Product transfer report

OMB
No.
0648-0213
OMB Control
No.
0648-0213
Expiration Date: 03/31/2018

Revised: 03/31/2015

Original
Report

PRODUCT TRANSFER REPORT
Federal Fisheries or Processor
permit No.

Shipper

IFQ Registered Buyer
Permit No.

NOAA Fisheries
Office for Law Enforcement
P.O. Box 21767
Juneau, AK 99802
Submit by FAX to Data Clerks at:
FAX: 907-586-7313
Telephone: 800-304-4846 (option 1)
E-Mail: [email protected]

Revised
Report

Representative Name

Date and Time of Product Transfer

Telephone No.

Start

Fax No.

Finish

Position of Product Transfer (Lat/Long)
(Mothership or Catcher/processor Only)

Port or Location of Transfer

RCR Permit No.
Federal Fisheries or Processor
Permit No. (if any)

Receiver

Mode of Transportation and Intended Route

Is this a TOTAL OFFLOAD or a PARTIAL OFFLOAD
Mothership or Catcher/Processor ONLY
If partial offload, record amount and type of product
remaining onboard after this transfer

PRODUCTS SHIPPING

Species
Code

Product
Code

Species
Weight*

No. of
Units

Unit Wt.
lb or
kg

Total Weight
lb or kg

*This column to be used only for scale weight of multiple species within one unit only

Species
Code

Product
Code

Amount
lb or
kg

Species
Code

Product
Code

Amount
lb or
kg

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 20 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 the burden estimate or any other
aspect of this collection of information, including suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National
Marine Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form, please note the following: 1) Notwithstanding any other provision of 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 of information displays a
currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing efforts 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. They are also
confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.

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