision of the 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 displays a currently valid OMB Control Number. The NMFS requires this information for the conservation and management of marine fishery resources.