Medical transfer form

Individual Fishing Quotas for Pacific Halibut and Sablefish in the Alaska Fisheries

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0272 can be found here:

Documents and Forms

Document Name Document Type
Medical transfer form Form and Instruction
Application for emergency medical transfer of IFQ Application for medical transfer of QS_IFQ.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Medical transfer form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NA	Application for emergency medical transfer of IFQ	Application for medical transfer of QS_IFQ.pdf		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 420	Number of Respondents for Small Entity: 420

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	210	210
Annual IC Cost Burden (Dollars)	174	174

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.