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pdfRevised: 12/12/2007
OMB Control No.: 0648-0514
Expiration Date: 02/29/2008
Application for a
FEDERAL CRAB VESSEL PERMIT
U.S. Department of Commerce
NOAA Fisheries Service, Alaska Region
Restricted Access Management (RAM)
Post Office Box 21668
Juneau, Alaska 99802-1668
Notes:
•
All vessels participating in the Bering Sea/Aleutian Island crab rationalization fisheries must have a valid
Federal Crab Vessel Permit on board at all times. This Application is to be used to obtain and/or to amend the
Permit. Permits are annual, issued for a crab fishing year (July 1 through June 30).
•
Only U.S. Citizens are authorized to receive or to hold a Federal Crab Vessel Permit.
•
NMFS will not process this application if the applicant has not submitted required Economic Data Collection
information and any required fees.
BLOCK A – NATURE OF APPLICATION
Indicate whether this application is:
A request for a new Permit
[ ]
A renewal of an existing Permit
[ ] – Permit Number: __________
An amendment to an existing Permit
[ ] – Permit Number: __________
If the application is for a new Permit (or amends an existing permit by changing the owner(s), include a copy of the U.S.
Coast Guard Abstract of Title or the Certificate of Documentation pertaining to the vessel.
If the application is to renew or amend an existing Permit, include the current Federal Crab Vessel Permit Number.
BLOCK B – VESSEL INFORMATION
1. Name of Vessel:
2. Home Port (city and state):
3. ADF&G Processor Code (if any):
4. Is the Vessel a “Vessel of the United
States”?
Yes [ ] No [ ]
5. USCG Documentation Number:
6. ADF&G Vessel Registration
Number:
7. Length Overall (LOA) _______ Ft.
8. Gross Tonnage: ____________
9. Shaft Horsepower:
Registered Length:
_______ Ft.
Net Tonnage:
____________
10. Type of Vessel Operation; indicate below the type(s) of crab operation(s) for which the vessel may be used during the
crab fishing year:
Catcher Vessel
[ ]
Catcher-Processor
[ ]
Stationary Floating Crab Processor
Application for Federal Crab Vessel Permit
[ ]
Page 1 of 6
BLOCK C – CONTACT OWNER INFORMATION
1. Contact Owner’s Name:
2. Contact Owner’s Permanent Business Address:
4. Business Telephone Number:
3. Contact Owner’s Temporary Business Address (if any):
5. Business Fax Number:
6. Business E-Mail Address:
7. Name of Managing Company (if any):
BLOCK C1 – ADDITIONAL OWNER INFORMATION
Complete for each Vessel Owner - (Duplicate as necessary to provide information on all owners)
1. Name of Additional Vessel Owner:
2. Additional Owner’s Permanent Business Address:
3. Business Telephone Number:
4. Business Fax Number:
5. Business E-Mail Address:
1. Name of Additional Vessel Owner:
2. Additional Owner’s Permanent Business Address:
3. Business Telephone Number:
4. Business Fax Number:
5. Business E-Mail Address:
1. Name of Additional Vessel Owner:
2. Additional Owner’s Permanent Business Address:
3. Business Telephone Number:
4. Business Fax Number:
Application for Federal Crab Vessel Permit
5. Business E-Mail Address:
Page 2 of 6
BLOCK D – DESIGNATED REPRESENTATIVE FOR EDR
The owner of a vessel that participates in any of the BSAI Crab Rationalization fisheries is responsible for submitting a
crab “Economic Data Report” (EDR) to the NMFS-authorized data collection agent. In the space below, please provide
the name and contact information of the individual who is responsible for insuring that the EDR is completed and timely
submitted. The EDR forms will be sent to the address of the Designated Representative set out below. If the Designated
Representative changes, the owner must provide NMFS with the name and contact information for the new Designated
Representative within 30 days of the change.
1. Name of Designated Representative for EDR:
2. Designated Representative’s Permanent Business Address:
3. Business Telephone Number:
4. Business Fax Number:
5. Business E-Mail Address:
BLOCK E – CERTIFICATION
Under penalty of perjury, I certify by my signature below that I have examined the information and the claims provided on
this application and, to the best of my knowledge and belief, the information presented here is true, correct, and complete.
Signature of Applicant or Applicant’s Representative:
Date Signed:
Printed Name of Applicant or Applicant’s Representative:
(Note: If this is completed by the Applicant’s Representative, attach authorization)
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 0.35 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 estimate or any other aspect of
this collection of information, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA Fisheries
Service (NMFS), 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 680, under section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.) and
under 16 U.S.C. 1862(j); 3) Responses to this information request are confidential under section 402(b) of the
Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative Order 216100, which sets forth procedures to protect confidentiality of fishery statistics.
