Subsistence Halibut Registration appplication

Rev.: 08/25/2006

OMB Control No.: 0648-0460; Expiration Date: 12/31/2006

Subsistence Halibut
Registration Certificate Application

U.S. Dept of Commerce/NOAA
National Marine Fisheries Service
Restricted Access Management
P.O. Box 21668
Juneau, Alaska 99802-1668

Block A - Type of Subsistence Halibut Registration
Please indicate the type of registration under which you are applying (please mark only one):
[ ] Rural Resident Registration

[ ] Alaska Native Tribal Registration

If you are applying as a resident of an Alaska rural community as defined in 50 CFR 300.65(f)(1) (see
instructions), please complete Block B. Those applying as a member of an Alaska Native Tribe as
defined in 50 CFR 300.65(f)(2) (see instructions), please complete Block C.
Are you applying for a new SHARC or a renewal of an existing SHARC?
[ ] New

[ ] Renewal If a Renewal, enter SHARC number

Block B - Alaska Rural Resident Registration
1. Name of Fisherman: (First, Middle, Last)
2. a. Community of Residence

3. Mailing Address: (Number, Street, City, State, Zip)

b. Dates of residence in this community:
___/___/_____ to ___/___/______
4. Date of Birth
5. Social Security Number* (voluntary)
6. Daytime Telephone Number

7. I certify that I am a Rural Resident as defined at 50 CFR 300.65(f)(1).
Signature of Applicant

Date

*Privacy Act Statement: The Northern Pacific Halibut Act of 1982 and Federal regulations at 50 CFR parts 300.60 through
300.66 authorize collection of this information. Your Social Security Number (SSN) is confidential and is protected under the
Privacy Act. Disclosure of your SSN is voluntary. The primary purpose for requiring the SSN is to verify the identity of
individuals/entities doing business with the government as required by the Debt Collection Improvement Act of 1996 (Public
Law 104-134).

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Block C - Alaska Native Tribal Registration
1. Name of Fisherman: (First, Middle, Last)

2. Name of Alaska Native Tribe
3. Community of Residence

4. Mailing Address: (Street, City, State, Zip Code)

5. Date of Birth:
6. Social Security Number* (voluntary)
7. Daytime Telephone Number

8. I certify that I am a member of an Alaska Native Tribe as defined at 50 CFR 300.65(f)(2).
Signature of Applicant

Date:

*Privacy Act Statement: The Northern Pacific Halibut Act of 1982 and Federal regulations at 50 CFR parts 300.60 through
300.66 authorize collection of this information. Your Social Security Number (SSN) is confidential and is protected under the
Privacy Act. Disclosure of your SSN is voluntary. The primary purpose for requiring the SSN is to verify the identity of
individuals/entities doing business with the government as required by the Debt Collection Improvement Act of 1996 (Public
Law 104-134).

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the
time for reviewing the 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 Sue Salveson, Assistant Regional
Administrator, Sustainable Fisheries Division, Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) The NMFS may not conduct or sponsor this information request,
and you are not required to respond to this information request, unless the form displays a currently valid OMB control
number; 2) This information is being used to monitor the Alaska Subsistence Halibut Program; 3) Federal regulations at
50 CFR part 300.60 through 300.66 require and authorize NMFS to manage the Subsistence Halibut Program in Alaska;
4) Submission of this information is required of all persons seeking to participate in directed fishing for Pacific halibut
under the Subsistence Halibut Program; 5) Except for the social security number (SSN), which is voluntary, this
information is mandatory and is required to monitor the Subsistence Halibut Program under the Northern Pacific Halibut
Act of 1982; 6) The birthdate and SSN are confidential and are protected under the Privacy Act; and 7) Disclosure of your
SSN is voluntary. The primary purpose for requiring the SSN is to verify the identity of individuals/entities doing business
with the government as required by the Debt Collection Improvement Act of 1996 (Public Law 104-134).

