Registered buyer application form

Revised: 09/22/09

OMB Control No. 0648-0272
Expiration Date: 10/31/2011
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
IFQ/CDQ
REGISTERED BUYER PERMIT

Is this application a renewal?

[__] YES

[__] NO

If YES, enter Registered Buyer Number ____________________________

1. Name of Registered Buyer:

BLOCK A - APPLICANT IDENTIFICATION
2. NMFS Person ID:

3. Name of Contact Person:
4. Business Mailing Address: Permanent [ ] Temporary [ ]

6. Business Telephone No.:

5. Physical Location of Facility:

7. Business Fax No.:

8. E-mail Address (if available):

BLOCK B - TYPE OF ACTIVITY
(Check ALL that apply)

1. [__] Hired Master making dockside sales (catcher-seller)
or
2. [__] Hired Master transferring IFQ/CDQ fish outside Alaska (permit holder or vessel operator)
or
3. [__] Person receiving fish from harvester as a (check all that apply):
[__] Buyer-Broker

[__] Catcher/Processor

[__] Retail Operation

[__] Restaurant

[__] Mothership

[__] Tender

[__] Shoreside processor/Stationary Floating Processor

[__] Other (please describe)

Application for IFQ/CDQ Registered Buyer Permit
Page 1 of 4

BLOCK C - SIGNATURE
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and
belief, the information presented here is true, correct, and complete.
1. Signature of Applicant or Authorized Agent:

2. Date:

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

_________________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 0.5 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.
_________________________________________________________________________________________________________________

Application for IFQ/CDQ Registered Buyer Permit
Page 2 of 4

INSTRUCTIONS
APPLICATION FOR IFQ/CDQ REGISTERED BUYER PERMIT
Use this application to apply for or renew a Registered Buyer permit under federal regulations governing the
Individual Fishing Quota (IFQ) Program and the Western Alaska Community Development Quota (CDQ) Program
(50 CFR part 679).
This Registered Buyer Permit is required for:
•

Each person who receives IFQ Pacific halibut, IFQ sablefish, or CDQ Pacific halibut from the
harvester within Alaska.

•

Each IFQ/CDQ permit holder who harvests IFQ/CDQ fish and then transfers those fish in dockside
sales to individuals for personal consumption, outside an IFQ regulatory area, or outside the State of
Alaska.

•

Each vessel operator when IFQ Pacific halibut, IFQ sablefish, or CDQ Pacific halibut are transferred
outside the State of Alaska.

•

Each facility (i.e., tender, mothership, shoreside processor, etc.) that receives IFQ Pacific halibut, IFQ
sablefish, or CDQ Pacific halibut in Alaska is required to have its own Registered Buyer permit
number.

NOTE: entities receiving IFQ Pacific halibut, IFQ sablefish, or CDQ Pacific halibut at locations outside Alaska do
not need these permits and will not be issued them. In such cases the vessel operator must be a Registered Buyer.
Type or print legibly in ink; retain a copy of completed application for your records.
When completed, mail the original application form to:
NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
or fax to:
Fax No.: (907) 586-7354
or deliver to:
Room 713, Federal Building
709 West 9th Street

If you need additional information, contact RAM 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.

Application for IFQ/CDQ Registered Buyer Permit
Page 3 of 4

BLOCK A - APPLICANT IDENTIFICATION
1. Name of Registered Buyer - Name of the IFQ or CDQ hired master (see above listings for additional
information).
2. NMFS Person ID - NMFS will supply this number, if you do not already have one.
3. Name of Contact Person - Name of a person we may contact regarding this application, such as the business
owner, or manager.
4. Business Mailing Address - Including state and zip code. If you check “Permanent Address,” we will update
the official RAM database. If you check “Temporary Address,” we will use it for this one application and we
will not change the RAM database.
5. Physical Location of Facility - If there is no fixed location facility (as with some buyers), or if the activity
occurs at multiple locations (as with some motherships), indicate the most frequently used location. Enter the
physical location of the facility where the registered buyer operation occurs.
6-8. Business Telephone No., Fax No., and e-mail Address - Include area codes as appropriate.

BLOCK B - TYPE OF ACTIVITY
Select all of the activities that best describe your anticipated Registered Buyer activity.
BLOCK C - SIGNATURE
1-2. Signature of Applicant or Authorized Agent - The applicant or authorized agent must sign and date the
application certifying all information set forth in the application is true, correct, and complete to the best of
the applicant’s knowledge and belief. The application will not be considered without the applicant’s or
authorized agent’s signature. Note: If a representative or agent is acting on behalf of the applicant, written
authorization signed by the applicant must be submitted with the application.
3.

Printed name of the Applicant or Authorized Agent - Print or type the full name of the applicant or
authorized agent signing on behalf of the applicant.

Application for IFQ/CDQ Registered Buyer Permit
Page 4 of 4