Gulf of Mexico Individual Fishing Quota Dealer Landing T

OMB Control No. 0648-0551 - Approval Expires: 1-31-2018

GULF OF MEXICO INDIVIDUAL FISHING QUOTA DEALER LANDING TRANSACTION
FOR USE DURING CATASTROPHIC CONDITIONS
Instructions: Please complete this form if you are unable to complete a landing transaction through the electronic system during catastrophic conditions, as
determined by the Regional Administrator (RA). You should use the electronic system whenever possible. This form will only be accepted from dealers in areas
affected by catastrophic conditions, as determined by the RA. This form must be completed and signed by the IFQ dealer and the IFQ fisher within 4 business
days of the vessel offload. By completing and signing this form, both the IFQ dealer and fisher acknowledge the information below is accurate. Please mail this
form to National Marine Fisheries Service, Sustainable Fisheries Division, 263 13th Avenue South, St. Petersburg, Florida 33701-5505. Any other corrections to
landing transactions should be reported via the IFQ Customer Service phone line at 1-866-425-7627.

Dealer Name/USER ID: ______________________________________________ Dealer Phone: ___________________________________________
Fisher Name/USER ID: ______________________________________________ Fisher Phone: ____________________________________________
Vessel Documentation/State Registration: _____________________________________ Date Landed: _______________________________________
Species: _______________________________________________ Pounds: ___________________________ Price/lb: ________________________
Species: _______________________________________________ Pounds: ___________________________ Price/lb: ________________________
Species: _______________________________________________ Pounds: ___________________________ Price/lb: ________________________
Species: _______________________________________________ Pounds: ___________________________ Price/lb: ________________________
Species: _______________________________________________ Pounds: ___________________________ Price/lb: ________________________
Species: _______________________________________________ Pounds: ___________________________ Price/lb: ________________________
_______________________________________________
Dealer Signature

_______________________________________________
Fisher Signature

A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an information collection subject to the requirements of the
Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information collection is 0648-0551. Without this approval, we
could not conduct this information collection. Public reporting for this information collection is estimated to be approximately 5 minutes per response, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are mandatory. Send comments regarding this burden estimate or any
other aspect of this information collection, including suggestions for reducing this burden to the PRA Officer, National Marine Fisheries Service, Southeast Regional Office, 263 13th Avenue South, St. Petersburg, FL
33701-5505.
Under the provisions of the Paperwork Reduction Act of 1995 (PL 104-13) and the Privacy Act of 1974 (PL 93-579), you are advised that disclosure of the requested information is mandatory for managing the Gulf of
Mexico reef fish fishery. The requested information is used to ensure proper compliance with Gulf reef fish IFQ programs. Confidentiality of the information provided will be treated in accordance with NOAA Administrative
Order 216-100.