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Rev.: 04/05/2005

OMB Control No.: 0648–0460; Expiration Date: 12/31/2006

Instructions for Completing the
SHARC Application
PROGRAM INFORMATION
The subsistence fishery for Pacific halibut in waters in and off Alaska is authorized by Federal
regulations at 50 CFR Part 300 and provides for eligible persons to conduct subsistence halibut fishing in
Convention waters off Alaska.
Subsistence halibut means halibut caught by a rural resident or a member of an Alaska Native
tribe for direct personal or family consumption as food, sharing for personal or family consumption as
food, or for customary trade.
Eligible persons are:
(1) Rural Residents, or residents of rural places, means a person domiciled in a rural community,
as listed in 50 CFR part 300.65(f)(1) (reprinted as Attachment 1 to this form), who has maintained a
domicile in a rural community for 12 consecutive months immediately preceding the time when the
assertion of residence is made and who is not claiming residency in another state, territory, or country.
(2) Alaska Native tribes, or all identified members of Federally recognized Alaska Native tribes,
means federally recognized Alaska Native tribes that have customary and traditional use of halibut and
that are listed in 50 CFR 300.65(f)(2) (reprinted as Attachment 2 to this form).

COMPLETING THE APPLICATION
Block A – Type of Subsistence Halibut Registration
Check whether you, as an eligible person, are registering for subsistence halibut as an Alaska Rural
Resident or as a member of a federally recognized Alaska Native tribe.
If applying as an Alaska Rural Resident, please complete Block B.
If applying as a member of a federally recognized Alaska Native tribe, complete Block C.
Please indicate whether you are applying for a new SHARC or a renewal of an existing SHARC. If a
renewal, list your current SHARC number in the space provided.
Block B – Alaska Rural Resident Registration
1.
2.
3.
4.
5.

Enter your full name (First, Middle, Last). Please include any suffixes such as Jr., Sr., etc.
Enter your Community of Residence (city and state). This Community must be one of the rural
communities listed in 50 CFR 300.65(f)(1) (see Attachment 1).
Enter your permanent mailing address, including P.O. Box, street, state, and zip code. The SHARC
will be sent to this address.
Enter your date of birth (Month/Day/Year).
Enter your Social Security Number (SSN)* Disclosure is voluntary; in the event it is not provided,
NMFS will assign a unique code that will identify the records.
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*Privacy Act Statement: The Northern Pacific Halibut Act of 1982 and Federal regulations at 50 CFR parts
300.60 through 300.66 authorize collection of this information. Your Social Security Number (SSN) is confidential
and is protected under the Privacy Act. Disclosure of your SSN is voluntary. The primary purpose for requiring the
SSN is to verify the identity of individuals/entities doing business with the government as required by the Debt
Collection Improvement Act of 1996 (Public Law 104-134).

6.
7.
8.

Enter a daytime telephone number, including area code.
Enter your date of birth (Month/Day/Year).
Sign and date the application. You must sign and date the application certifying all information
contained in the application is true, correct, and complete to the best of your knowledge and belief.
The application will be considered incomplete without your signature and will not be processed.

Mail the completed application to:
NMFS, Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668
Or deliver the completed application to:
Federal Building
709 W. 9th Street, Suite 713
Juneau, Alaska 99801
If you have questions when completing the application, please:
♦

call RAM at (800) 304-4846 (select option 2) or (907) 586-7202 (select option 2),

♦

check our web site at www.fakr.noaa.gov/ram, or

♦

e-mail your questions to [email protected].
SPECIAL HANDLING OF CERTIFICATES

Please allow at least 10 days for processing your SHARC. You may FAX your application to us at (907)
586-7354, to expedite processing, or use the alternative methods mentioned below.
If you would like to have your SHARC sent by a method other than regular mail, please attach a note
indicating a method, and follow the appropriate procedure below.
Express Mail. If you would like to have your SHARC sent to you by U.S. Postal Express Mail,
send us an express mail envelope with the correct amount of postage prepaid or send express mail
stamps UNATTACHED to an envelope. NOTE: If the express mail envelope you send is too small
or the postage attached is less than the amount required, your SHARC will be sent to you by regular
U.S. mail.
Other Express Carriers. If you would like to have your SHARC sent to you by a private express
carrier, e.g., Federal Express, UPS, DHL, etc., submit your account number and name of carrier or a
prepaid envelope with the permit application.
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Attachment 1: 50 CFR 300.65(f)(1) Rural Resident
A person is eligible to harvest subsistence halibut if he or she is a rural resident of a community with customary
and traditional uses of halibut listed in the following table and has a valid SHARC issued by NMFS:
SUBSISTENCE HALIBUT RURAL RESIDENT

