Record of IFQ/CDQ Transshipment Authorization - complete

Revised: February 5, 2008

OMB Control No. 0648-0272
Expiration date 10/21/2011

RECORD OF IFQ/CDQ TRANSSHIPMENT AUTHORIZATION

NOAA Office for Enforcement

(This form to be completed only by NOAA Enforcement Personnel)

FAX TO:

DATA CLERKS

@ FAX: 907-586-7313

FAXED FROM:

TELEPHONE:

Transshipment Date

Time

Transshipment Location
Vessels:

ADF&G NO.

From:
To:
Product Destination:
Registered Buyer Number & Name
IFQ/CDQ Permit Number(s)
Species
Code

Product Type & Code

Request Date

Product Weight

Request Time

Requestor=s Name
Requestor=s Telephone & Fax
Date

Clearing Officer

Transshipment:

Authorized _________

Not Authorized __________

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 (16 U.S.C. 1801, et seq.). It is also confidential under
NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.