IFQ Departure Report - worksheet

OMB Control No. 0648-0272,
Expiration date 4/30/2008

IFQ DEPARTURE REPORT
NOAA Fisheries Office for Enforcement
(This form to be completed only by NOAA Office for Enforcement Personnel)

Date Received

Time Received

Vessel Name

ADF&G Number

Vessel Operators Name

Vessel Operators Registered Buyer or Registered Crab Receiver Permit number

Intended Location of Landing

Intended Date & Time (Alaska Local Time) of Landing

IFQ or CDQ Halibut Permit Number(s), Estimated Total Weight (lb/kg/mt) and Regulatory Area of Harvest

IFQ Sablefish Permit Number(s), Estimated Total Weight (lb/kg/mt) and Regulatory Area of Harvest

CR Crab Permit Number(s), Estimated Total Weight (lb/kg/mt) and Crab Rationalization Fishery Code

Additional (optional) Information:

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 6 minutes per response, including the time to 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 the burden, to
Assistant Regional Administrator, Sustainable Fisheries Division, Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) Notwithstanding any other provision of the 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 displays 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-Stevens Act (16 U.S.C. 1801, et seq.).