Halibut Regulatory Area 3A
Halibut Regulatory Area 2C
Rural Community

Organized Entity

Rural Community

Organized Entity

Angoon

Municipality

Akhiok

Municipality

Coffman Cove

Municipality

Chenega Bay

Census Designated Place

Craig

Municipality

Cordova

Municipality

Edna Bay

Census Designated Place

Karluk

Census Designated Place

Elfin Cove

Census Designated Place

Kodiak City

Municipality

Gustavus

Census Designated Place

Larsen Bay

Municipality

Haines

Municipality

Nanwalek

Census Designated Place

Hollis

Census Designated Place

Old Harbor

Municipality

Hoonah

Municipality

Ouzinkie

Municipality

Hydaburg

Municipality

Port Graham

Census Designated Place

Hyder

Census Designated Place

Port Lions

Municipality

Kake

Municipality

Seldovia

Municipality

Kasaan

Municipality

Tatitlek

Census Designated Place

Klawock

Municipality

Yakutat

Municipality

Klukwan

Census Designated Place

Metlakatla

Census Designated Place

Meyers Chuck

Census Designated Place

Pelican

Municipality

Chignik Bay

Municipality

Petersburg

Municipality

Chignik Lagoon

Census Designated Place

Point Baker

Census Designated Place

Chignik Lake

Census Designated Place

Port Alexander

Municipality

Cold Bay

Municipality

Port Protection

Census Designated Place

False Pass

Municipality

Saxman

Municipality

Ivanof Bay

Census Designated Place

Sitka

Municipality

King Cove

Municipality

Skagway

Municipality

Nelson Lagoon

Census Designated Place

Tenakee Springs

Municipality

Perryville

Census Designated Place

Thorne Bay

Municipality

Sand Point

Municipality

Whale Pass

Census Designated Place

Wrangell

Municipality

Halibut Regulatory Area 3B
Rural Community

Organized Entity

Halibut Regulatory Area 4A
Rural Community

Organized Entity

Akutan

Municipality

Nikolski

Census Designated Place

Unalaska

Municipality

Halibut Regulatory Area 4B
Rural Community

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Organized Entity

Adak

Census Designated Place

Atka

Municipality

Halibut Regulatory Area 4C
Rural Community

Organized Entity

Levelock

Census Designated Place

Manokotak

Municipality

St. George

Municipality

Mekoryak

Municipality

St. Paul

Municipality

Naknek

Census Designated Place

Napakiak

Municipality

Napaskiak

Municipality

Newtok

Census Designated Place

Nightmute

Municipality

Nome

Municipality

Oscarville

Census Designated Place

Pilot Point

Municipality

Platinum

Municipality

Port Heiden

Municipality

Quinhagak

Municipality

Scammon Bay

Municipality

Shaktoolik

Municipality

Halibut Regulatory Area 4D
Rural Community

Organized Entity

Gambell

Municipality

Savoonga

Municipality

Diomede (Inalik)

Municipality

Halibut Regulatory Area 4E
Rural Community

Organized Entity

Alakanuk

Municipality

Aleknegik

Municipality

Bethel

Municipality

Brevig Mission

Municipality

Chefornak

Municipality

Chevak

Municipality

Sheldon Point
(Nunam Iqua)

Municipality

Clark’s Point

Municipality

Shishmaref

Municipality

Council

Census Designated Place

Solomon

Census Designated Place

Dillingham

Municipality

South Naknek

Census Designated Place

Eek

Municipality

St. Michael

Municipality

Egegik

Municipality

Stebbins

Municipality

Elim

Municipality

Teller

Municipality

Emmonak

Municipality

Togiak

Municipality

Golovin

Municipality

Toksook Bay

Municipality

Good News Bay

Municipality

Tuntutuliak

Census Designated Place

Hooper Bay

Municipality

Tununak

Census Designated Place

King Salmon

Census Designated Place

Twin Hills

Census Designated Place

Kipnuk

Census Designated Place

Ugashik

Census Designated Place

Kongiganak

Census Designated Place

Unalakleet

Municipality

Kotlik

Municipality

Wales

Municipality

Koyuk

Municipality

White Mountain

Municipality

Kwigillingok

Census Designated Place

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