Import Ticket

OMB Control No. 0648-0194
Expiration Date: 08/31/2019

UNITED STATES OF AMERICA
DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
ANTARCTIC MARINE LIVING RESOURCES
IFTP No. ______________________________ Import Ticket No. (Year-Seq#)__________
NAME OF IMPORTER (INDIVIDUAL CONTACT): _______________________________________________
COMPANY NAME (BUSINESS): _______________________________________________________________
COMPANY ADDRESS: _______________________________________________________________________
CITY____________________________________________STATE___________ZIP_______________________

RESOURCE IMPORTED AND DATE:

QUANTITY OF RESOURCE:

1. __________________________________________

1. ___________________________

2. __________________________________________

2. ___________________________

3. __________________________________________

3. ___________________________

HARVESTING VESSEL(S) NAME(S):

FLAG COUNTRY:

1. __________________________________________

1. ___________________________

2. __________________________________________

2. ___________________________

3. __________________________________________

3. ___________________________

Signature_________________________________ Title (Business)___________________ Date:______________
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time
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 this burden to National Marine Fisheries Service, Office of International Affairs and Seafood
Inspection, 1315 East West Highway, Attention: CCAMLR Permit Office, Silver Spring, Maryland, 20910.
Return Import Tickets within 24 hours after importing resource(s) to the address below via overnight mail:
AMLR Import Control Program
National Seafood Inspection Lab
National Marine Fisheries Service
3207 Frederic Street Suite B
P O Drawer 1207
Pascagoula, MS 39568-1207

OR

FAX : (228) 762-7144
Attention CCAMLR Permit Officer