IFQ Sablefish Request for Replacement of Longline Pot Ge

Revised: 2/10/2020

OMB Control No. 0648-0353

IFQ SABLEFISH
REQUEST FOR REPLACEMENT
OF LONGLINE POT
GEAR TAGS

Expiration Date 03/31/2020

United States Department of Commerce
National Marine Fisheries Service (NMFS)
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668
Telephone: (800) 304-4846 toll free or
(907) 586-7202 Juneau
Fax: (907) 586-7354

Use this form only to request replacement pot tags for lost, stolen, or mutilated tags. You cannot be issued more than the
maximum number of pot tags authorized by sablefish regulatory area.
If you need a complete set of, or additional, new pot tags use the IFQ Sablefish Longline Pot Gear: Vessel Registration
and Request for Pot Gear Tags form.
Block A – Vessel Owner Information
1. Vessel Owner Name:
2. NMFS ID:

3. Business Mailing Address:

4. Business Telephone No.

1. Vessel Name:

Permanent

Temporary

5. Business Fax No.

6. Business E-Mail Address:

Block B -- Vessel Identification
Identify the vessel to which pot tags identified in Block C are registered.
2. USCG Official Number:
3. ADF&G Registration Number:

Block C – Identification of Lost, Stolen, Mutilated Pot Tags
Identify the pot tags to be replaced by area and serial number. Indicate the reason for the request for replacement.
1. List serial numbers for pot tags to be replaced by area:
Area
Serial Numbers
SEO
WY
CG
WG
2. Indicate Reason for Replacement Pot Tag Request:
LOST
STOLEN
3. Number of Replacement Longline Pot Tags Requested by Area:
SEO (maximum tags = 120) WY (maximum tags = 120) CG (maximum tags = 300)

MUTILATED
WG (maximum tags = 300)

Block D – Vessel Owner Signature
Under penalties of perjury, I hereby declare that I, the undersigned, completed this request, and the information contained herein is
true, correct, and complete to the best of my knowledge and belief.

Vessel Owner Name (print):

Vessel Owner Signature:

Date Signed:

Request For Replacement of Longline Pot Gear Tags
Page 1 of 4

____________________________________________________________________________________________________
Paperwork Reduction Act Statement
1. This information is required to manage commercial fishing effort of the Individual Fishing Quota Program in the Gulf of Alaska
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.
2. Public reporting burden for this collection of information is estimated to average 1 hour per response, including 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 suggestions for reducing this burden to
Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, Alaska Region, P.O. Box
21668 Juneau, AK 99802-1668.
3. 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 collectionof-information displays a currently valid OMB Control Number.
Privacy Act Statement
Authority: The collection of this information is authorized under the Magnuson-Stevens Fishery Conservation and Management Act,
16 U.S.C. 1801, et seq.
Purpose: NMFS is collecting this information to manage the Individual Fishing Quota Program in the Gulf of Alaska.
Routine Uses: NMFS will use this information to enforce pot limits and enhance tracking of lost fishing gear. NMFS publishes the
annual list of IFQ sablefish pot tag registrations on the NMFS Alaska Region website. Disclosure of this information is permitted
under the Privacy Act of 1974 (5 U.S.C. Section 552a) to be shared among authorized staff for work-related purposes. Disclosure of
this information is also subject to the published routine uses identified in the Privacy Act System of Records Notice
COMMERCE/NOAA-19, Permits and Registrations for the United States Federally Regulated Fisheries.
Disclosure: Furnishing this information is mandatory. Failure to provide complete and accurate information may delay a vessel owner
from receiving replacement pot tags.
____________________________________________________________________________________________________________

Request For Replacement of Longline Pot Gear Tags
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INSTRUCTIONS
IFQ SABLEFISH REQUEST FOR REPLACEMENT OF LONGLINE POT GEAR TAGS
Type or print legibly in ink and retain a copy of completed application for your records.
Please allow at least 10 working days for your application to be processed.
A completed application may be submitted to NMFS:
By mail:

NMFS, Alaska Region
Restricted Access Management (RAM)
PO Box 21668
Juneau, AK 99802

By fax:

(907)586-7354

In person:

U.S. Federal Building
NOAA, NMFS Alaska Region
RAM
709 W. 9th Street, Room 713
Juneau, AK 99801

BLOCK A-VESSEL OWNER INFORMATION
1. Vessel Owner Name. Enter the full Name(s) of owner of the Vessel listed in Block B.
2. NMFS ID. Enter your assigned NMFS ID, if you do not have one, one will be assigned to you.
3. Business Mailing Address: Indicate whether address is permanent or temporary. Enter your complete business
mailing address, including street or P.O. Box, city, state, and zip code. Your pot tags will be sent to this address,
unless otherwise notified.
4-6. Business Telephone No., Fax No., and e-mail Address. Enter the business telephone number, and business fax
number including area code, and business e-mail address (if available) that are used by the vessel owner. It is very
important that you provide a number where we can contact you, or where we can leave messages for you. If
questions arise concerning your application, and we are unable to contact you, issuance of your pot tags will be
delayed.
BLOCK B-VESSEL IDENTIFICATION
1. Enter the complete vessel name as displayed in the vessel’s Certificate of Documentation
2. Enter the USCG Official Number
3. Enter State of Alaska, Department of Fish and Game (ADF&G) Registration Number

Request For Replacement of Longline Pot Gear Tags
Page 3 of 4

BLOCK C – IDENTIFICATION OF LOST, STOLEN OR MUTILATED POT TAGS
1. List serial numbers of pot tags to be replaced by sablefish regulatory area.
2. Indicate the reason for the request for replacement pot tags.
3. Enter the number of replacement pot tags requested for each area.
BLOCK D – VESSEL OWNER SIGNATURE
The vessel owner or authorized representative must print their name, sign, and date the application certifying that all
information is true, correct, and complete to the best of his or her knowledge and belief. The request will be considered
incomplete without this signature. If authorized representative, send complete authorization.

Request For Replacement of Longline Pot Gear Tags
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