Application for Federal Tilefish IFQ Allocation Permit

OMB CONTROL NO.: 0648-0590

Expires: 8/31/2012

U.S. Department of Commerce NOAA/National Marine Fisheries Service 55 Great Republic Drive Gloucester, MA 01930-2298 Tel: (978) 282-8483	Application for Federal Tilefish Individual Fishing Quota Allocation Permits Fishing Year YYYY Month DD, YYYY – Month DD, YYYY IFQ Allocation Permit #: XXXXX

Please see attachment for application instructions

Section 1 - Owner and Vessel(s) Information
Owner Name: Street Address: City: State: Zip Code: Phone #:	List all Federal Vessel Permit Numbers and Names that you own that are authorized under the IFQ Allocation permit you are applying for. NMFS must be notified in writing if you wish to remove or add additional vessels to fish under this IFQ Allocation permit during the fishing year: 1) Permit Number/Name: 2) Permit Number/Name: 3) Permit Number/Name:
Section 2 - Fishery Information & IFQ Share Allocation
IFQ Allocation: The Tilefish TAL for FY YYYY is: Percentage of Tilefish Overall IFQ TAL: FY YYYY Quota in Pounds (live): * IFQ is SUBJECT TO CHANGE: Quota may be adjusted based on FY YYYY overages, IFQ Allocation transfers, and/or research set asides. Please refer to your IFQ Allocation permit, when issued, for your actual FY YYYY quota.

Section 3 - Owner’s Signature

_____ Issue with Requested Changes Above

I, the undersigned, am the owner or legally authorized agent of the owner of the vessel(s) named in Section 1 above. I affirm, subject to the penalties provided in 18 USC 1001, that all information that I have given in obtaining this IFQ Allocation permit is true and correct. Signature: _______________________________________________ Print Name:______________________________________________ Date: ___________________________________________________

To avoid delay in processing, please include all information requested.

Any information submitted by any person to obtain a permit is not confidential, and may be disclosed upon request.

Instructions - Northeast Federal Fisheries

Initial Application for a Tilefish IFQ Allocation Permit

This is your YYYY Permit Application for a Federal Tilefish IFQ Allocation permit that is required to be completed, signed, and returned to NMFS. NMFS must receive your completed application by September 15, YYYY, to ensure that an IFQ Allocation permit may be issued to you by November 1, YYYY, to enable continued fishing for tilefish in excess of the incidental trip limit. You are receiving this application because you currently hold permanent Tilefish IFQ allocation.

In addition, all applicants must submit:

1. An IFQ Allocation Interest Declaration Form.

2. If your IFQ allocation is owned by a corporation, partnership, or LLC, you must provide: A) A list, signed and dated, of the names and addresses of all corporate officers and shareholders of the corporation; or B) a current copy of the Partnership Agreement and a list of the names and addresses of all partners.

_________________________________________________________________________________

SECTION 1: VESSEL/OWNER INFORMATION: Enter information only for items that have changed or are incorrect, or if you need to submit additional information.

SECTION 3: OWNER’S SIGNATURE AND INSTRUCTIONS

Please sign the form. Unsigned or incomplete applications will be returned. Your signature is an affirmation under penalty of perjury, that all the information provided in obtaining this permit is true [18 USC 1001].

PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average 30 minutes per Individual Fishing Quota application , including the time for reviewing 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 suggestions for reducing this burden to the Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, 55 Great Republic Drive, Gloucester, MA 01930.

All data will be kept confidential. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected 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.