Request for Atlantic Surfclam or Ocean Quahog ITQ Alloca

OMB Control No. 0648-0240

U.S. Department of Commerce
NOAA/National Marine Fisheries Service
55 Great Republic Drive
Gloucester, MA 01930-2298
Tel: (978) 282-8483

Expires: 21/31/2015

Application to Transfer
Surfclam / Ocean Quahog
Individual Transferable Quota (ITQ)
Fishing Year YYYY
January 1, 2016 – December 31, 2016

Section A – Type of Transfer Requested

Temporary Transfer of Cage Tags
Transfer quota share including all cage tags for the current fishing year
Permanent Transfer of ITQ Quota Share

Transfer quota share only, not cage tags for the current fishing year
(transfer is effective for the following fishing year)

Section B – Transfer Details
Beginning Tag Number

Ending Tag Number

Total Tags

Tag Series 1:
Tag Series 2:
Tag Series 3
Additional transaction details
Total price paid, including all fees:
Broker fees, if applicable:
Is this transfer part of a long-term (more than 1 year) contract?

No Yes Contract duration: ______

Note: Temporary tag transfers only apply to the current fishing year. Any future transfer would require a separate transfer application.

Is the contract based on a fixed price, or a market-based flexible price?

Fixed price Flexible price NA

Specify any other conditions on this transfer (e.g. harvester must sell clams to a specific processor, right of first refusal on
future transfers, etc.).

Section C – Transferor (Seller) Certification
Name of Permit Holder:

ITQ Permit Number:

Under penalty of perjury, I hereby declare that I, the undersigned, am authorized to certify this application on behalf of the
transferor and completed this form, and the information contained is true, correct, and complete to the best of my knowledge
and belief. (18 U.S.C. § 1001)
Signature:
Date:

Print Name:

SC/OQ ITQ Transfer Application
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Section D – Transferee (Buyer) Certification
Name of Permit Holder:

ITQ Permit Number:

Under penalty of perjury, I hereby declare that I, the undersigned, am authorized to certify this application on behalf of the
transferee and completed this form, and the information contained is true, correct, and complete to the best of my knowledge
and belief. (18 U.S.C. § 1001)
Signature:
Date:

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

PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average 5 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the 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.
Permit holder name, address, phone, and permit information will be released via a NOAA Fisheries website. All other data submitted will be
handled as confidential in accordance with section 402(b) of the Magnuson-Stevens Act and NOAA Administrative Order 216-100, Protection of
Confidential Fisheries Statistics. 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.

SC/OQ ITQ Transfer Application
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Instructions – Application to Transfer Surfclam / Ocean Quahog ITQ
If you wish to transfer surfclam or ocean quahog ITQ by temporary lease of cage tags or permanent transfer of quota
share, both parties must be issued a current ITQ permit for the appropriate fishery. To obtain a surfclam or ocean
quahog ITQ permit, submit a completed ITQ permit application along with a completed ITQ ownership form. A
surfclam or ocean quahog ITQ permit, once issued, will authorize you to participate in an ITQ transfer of either cage
tags or quota share.

SECTION A – Type of transfer requested
Temporary transfer: Transfers cage tags but does not affect the underlying quota share.
Permanent transfer: Transfers the underlying quota share, so that future cage tags would be issued to the new
quota shareholder. Permanent transfers of quota share may or may not include the cage tags for the current fishing
year. Be sure to check the appropriate box.
SECTION B – Transfer Details
Provide details of the allocation to be transferred. Temporary transfers and permanent transfers that include all cage
tags should list the full range of tag numbers being transferred. Permanent transfers without the associated cage
tags may list a number of tags to be transferred, or a percentage of the transferor’s total quota share. A permanent
transfer based on a number of tags will be converted to a quota share percentage based on the current fishing year
quota. Future cage tag allocations may change based on any changes to the commercial quota. Additional
questions about this transaction have been added to address a request from the Mid-Atlantic Fishery Management
Council. Complete all applicable fields. Please note: Tag transfers are only good for the current fishing year. NMFS
will not automatically transfer any tags in the future without another completed transfer application, even if you
indicate the current tag transfer is part of a multi-year contract.
SECTION C – Transferor Certification
Provide the name and ITQ permit number of transferor. 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 U.S.C. § 1001).
SECTION D – Transferee Certification
Provide the name and ITQ permit number of the transferee. 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 U.S.C. § 1001).
When completed, submit the application to the following address:
NOAA’s National Marine Fisheries Service
Greater Atlantic Regional Fisheries Office
Attn: Permits
55 Great Republic Drive
Gloucester, MA 01930

For questions, please call 978-282-8483

SC/OQ ITQ Transfer Application
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