Medical Transfer Application

Medical Transfer for Pacific Halibut and Sablefish Individual Fishing Quotas (IFQs)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0648-0569 can be found here:

Documents and Forms

Document Name Document Type
Medical Transfer Application Form and Instruction
Application for medical transfer of IFQ MTPH form 062907.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Medical Transfer Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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 medical transfer of IFQ	MTPH form 062907.pdf		Yes	No	Fillable Printable

Line of Business: Natural Resources

Subfunction: Conservation, Marine and Land Management

Privacy Act System of Records
Title: NOAA-17, Permits and Registrations for Fisheries of the EEZ off the Coast of Alaska	FR Citation: 70 FR 10362

Number of Respondents: 211	Number of Respondents for Small Entity: 211

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	211	211
Annual IC Time Burden (Hours)	422	422
Annual IC Cost Burden (Dollars)	1,163	1,163

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.