Application for Federal Crab Vessel Permit
Page 3 of 6
Application for a
FEDERAL CRAB VESSEL PERMIT
•
Any vessel participating in the Bering Sea/Aleutian Islands Management Area (BSAI) crab
rationalization fisheries (CR fisheries) in any way (i.e., as a catcher vessel, catcher/processor, or a
stationary floating processor) must have on board a valid Federal Crab Vessel Permit (FCVP).
FCVPs are annual, issued for a crab fishing year (July 1 through June 30).
•
Additionally, vessels that participate in any of the CR fisheries are required to have on board, and
to use, a Vessel Monitoring System (VMS), while the CR fisheries are open, regardless of where
the vessel is fishing (including State of Alaska waters) or for what the vessel is fishing.
•
The owner of a vessel that participates in the CR fisheries has certain obligations to provide
Economic Data Reports (EDRs) to the NMFS-authorized Data Collection Agent (DCA). The
DCA will provide the owner (or the owner’s designee) with the necessary EDR collection forms.
If the person responsible for filing the EDRs is replaced, the owner must provide the name and
the contact information of the new responsible individual within 30 days.
Additionally
•
Type or print legibly in ink.
•
Retain a copy of completed application for your records.
•
Do not wait until right before an opening to apply for your permit, as you may not receive it
on time.
•
Mail, fax, or deliver the completed application to:
Mailing Address
NOAA Fisheries, Alaska Region (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668
Physical location
NOAA Fisheries, Alaska Region (NMFS/RAM)
Federal Building
709 W. 9th Street, Suite 713
Juneau, Alaska 99801
Fax number 907-586-7354
Block A – Nature of Application
Indicate whether the application is submitted as a request for:
•
a new Permit (in which case, it should be accompanied by a valid U.S. Coast Guard Abstract
of Title or Certificate of Documentation for the vessel);
Application for Federal Crab Vessel Permit
Page 4 of 6
•
a renewal of an existing Permit (in which case, enter the Permit Number); or
•
an amendment to an existing Permit (in which case, enter the Permit Number).
Block B – Vessel Information
1. Enter the name of the Vessel for which the Application is being submitted.
2. Enter the Vessel’s Home Port (city and state).
3. Enter the ADF&G Processor Code (if any).
4. Indicate (YES or NO) whether the Vessel is a “Vessel of the United States.”
5. Enter the Vessel’s USCG Documentation Number.
6. Enter the Vessel’s Alaska Department of Fish and Game (ADF&G) Vessel Registration Number.
7. Enter the Vessel’s length overall and registered length.
8. Enter the Vessel’s Gross Tonnage and Net Tonnage.
9. Enter the Vessel’s Shaft Horsepower.
10. Indicate the type(s) of crab operation(s) in which the Vessel will be engaged.
Block C – Contact Owner Information
1. Enter the name of the “Contact Owner”
(the person primarily responsible for the vessel on behalf of all owners).
2. Enter the Contact Owner’s Permanent Business Address.
3. Enter the Contact Owner’s Temporary Business Address (if any). This is the address to which notices and
other information regarding the vessel permit will be sent.
4-6. Enter the Contact Owner’s business telephone number, business fax number, and E-Mail address.
7. Enter the name of the Vessel’s Managing Company (if any).
Block C1 – Additional Owner Information
For each additional owner (in addition to the Contact Owner) enter the requested information.
Duplicate the form as necessary to include the requested information on all of the Vessel’s owners.
Block D – Designated Representative for EDR
The owner of a vessel that participates in any of the BSAI Crab Rationalization fisheries is
responsible for submitting a crab “Economic Data Report” (EDR) to the NMFS-authorized data
collection agent. In the space below, please provide the name and contact information of the
Application for Federal Crab Vessel Permit
Page 5 of 6
individual who is responsible for insuring that the EDR is completed and timely submitted. The EDR
forms will be sent to the address of the Designated Representative set out below. If the Designated
Representative changes, the owner must provide NMFS with the name and contact information for
the new Designated Representative within 30 days of the change.
Enter the requested information about the Designated Representative for EDR.
Block E – Certification
Enter printed name, signature, and date the Certification. Attach authorization if the application has
been completed by the Applicant’s representative.
Application for Federal Crab Vessel Permit
Page 6 of 6
File Type | application/pdf |
File Title | C:\PRA\OMB83I pre-ps.WP6.wpd |
Author | rroberts |
File Modified | 2008-01-28 |
File Created | 2008-01-28 |