Prohibited Species Donation Program - Application to become a NMFS authorized distributor

Revised: 07/09/2014 OMB Control No. 0648-0316, Expiration Date: 10/31/2014

Application NMFS-Authorized Distributor Prohibited Species Donation Program

U.S. Department of Commerce NOAA/National Marine Fisheries Service, Alaska Region Post Office Box 21668 Juneau, Alaska 99802-1668 Fax: 907-586-7465 Telephone: 907-586-7228

The authorized prohibited species in the Prohibited Species Donation Program (PSD) are:

♦ Salmon

♦ Pacific halibut delivered by catcher vessels using trawl gear to shoreside processors and stationary floating processors.

An applicant seeking to become an authorized distributor must provide the Regional Administrator with the following information to the above address. A PSD permit issued for salmon or halibut remains in effect for a 3-year period after the selection notice is published in the Federal Register unless suspended or revoked.

Proof of Applicant’s	Tax-exempt status
	Ability to obtain and maintain adequate funding for the distribution of PSD fish
	Ability to take full responsibility for the documentation and disposition of PSD fish, including sufficient liability insurance to cover public interests relating to the quality of fish distributed for human consumption
Description	Arrangements for processing, shipping, storing, and transporting donated fish and an estimate of the associated costs
	Expertise in providing for the distribution of food product from remote Alaskan locations to hunger relief agencies, food bank networks, or food bank distributors, including arrangements for transportation, distribution costs, and product quality control
	Operating budget that is adequate to ensure that PSD fish are distributed to hunger relief agencies, food bank networks, or food bank distributors and that the fish will be maintained in a manner fit for human consumption
	Quality control criteria for vessels, processors, hunger relief agencies, food bank networks, and food bank distributors
	Number of vessels and processors that the applicant is capable of administering effectively
Documentation	Support from cold storage and transportation facilities
List	All vessels, processors, food bank networks, and food bank distributors in the PSD Program. The list must include: Vessel’s Federal Fisheries Permit number or Processor's Federal Processor Permit number Name of the vessel owner or responsible operator or Name of the processor owner or plant manager Business telephone number and business fax number Signature of the vessel owner or responsible operator or Signature of processor owner or plant manager
	Locations where fish must be delivered by participating vessels and processors
Copy	Applicant's articles of incorporation and bylaws. Purpose must include providing food resources to hunger relief agencies, food bank networks, or food bank distributors
Signed statement	From the applicant and all persons listed, who would conduct activities pursuant to the PSD permit waiving any and all claims against the United States and its agents and employees for any liability for personal injury, death, sickness, damage to property directly or indirectly due to activities conducted under the PSD

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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 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 NOAA, National Marine Fisheries Service, Alaska Region, Attn: Assistant Regional Administrator, Sustainable Fisheries Division, P.O. Box 21668, Juneau, AK 99802-1668 (Attn: Records Officer).

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 used 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; 4) Responses to this information request are not confidential.

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Application for PSD Permit

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