AMLR Import Ticket

OMB Control No. 0648-0194
Expiration Date: 03/31/2013
Permit No.

UNITED STATES OF AMERICA
DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
ANTARCTIC MARINE LIVING RESOURCES

IMPORT TICKET NO.
NAME OF IMPORTER (INDIVIDUAL CONTACT): ________________________________________________
COMPANY NAME (BUSINESS): _______________________________________________________________
COMPANY ADDRESS: _________________________CITY________________ST________ZIP____________

RESOURCE IMPORTED AND DATE:

QUANTITY OF RESOURCE:

1.

1.

2.

2.

3.

3.

HARVESTING VESSEL(S) NAME(S)

FLAG NATION

1.

1.

2.

2.

3.

3.

Signature_________________________________Title (Business)__________________ DATE:______________

Public reporting burden for this collection of information is estimated to average 15 minutes per response, including
the time reviewing 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 this burden, to National Marine Fisheries
Service, Office of International Affairs, 1315 East W est Highway, Attention: CCAMLR Permit Office, Silver
Spring, Maryland, 20910.
Return this Import Ticket within 24 hours after importing resource(s) to the address below via overnight
mail:
Toothfish Import Control Program
National Seafood Inspection Lab
National Marine Fisheries Service
3209 Frederic Street
Pascagoula, MS 39567
Attention: CCMALR Permit Office

OR

FAX : 228 762-7144
Attention CCAMLR Permit Officer