Manual landing report

Revised: 02/17/2016 OMB Control No. 0648-0272, Expiration date 03/31/2018

MANUAL LANDING REPORT [ ] REVISION* [ ] ORIGINAL

HALIBUT & SABLEFISH IFQ/CDQ *(All revisions must have written approval from a

Clearing Officer)

NOAA Office for Enforcement

P.O. Box 21767, Juneau, AK 99802

Data Clerk: (800) 304-4846 or (907)586-7163 FAX: 907-586-7313

Landing Information__________________________________________________________________________________________________

Date Time of Report Location (latitude/longitude, if at sea)

IFQ Hired Master Name	Halibut IFQ/CDQ Permit No.
	Sablefish IFQ/CDQ Permit No.
Registered Buyer Name	Registered Buyer Permit No.
Vessel Name	ADF&G No.

Gear Code: [ ] 5 - Hand Troll [ ] 25 - Dinglebar Troll [ ] 61 - Hook and Line

(check only one) [ ] 15 - Power Gurdy Troll [ ] 26 – Jigs [ ] 91 - Pot Gear

Use a separate line for each area, species, and product code. Use a second page if necessary.

ADF&G Statistical Area (6 digit)	Is Ice and Slime Present?	Is Halibut Incidental?*	Fish Ticket Number	Species Code	Product Code	Product Weight Sold (lb)	Product Weight Retained (lb)

*Is Halibut Incidental to Lingcod Harvested with Dinglebar Gear or Salmon?

______________________________________ _________________________________________

Registered Buyer Signature IFQ/CDQ Hired Master Signature

FAX # _________________________________

Contact # ______________________________ _________________________________________

NOAA Enforcement Signature

Instructions: This form must be accurately completed by the Registered Buyer. This form will constitute receipt by NOAA Office for Enforcement of the IFQ/CDQ Landing Report and that the permit holder=s account was properly debited ONLY when all three of the above signatures are included. The landing report is not complete without all three signatures.

PUBLIC REPORTING BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 12 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 as amended in 2006. It is also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.