Reporting Form for Shipments of Fresh Toothfish

OMB
No.:
0648-0194
(Expires: XX/XX/20XX

THE UNITED STATES OF AMERICA
DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
National Marine Fisheries Service
ANTARCTIC MARINE LIVING RESOURCES

Reporting Form for Shipments of Fresh Toothfish
1. NAME OF IMPORTER (Contact Person):

PERMIT #:

COMPANY NAME (Business):
COMPANY ADDRESS:
CITY:
PHONE NUMBER:

ST:

ZIP:

EMAIL ADDRESS:

2. DATE OF ARRIVAL:
3. PORT OF ARRIVAL:
(PORT OF UNLADING IF DIFFERENT THAN PORT OF ARRIVAL):
4. CONSIGNEE(S) OF PRODUCT:
5. AMOUNT IMPORTED (in kgs):
6. U.S. CUSTOMS 7501 NUMBER: ….…../.……../…..…./…..…./…..…./…..…./…..…./…..…./…..…./.….…./…..….
(must be 11 digits/characters long)
7. AIRLINE AND FLIGHT NUMBER FOR THIS SHIPMENT:

The following items are found on the Dissostichus Catch Document (DCD) and/or Dissostichus Export Document (DED):
8. DOCUMENT NUMBER OF DCD(S):
9. EXPORT CODE:
10. SIGNATURE:

TITLE:

DATE:

Return this form along with the Dissostichus Export Document (DED) a minimum of 24 hours after importing resource(s)
via email to lori.robinson@noaa.gov or to the fax number below:
(228) 762-7144
Attention: CCAMLR Data Management
If you have any questions, please contact the National Marine Fisheries Service, 3209 Frederic Street, Pascagoula, MS 39567;
phone number (228) 769-8964
Completion of this application is required for imports oft Antarctic marine living resources under provisions of the Antarctic
Marine Living Resources Convention Act of 1984 (16 USC 2431 et seq). Continuing measures and U.S. regulations implementing
them appear in Volume 50, Part 300, Subpart G of the Code of Federal Regulations. Annual measures are available at CCAMLR
website located at http://www.ccamlr.org.

INSTRUCTIONS FOR COMPLETING REPORTING FORM FOR AIR SHIPPED SHIPMENTS OF TOOTHFISH
1. Provide contact name, company name, business address, phone and email address, and current International Fisheries
Trade Permit (IFTP) number of the entity importing the shipment of fresh toothfish.
2. Provide known or estimated date of arrival of shipment.
3. Provide port of arrival of shipment (also list port of unlading if different than port of arrival).
4. Provide company name of consignee of product. If consignee is the same as importer then place NA in space provided.
5. Provide amount (net weight in kgs.) imported in shipment. Note: the amount must match amount listed on the
Dissostichus Export Document export section (or amount listed on re-export document if re-export) within 10%.
6. Provide U.S. Customs 7501 Number for shipment. Note: must be 11 digits/characters long.
7. Provide the airline information, airline name and flight number for each shipment.
Provide the following information that can be taken from the Dissostichus Export Document(s):
8. Provide the Document Number of Dissostichus Catch Document(s).
9. Provide the Export Code that is on the export document(s).
10. Application must be signed, with title of person signing if for a company.
NOTE: No resources may be imported in violation of conservation measures adopted by CCAMLR or U.S. regulations under
50 CFR Part 300, subparts A and G.
NMFS can only authorize imports of AMLR that are harvested by vessels licensed to fish AMLR by their flag states and that
fish consistent with CCAMLR conservation measures that are in force with respect to the United States. Under AMLRCA
section 306(3), 16 U.S.C. 2435(3) it is unlawful for any person to ship, transport, offer for sale, sell, purchase, import, export,
or have custody, control of, any AMLR (or part thereof) which was harvested in violation of CCAMLR conservation
measures in force with respect to the United States or in violation of any regulation promulgated under this title, without
regard to the citizenship of the person that harvested, or vessel that was used in the harvesting of, the AMLR (or part or
product thereof). This is in addition to making it unlawful to import without the necessary approvals and permits. Thus, this
section applies to brokers and any other entity offering to sell AMLR, whether that entity is an importer of record or not, and
whether the resource enters the U.S. market or an overseas market.
Paperwork Reduction Act Notice: All responses to this information collection are mandatory under 50 CFR 300 Subpart G.
This information enables the National Marine Fisheries Service (NMFS) to track all imports and ensure that each import
would be in compliance with all applicable regulations. Public reporting burden for completing this form is estimated to
average 15 minutes per response, including the time reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Notwithstanding any other
provision of the law, no person is required to respond 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. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden, to NMFS (F/IS) 1315 East West Highway,
Attention: CCAMLR Permit Office, Silver Spring, Maryland, 20910.
NMFS will treat any trade secrets or confidential business information submitted in an application as exempt from public
disclosure under the Freedom of Information Act if authorized under the Act.