Manual landing report

Revised: 08/25/2020

OMB Control No. 0648-0515, Expiration Date 11/30/2020

HALIBUT & SABLEFISH IFQ/CDQ
MANUAL LANDING REPORT
ORIGINAL REPORT
Landing Date

REVISED REPORT – All revisions must have approval from a NOAA Clearing Officer

Landing Time

Landing Port (use latitude/longitude, if at sea)

IFQ Hired Master Name

IFQ Permit Holder Name

Halibut IFQ/CDQ Permit
No.

Sablefish IFQ Permit No.

Registered Buyer Permit No.

Gear Code:
(check only one)

NOAA Fisheries - Office of Law Enforcement
P.O. Box 21767, Juneau, AK 99802
Data Techs: 800-304-4846 or 907-586-7163
FAX: 907-586-7313;
Email: [email protected]

Vessel Name

Vessel ADFG No.

Registered Buyer Name

5 - Hand Troll
15 - Power Gurdy Troll

25 - Dinglebar Troll
26 – Jigs

61 - Hook and Line
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

Delivery
Condition
Code

Offload Scale
Weight Fish to be
Sold (lb)

Offload Scale
Weight Fish to
be Retained (lb)

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

____________________________________
Registered Buyer Printed Name
______________________________________
Registered Buyer Signature

_________________________________________
IFQ/CDQ Permit Holder/Hired Master Signature

FAX #
Phone #

NOAA Enforcement Signature and Date

IFQ/CDQ Manual Landing Report
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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 holders’ account was properly
debited ONLY when all three of the above signatures are included. The landing report is not complete without all three
signatures.
Additional lines for area, species, and product information, to be used as needed -- only valid when included with
the completed page 1 of this form and all of the required signatures.
Vessel Name

ADF&G Statistical
Area (6 digit)

ADF&G Vessel Number

Is Ice and
Slime
Present?

Is Halibut
Incidental?*

Fish Ticket Number

Species
Code

Delivery
Condition
Code

Offload Scale
Weight Fish to be
Sold (lb)

Offload Scale
Weight Fish to
be Retained (lb)

*Is Halibut Incidental to Salmon Troll or Lingcod Harvested with Dinglebar Gear?
PUBLIC BURDEN STATEMENT
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 0648-0515. Without this approval, we could not conduct this information collection.
Public reporting for this information collection is estimated to be approximately 60 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 required to obtain or retain benefits and to manage commercial fishing effort under 50 CFR part 679 and under section 402(a) of the MagnusonStevens Fishery Conservation and Management Act (16 U.S.C. 1801, et seq.). Send comments regarding this burden estimate or any other aspect of this
information collection, including suggestions for reducing this burden to Assistant Regional Administrator, Sustainable Fisheries Division, Alaska Region, NMFS,
P.O. Box 21668, Juneau, AK 99802.
.
PRIVACY ACT STATEMENT
Authority: The collection of this information is authorized under the Magnuson-Stevens Fishery Conservation and Management Act, 16 U.S.C 1801 et seq.
Purpose: In order to manage U.S. fisheries, the National Marine Fisheries Service (NMFS) requires the use of registrations by participants in the United States.
Fishery landing, production, and logbook information is collected electronically in the Interagency Electronic Reporting System (IERS). The IERS is a web based
application that provides registered fishing industry participants with a consolidated method for submitting fishery landing report and production data, reduces
redundant reporting to multiple management agencies, and allows processors to import and export their data facilitating one-time data entry for users. The IERS
registration and submission of data is necessary in order to provide real-time harvest data and manage commercial fisheries in Alaska.
Routine Uses: The Department will use this information to identify fishery participants and monitor the deliveries of IFQ fish to processing facilities. Disclosure of
this information is permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS offices, in order to coordinate monitoring and
management of sustainability of fisheries and protected resources, as well as with the applicable State or Regional Marine Fisheries Commissions and International
Organizations. Disclosure of this information is also subject to all of the published routine uses as identified in the Privacy Act System of Records Notice
COMMERCE/NOAA-6, Fishermen’s Statistical Data.
Disclosure: Furnishing this information is required to obtain or retain benefits. Failure to provide complete and accurate information may result in a penalty or loss
of benefits.

IFQ/CDQ Manual Landing Report
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