Application for Entry Level Rockfish Fishery

Revised: 09/29/06 OMB Control No. 0648-0545

Expiration Date: 7/31/2009

Application for Entry Level Rockfish Fishery		U.S. Dept. of Commerce/ NOAA National Marine Fisheries Service Restricted Access Management P.O. Box 21668 Juneau, AK 99802-1668 (800) 304-4846 toll free / 586-7202 in Juneau (907) 586-7354 fax
This application must be submitted annually and received by NMFS no later than March 1 of the year for which the applicant wishes to participate.
BLOCK A -- APPLICANT INFORMATION
1. Applicant name						2. NMFS person ID
						3. Tax ID or social security No.* (required)
4. Permanent business mailing address
5. Business telephone number	6. Business FAX number			7. E-mail address (if available)
8. Are you a U.S. citizen? [_] YES [_] NO. If YES, enter Date of Birth _________________ 9. Are you a U.S. corporation, partnership, association, or other business entity? [__] YES [__] NO If YES, enter date of incorporation: ___________________________
*The Debt Collection Improvement Act, in Section 7701 of title 31, United States Code requires collection of this information from each person doing business with a federal agency. This information is used for purposes of collecting and reporting any delinquent amounts arising out of such person’s relationship with the government.
BLOCK B – VESSEL INFORMATION
Vessel Name			ADF&G No.		USCG No.		LLP License No.

BLOCK C – ATTACHMENTS

Harvesters who are applying to participate in the Entry Level Fishery must attach a statement from an Eligible Entry Level Processor that affirms that the processor has a market for any rockfish delivered by that harvester in the Entry-Level Fishery.

BLOCK D -- APPLICANT CERTIFICATION
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the information is true, correct, and complete.
1. Signature of Applicant (or Authorized Representative)	2. Date
3. Printed Name of Applicant (or Authorized Representative); if representative, attach authorization)

__________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT

Public reporting burden for this collection of information is estimated to average 2 hours per response, including the time for reviewing the instructions, searching the existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.

ADDITIONAL INFORMATION

Before completing this form, please note the following: 1) Notwithstanding any other provision of law, no person is required to respond 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 and is required to manage commercial fishing efforts 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. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.

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Instructions

Application for Entry Level Rockfish Fishery

A person is eligible to participate in the Rockfish Program as an Eligible Entry-Level Fishery Harvester if that person:

♦ Holds a permanent fully transferable LLP license endorsed for Central Gulf of Alaska groundfish at the time of Application for the Entry-Level Fishery;

♦ Submits a timely Application for the Entry-Level Fishery that is approved by NMFS; and

♦ Is not an Eligible Rockfish Harvester or Processor.

An entry level fishery is available for all persons who are not eligible rockfish harvesters or processors. This fishery is intended to provide opportunities for harvesters and processors who had not traditionally participated in the Central Gulf of Alaska rockfish fisheries.

An Eligible Entry Level Harvester who wishes to participate in the Entry-Level Fishery must submit an Application for the Entry-Level Fishery. This application must be submitted annually and received by NMFS no later than 1700 hours A.l.t., on March 1 of the year for which the applicant wishes to participate in an entry level rockfish fishery, or if sent by U.S. mail, the application must be postmarked by that time.

Type or print legibly in ink; retain a copy of completed application for your records. Completed forms should be mailed or faxed to:

NMFS Alaska Region

Restricted Access Management

P.O. Box 21668

Juneau, AK 99802-1668

FAX: (907) 586-7354

If you need additional information, contact Restricted Access Management at

(800) 304-4846 (#2) or (907) 586-7202 (#2).

Please allow at least 10 working days for your application to be processed. Items will be sent by first class mail, unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account number for express delivery.

BLOCK A - APPLICANT INFORMATION

Name and NMFS person ID

Tax ID or social security number* (required)

*The Debt Collection Improvement Act, in Section 7701 of title 31, United States Code requires collection of this information from each person doing business with a federal agency. This information is used for purposes of collecting and reporting any delinquent amounts arising out of such person’s relationship with the government.

Permanent business mailing address

Business telephone number, fax number, and e-mail address (if available)

Indicate (YES or NO) whether applicant is a U.S. citizen; if YES, enter date of birth

Indicate (YES or NO) whether applicant is a U.S. corporation, partnership, association, or

other business entity; If YES, enter the date of incorporation.

BLOCK B - VESSEL INFORMATION

List vessel information applicant intends to deploy

Name, Alaska Department of Fish and Game (ADF&G) vessel registration number, and

United States Coast Guard (USCG) documentation number of the vessel

License Limitation Program (LLP) license number(s) held by the applicant and used on that vessel.

Harvesters who are applying to participate in the Entry-Level Fishery must attach a statement from an

Eligible Entry Level Processor that affirms that processor has a market for any rockfish delivered by

that harvester in the Entry-Level Fishery

BLOCK C - APPLICANT SIGNATURE AND DATE

Signature of applicant and date signed

Printed name of applicant (or authorized representative); if representative, attach authorization

Application for Entry Level Rockfish Fishery

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