First receiver permit application

OMB No.: 0648-0194
(Expires:MM/DD/YEAR)

THE UNITED STATES OF AMERICA
DEPARTMENT OF COMMERCE
NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION
NATIONAL MARINE FISHERIES SERVICE
ANTARCTIC MARINE LIVING RESOURCES

APPLICATION FOR A PERMIT TO FIRST RECEIVE ANTARCTIC MARINE LIVING RESOURCES (AMLR) AT A U.S. PORT

Under the provisions of the Antarctic Marine Living Resources Convention Act 1984, the following person(s)
__________________________________________submit(s) to receive Antarctic Marine Living Resources at a U.S. port from a
vessel permitted to harvest or transship Antarctic Marine Living Resources under 50 CFR 300.107.
1. COMPANY NAME (Business):
2. TIN:

3. STATE REGISTERED IN:

4. COMPANY ADDRESS:
CITY:
5. PHONE NUMBER:

ST:
FAX:

ZIP:
EMAIL:

6. ADDITIONAL ADDRESSES (if applicable):
COMPANY NAME (BUSINESS):
COMPANY ADDRESS:
CITY:
PHONE NUMBER:

ST:
FAX:

ZIP:
EMAIL:

COMPANY NAME (BUSINESS):
COMPANY ADDRESS:
CITY:
PHONE NUMBER:

ST:
FAX:

ZIP:
EMAIL:

7. ADDITIONAL FEDERAL DEALER LICENSES (if applicable):

8. SIGNATURE:

TITLE:

DATE:

PRINTED NAME:
INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR AN AMLR FIRST RECIVER PERMIT:
Complete the application fields as noted:
1.
2.
3.

Enter the company name, tax identification number, the State that the company is registered in, address, phone
number, fax number, and email address.
Enter additional addresses and other information if applicable.
If the applicant holds Federal dealer licenses, include those numbers.

Return completed application to:
NOAA Office of International Affairs and Seafood Inspection
1315 East West Highway
Silver Spring, MD 20910
Attn: CCAMLR Permit Office

Completion of this application is required to obtain a permit to receive Antarctic marine living resources, from a vessel
permitted to harvest or transship Antarctic Marine Living Resources under 50 CFR 300.107, at a U.S. port of landing under
provisions of the Antarctic Marine Living Resources Convention Act of 1984 (16 USC 2431 et seq.). No permit will be
issued without completion of this application. Permits to first receive AMLR enable NMFS to track that all entries of AMLR
are in compliance with regulations that appear in Volume 50, Part 300 Subpart G of the Code of Federal Regulations.
Paperwork Reduction Act:
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Notwithstanding any other provision of the law, no person is required to respond 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. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing the burden, to National Marine Fisheries Service, 1315 East West Highway, Attention: CCAMLR Permit Office,
Silver Spring, Maryland, 20910.
NMFS will treat any trade secrets or confidential business information submitted in an application as exempt from public
disclosure under the Freedom of Information Act if authorized under the Act.