Manual landing report

Revised: 09/07/2017

OMB Control No. 0648-0515, Expiration date 10/31/2017

MANUAL LANDING REPORT
HALIBUT & SABLEFISH IFQ/CDQ

REVISION*

ORIGINAL

*(All revisions must have written approval from a
Clearing Officer)

NOAA Office for Enforcement
P.O. Box 21767, Juneau, AK 99802
Data Clerk: (800) 304-4846 or (907)586-7163
FAX: 907-586-7313
Landing Information__________________________________________________________________________________________________
Landing Date
Landing Time
Landing Location ( latitude/longitude, if at sea)

IFQ Hired Master Name

Halibut IFQ/CDQ Permit No.

Sablefish IFQ/CDQ Permit No.

IFQ Permit Holder Name

Halibut IFQ/CDQ Permit No.

Sablefish IFQ/CDQ Permit No.

Registered Buyer Name

Registered Buyer Permit No.

Vessel Name and ADFG No.

Gear Code:
(check only one)

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
Is Ice and
Is Halibut
Fish Ticket
Species Code
Delivery
Statistical Area
Slime Present?
Incidental?*
Number
Condition Code
(6 digit)

Product Weight
Sold (lb)

Product Weight
Retained (lb)

*Is Halibut Incidental to Lingcod Harvested with Dinglebar Gear or Salmon?
______________________________________
Registered Buyer Printed Name

_________________________________________
Contact No.

______________________________________
Registered Buyer Signature

_________________________________________
Fax No.

______________________________________
IFQ/CDQ Permit Holder/Hired Master Signature

_________________________________________
NOAA Enforcement Signature

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.

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 60 minutes per response, including the time to 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 the burden, to Assistant Regional Administrator,
Sustainable Fisheries Division, Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) Notwithstanding any other provision of the law, no person is required to, nor shall any person be subject
to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act, unless that collection of information
displays a currently valid OMB Control Number; 2) This information is mandatory, is required to manage commercial fishing effort under 50 CFR part 679 and
under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.); 3) Responses to this information request are confidential under section 402(b) of the
Magnuson-Stevens Act as amended in 2006. It is also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect
confidentiality of fishery statistics.

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 NOAA 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 evaluate the qualifications of the applicants. 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.