Landing Transaction Correction Request

OMB Control No. 0648-0551 Exp. Date 5/31/2021

LANDING TRANSACTION CORRECTION REQUEST
Instructions: Please complete this form if you have a landing transaction that should be corrected. This form must be completed
and signed by the IFQ dealer and the IFQ Fisherman within 15 days of the original transaction. By completing and signing this
form, both the IFQ dealer and fisherman 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.
Approval Code from Transaction to be Corrected: DL-__________________
IFQ Dealer: _______________________________

Date of Transaction to be Corrected: ___________

IFQ Fisher: _______________________________________________

Species _____________ Incorrect Pounds: ______ Correct Pounds: ______ Incorrect Price: $______ Correct Price: $______
Species _____________ Incorrect Pounds: ______ Correct Pounds: ______ Incorrect Price: $______ Correct Price: $______
Species _____________ Incorrect Pounds: ______ Correct Pounds: ______ Incorrect Price: $______ Correct Price: $______
Other Correction (please describe): ____________________________________________________________________________
Reason for the Landing Transaction Correction (e.g. duplicate entry, wrong amount of pounds, etc): __________________________________
_________________________________________________________________________________________________________

I, (Dealer) ________________________________________, hereby declare under penalty of perjury that the foregoing information is true and
correct. (28 U.S.C. § 1746; 18 U.S.C. § 1621; 18 U.S.C. § 1001).

Signature of IFQ Dealer: __________________________ Date: ____________

I, (Fisher) ________________________________________, hereby declare under penalty of perjury that the foregoing information is true and
correct. (28 U.S.C. § 1746; 18 U.S.C. § 1621; 18 U.S.C. § 1001).

Signature of IFQ Fisher: __________________________ Date: ____________
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 the
purpose of 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. 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, NMFS, Southeast Regional Office, 263 13th Avenue South, St. Petersburg, FL 33701-5505.
Rev. 04/30/15