Application for transfer of QS/IFQ sweep up transfer for

Revised: 08/03/2007

OMB Control No.: 0648-0272
Expiration Date: 04/30/2008

U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

APPLICATION FOR
TRANSFER OF QS/IFQ BY
SELF SWEEP-UP

BLOCK A - INSTRUCTIONS

BLOCK B - SWEEP UP LIMITS

To complete a "Self Sweep-Up" (i.e., to combine two
blocks that you currently hold), use this form instead
of the standard Application for Transfer of QS/IFQ
form. In the space provided, identify yourself and the
blocks of Quota Share (QS) you wish to combine; sign
and date the application in the presence of a Notary
Public; attach both original QS certificates; and
submit all to RAM at the address above. NOTE: To
be combined, QS must be in the same Vessel
Category, and the resulting block size must not exceed
the Sweep Up Limits (see Block B).

Halibut
Area
2C
3A
3B
4A
4B
4C
4D

Quota Share
Units
19,992
27,912
44,193
22,947
15,087
30,930
26,082

Sablefish
Area
SE
WY
CG
WG
AI
BS

BLOCK C - APPLICANT INFORMATION
(Type or Print legibly)

1. Name(full name):

2. NMFS Person ID:

3. Date of Birth:

4. Business Mailing Address: [ ] Permanent [ ] Temporary

5. Business Telephone No.:

6. Business Fax No.:

7. E-mail address (if available):

BLOCK D - FIRST QUOTA SHARE BLOCK
1. Halibut

[ ]

3. Vessel Category:

or

Sablefish

[ ]

2. IFQ Regulatory Area:
4. Number of QS Units to be Swept up:

5. Numbered To and From (Serial Numbers are shown on the QS Certificate):

Application for Transfer of QS/IFQ by Self Sweep-Up
Page 1 of 4

Quota Share
Units
33,270
43,390
46,055
48,410
99,210
91,275

BLOCK E - SECOND QUOTA SHARE BLOCK
1. Halibut

[ ]

or

Sablefish

[ ]

2. IFQ Regulatory Area:
4. Number of QS Units to be Swept up:

3. Vessel Category:

5. Numbered To and From (Serial Numbers are shown on the QS Certificate):

BLOCK F - CERTIFICATION OF NOTARY AND APPLICANT
I am a duly authorized representative of the applicant; by my signature below, I declare that I have examined this
application in its entirety, and to the best of my knowledge and belief, the information presented here is true, correct,
and complete.
1. Signature of QS holder or Authorized Agent:

2. Date:

3. Printed Name of QS Holder or Authorized Agent: Note: If this is completed by an agent, attach authorization:

4. Notary Public (Signature):

ATTEST

6. Affix Notary Stamp or Seal Here:

5. Commission Expires:

________________________________________________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 2.0 hours 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 Assistant Regional
Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, P.O. Box 21668,
Juneau, AK 99801.
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 as amended in
2006. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect
confidentiality of fishery statistics.
________________________________________________________________________________________________

Application for Transfer of QS/IFQ by Self Sweep-Up
Page 2 of 4

Instructions
APPLICATION FOR TRANSFER OF QS/IFQ
BY SELF SWEEP-UP
To complete a "Self Sweep-Up" (i.e., to combine two blocks that you currently hold), use this form instead of the
standard Application for Transfer of QS/IFQ form.
NOTE: To be combined, QS must be in the same Vessel Category, and the resulting block size must not exceed the
Sweep Up Limits (see Block B).
Attach both original QS certificates and submit by U.S. mail or courier with completed application. RAM will not
process faxed applications. Submit to Restricted Access Management (RAM) at:.
NMFS Alaska Region
Restricted Access Management
P.O. Box 21668
Juneau, AK 99802-1668.
Please allow at least ten 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.
Note: It is important that all blocks are completed and all necessary documents are attached. Failure to answer
any of the questions, provide attachments, or to have signatures notarized could result in delays in the processing
of your application.
If you need additional information, call RAM at (800) 304-4846 (#2) or (907) 586-7202 (#2).
BLOCK C - APPLICANT INFORMATION
1. Enter full name
2. Enter NMFS Person ID
3. Date of Birth
4. Enter Business Mailing Address and indicate whether permanent or temporary
5. Business Telephone Number, business fax number, and business e-mail address
BLOCK D - FIRST QUOTA SHARE BLOCK
1. Identify the blocks of Quota Share (QS) you wish to combine – Halibut or Sablefish
2. Enter IFQ Regulatory Area.
3. Enter Vessel Category.
4. Number of QS Units to be Swept up.
Application for Transfer of QS/IFQ by Self Sweep-Up - Page 3 of 4

5. Starting and ending serial number of shares to be transferred
[For example, H-2C-C-B-123,456 THROUGH H-2C-C-B-789,493]
BLOCK E -- SECOND QUOTA SHARE BLOCK
1. Identify the blocks of Quota Share (QS) you wish to combine – Halibut or Sablefish
2. Enter IFQ Regulatory Area.
3. Enter Vessel Category.
4. Number of QS Units to be Swept up.
5. Starting and ending serial number of shares to be transferred
[For example, H-2C-C-B-123,456 THROUGH H-2C-C-B-789,493]
BLOCK F - CERTIFICATION OF NOTARY AND APPLICANT
1. Sign and print your name and date the application in the presence of a Notary Public. Application forms
submitted to RAM must bear the original signatures of the parties — RAM will not process faxed applications.
2. Representatives signing for an Applicant must submit proof of authorization to submit this application on their
behalf.
3. A Notary Public must Attest and affix Notary Stamp. The Notary Public cannot be the person(s) submitting this
application.

Application for Transfer of QS/IFQ by Self Sweep-Up - Page 4 of 4