Application for an incentive plan agreement (IPA) and li

Revised: 06/22/10

APPLICATION FOR AN
INCENTIVE PLAN AGREEMENT (IPA) AND
LIST OF IPA PARTICIPANTS

OMB Control No. 0648-xxxx
Expiration Date: xx/xx/xxxx
U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service (NMFS)
Sustainable Fisheries Division
P.O. Box 21668
Juneau, AK 99802-1668
Fax: 907-586-7131
Telephone: 907-586-7228

TYPE OF APPLICATION
Indicate whether this application is for
[__] New IPA

[__] Amended IPA

[__] Change IPA Participant List

NOTE: Attach Incentive Plan Agreement.

BLOCK A – IPA INFORMATION
1. Name of IPA:

2. IPA Number:

BLOCK B – IPA CONTACT INFORMATION
1. Name of IPA’s Representative:

2. Name of Agent for Service of Process, if different
from representative

3. Permanent Business Mailing Address:

4. Temporary Business Mailing Address (if
applicable):

5. Business Telephone No.:

6. Business Fax No.:

7. E-mail address:

BLOCK C – VESSEL IDENTIFICATION
Attach additional sheet if necessary.
Name of vessel

ADF&G No.

Application for IPA and List of IPA Participants
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Federal Fisheries
Permit No.

BLOCK C – VESSEL IDENTIFICATION (continued)
Attach additional sheet if necessary.
Name of vessel

ADF&G No.

Federal Fisheries
Permit No.

_______________________________________________________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection-of-information is estimated to average 40 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.) as amended in
2006; 3) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act as revised in 2006. They are also
confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.
_______________________________________________________________________________________________________________________________

Application for IPA and List of IPA Participants
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Instructions
APPLICATION FOR AN
INCENTIVE PLAN AGREEMENT (IPA) AND
LIST OF IPA PARTICIPANTS
GENERAL INFORMATION
For a new IPA, this application and the IPA must be received by NMFS by October 1 prior to the year in which the
IPA is proposed to be effective. Once approved, an IPA is effective starting January 1, unless the IPA is approved
between January 1 and January 19, in which case the IPA is effective starting in the year in which it is approved.
Once approved, an IPA is effective until December 31 of the first year in which it is effective or until December 31
of the year in which the IPA representative notifies NMFS in writing that the IPA is no longer in effect, whichever
is later. An IPA may not expire mid-year.
To amend an approved IPA, with no change in the IPA participants, the IPA representative must submit an
application and an amended IPA to NMFS. An IPA may be amended at any time. The amended IPA is effective
upon written notification of approval by NMFS to the IPA representative.
If a party wishes to join or leave an IPA after it is approved, the List of IPA participants must be revised. To
change the List of IPA participants, the IPA Representative must submit this application so that it is received by
NMFS by December 1.
The list of participants in an IPA must be submitted to NMFS:
♦ As part of the original IPA by October 1 of the year prior to the proposed fishing year.
♦ Separately by November 1 of each year following the year in which the IPA was approved and for as long
as the IPA is in effect. The annual list of participants in an IPA is considered an amendment to an IPA.
The subsequent annual submission of the IPA list of participants will provide information about the IPA
membership; whether it is constant or whether it is changing, with participant(s) leaving or joining the IPA
effective January 1 of the following year.
The annual list of participants in the IPA must include the signature of any vessel owner or representative of a CDQ
group that is withdrawing from the IPA. The signature and a statement to agree to comply with the terms of the
IPA must be provided for any vessel owner or CDQ group joining an already approved IPA.
The annual IPA list of participants is considered approved by NMFS unless the IPA representative is notified by
NMFS within 15 days of receipt of the list that a revision(s) to the list of participants would cause the IPA to no
longer meet the minimum participation requirements.
NMFS would post a copy of any proposed IPA on its website so that the public is informed that a proposed IPA is
under review.
Additionally
♦

Retain a copy of completed application for your records.

♦

NOTE: Attach Incentive Plan Agreement (IPA).

♦

Submit the completed application online at:
Application for IPA and List of IPA Participants
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Website: http://www.alaskafisheries.noaa.gov
♦

If you have any questions, or if you need any assistance in completing the application, please call NMFS
Sustainable Fisheries at 907-586-7228.
COMPLETING THE APPLICATION

Submit the following information on this form:
TYPE OF APPLICATION
Indicate whether this application is for a new IPA, an amended IPA, or is a change to the IPA Participant List
BLOCK A – IPA INFORMATION
1-2 .

IPA Name and Number. A name assigned by the IPA that describes the IPA or the group of American
Fisheries Act (AFA) participants submitting the IPA and the IPA Number assigned by NMFS. The
IPA Representative must use this IPA name and number in all submissions of information about the
IPA.

BLOCK B – IPA CONTACT INFORMATION
1.

Name of IPA’s Representative

2.

Name of Agent for Service of Process, if different from representative

3.

Permanent Business Mailing Address:

4.

Temporary Business Mailing Address (if applicable):

5-7.

Business Telephone Number, Business Fax Number, and Business E-mail address

BLOCK C – VESSEL IDENTIFICATION
(Attach additional sheet if necessary.)
List the name, Alaska Department of Fish and Game (ADF&G) vessel registration number, and Federal Fisheries
Permit (FFP) number of the AFA catcher vessels, AFA catcher/processors, AFA motherships, and vessels fishing
on behalf of the CDQ group that are governed by the IPA.

Application for IPA and List of IPA Participants
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