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pdf08/23/2010
OMB Control No. 0648-0514; Expiration Date: 07/31/2011
Application for
Annual Exemption from Western Aleutian
Islands Golden King Crab West Region
Delivery Requirements
U.S. Department of Commerce
NOAA Fisheries Service, Alaska Region
Restricted Access Management (RAM)
Post Office Box 21668
Juneau, Alaska 99802-1668
Additional documents supporting eligibility under § 680.4(o)(i) must be attached to this
application to facilitate approval.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
Application for Exemption from WAG Delivery Requirements
Page 1 of 6
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
Application for Exemption from WAG Delivery Requirements
Page 2 of 6
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
Application for Exemption from WAG Delivery Requirements
Page 3 of 6
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
The contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized representative, attach authorization.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory
4. NMFS
Person ID
2. Signature of Eligible Signatory
3. Date Signed
5. Indicate Type of Eligible Signatory
[__] Quota Share Holder
[__] Processor Quota Share Holder
[__] Municipality
AFFIDAVIT
♦
The signature above affirms that the eligible contract signatory has signed a master contract.
♦
This contract authorizes the completion of the application to request that NMFS exempt West designated IFQ and West
designated IPQ for the Western Aleutian Golden king crab fishery from the West Region Delivery requirements, and
♦
All information is true, correct, and complete to the best of his or her knowledge and belief.
Note: If this application is completed by an authorized 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 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 not confidential.
________________________________________________________________________________________________________________________
Application for Exemption from WAG Delivery Requirements
Page 4 of 6
| File Type | application/pdf |
| File Title | C:\PRA\OMB83I pre-ps.WP6.wpd |
| Author | rroberts |
| File Modified | 2010-09-15 |
| File Created | 2010-09-15 |