Application for Amendment 80 Quota Share (QS)

Revised: 02/15/2023

OMB Control No. 0648-0565 Expiration Date: 04/30/2023

U.S. Department of Commerce/NOAA
National Marine Fisheries Service (NMFS)

Application for
AMENDMENT 80
QUOTA SHARE (QS)

Restricted Access Management Program (RAM)
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / (907) 586-7202 in Juneau
(907) 586-7354 fax / [email protected]

This application is used to apply for an initial allocation of Amendment 80 quota share and an Amendment 80 quota share
permit. This application must be completed and received by NMFS no later than 1700 hours Alaska local time (A.l.t.) on
October 15, or if sent by U.S. mail, postmarked by that time, for the applicant to be considered for initial issuance of
Amendment 80 QS to participate in the program during the next calendar year. Only applicants that are determined to be
eligible under 50 CFR 679.90(a)(2) will receive an initial allocation of Amendment 80 QS.
Indicate whether you are applying as (select only one):
The owner of an Amendment 80 vessel as defined in 50 CFR 679.2 and listed in Table 31 to 50 CFR Part
679. Review and complete blocks A, B, and C. Sign and date Block E.
The holder of an Amendment 80 License Limitation Program (LLP) license originally assigned to an Amendment
80 vessel that is no longer able to be used in the Amendment 80 Program due to the actual total loss, constructive
loss, or permanent ineligibility of that vessel. Review and complete Blocks A, B, and D. Sign and date Block E.
Refer to application instructions for a list of Amendment 80 vessels and Amendment 80 LLP licenses.
BLOCK A -- APPLICANT IDENTIFICATION
1. Applicant Name:

2. Tax ID number:

3. NMFS Person ID:

4. Permanent Business Address:

5. Business Telephone Number:

6. Business Fax Number:

7. Business E-mail Address:

8. Is Applicant an Individual U.S. Citizen?
YES
NO

If YES, Enter Date of Birth:

9. Is Applicant a U.S. Corporation, Partnership, Association,
or Other Business Entity?

If YES, Enter the Date of Incorporation:

YES
NO
10. Is Applicant a Successor-In-Interest to a Deceased
Individual or to a Non-Individual No Longer In Existence?
YES

If YES, attach evidence of death or dissolution.

NO

Application for A80 QS - Page 1 of 7

BLOCK B -- AGREEMENT WITH AMENDMENT 80 OFFICIAL RECORD
I AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. If you check this box, you are
accepting the Amendment 80 Official Record. Proceed to Block E, sign the application, and return the application to
NMFS.
I DO NOT AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. Sign Block E,
attach additional pages outlining the nature of your disagreement and provide documentation supporting your claims.
I DID NOT RECEIVE an Amendment 80 Official Record Summary from NMFS. I believe that I am eligible to
receive an initial allocation of Amendment 80 QS. Complete Blocks C and/or D as applicable. Sign Block E and
provide documentation supporting your claims.
Regardless of your agreement or non-agreement with the Official Record, if you are applying for QS as the holder of an
Amendment 80 LLP license originally assigned to an Amendment 80 vessel that cannot participate in the program due to
the actual total loss, constructive loss, or permanent ineligibility of that vessel, you must complete Block D and provide the
required documentation described in that block.
BLOCK C – OWNER OF AMENDMENT 80 VESSEL
For an applicant claiming Amendment 80 legal landings associated with an Amendment 80 vessel, enter the following
information for each Amendment 80 vessel. You may be required to provide documentation, such as an abstract of title or
U.S. Coast Guard Certificate of Documentation, establishing your ownership of each Amendment 80 vessel for which you
are applying for Amendment 80 QS.
Vessel Name:
LLP Number:
ADF&G Number:
USCG Number:
Vessel Name:

LLP Number:

ADF&G Number:

USCG Number:

Vessel Name:

LLP Number:

ADF&G Number:

USCG Number:

BLOCK D – HOLDER OF AMENDMENT 80 LLP LICENSE
The holder of an Amendment 80 LLP license may only receive an initial allocation of Amendment 80 QS if an Amendment
80 vessel(s) originally assigned to the Amendment 80 LLP license(s) is no longer able to participate in the Amendment 80
Program due to actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under
46 U.S.C. 12108. If the Amendment 80 vessel does not fit these requirements, the Amendment 80 QS derived from that
vessel’s catch must be applied for by the owner of the vessel.
List each Amendment 80 LLP license number for which you are applying for Amendment 80 QS, and the name, ADF&G
registration number, and USCG documentation number of the Amendment 80 vessel originally assigned to each license.
ATTACHMENTS
Attach clear and unambiguous documentation in written form that the Amendment 80 vessel has suffered an
actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement under 46
U.S.C. 12108.
If the holder of the LLP license is not the same person(s) who owns the Amendment 80 vessel, attach a copy of the
express terms of a written contract held by the applicant that clearly and unambiguously indicates that the owner of
the Amendment 80 vessel that has suffered an actual total loss, total constructive loss, or is permanently ineligible to
receive a fishery endorsement under 46 U.S.C. 12108 has transferred all rights and privileges to use Amendment 80
legal landings and any resulting Amendment 80 QS or exclusive harvest privilege from that Amendment 80 vessel
to the person holding the Amendment 80 LLP license originally assigned to that Amendment 80 vessel.
Application for A80 QS - Page 2 of 7

Amendment 80
LLP Number

Amendment 80 Vessel Originally Assigned
Name of Vessel

ADF&G Number

USCG Number

BLOCK E -- APPLICANT CERTIFICATION
The applicant must sign and date the application certifying that all information is true and correct to the best of their
knowledge and belief. If the application is completed by an authorized or designated representative, then explicit
authorization must accompany the application.
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
1. Signature of Applicant (or Authorized Representative):

2. Date:

3. Printed Name of Applicant (or Authorized Representative); if representative, attach authorization:

Application for A80 QS - Page 3 of 7

Instructions
APPLICATION FOR AMENDMENT 80 QUOTA SHARE (QS)
A person who wishes to receive an Amendment 80 QS permit must submit a timely and complete application for
Amendment 80 QS. Once an application for Amendment 80 QS is approved by NMFS, no other application for
Amendment 80 QS is required.
A completed application to receive an Amendment 80 QS permit must be received by NMFS no later than 1700 hours,
A.l.t., on October 15 or if sent by U.S. mail, postmarked by that time. Applications received after October 15 will be
processed; however, those applicants will not be eligible to participate in the Amendment 80 Program during the upcoming
calendar year. For example, an applicant who submits an Application for Amendment 80 Quota Share after October 15,
2018, and is found eligible to receive an Amendment 80 QS permit, would not be eligible to participate in the Amendment
80 Program until 2020
GENERAL INFORMATION
Please allow at least 10 working days for this application to be processed. It is important that all blocks are completed and
any required attachments are provided. Failure to answer any of the questions, provide any of the required documents, or to
have signatures could result in delays in the processing of your application.
Forms are available on the NMFS Alaska Region website at https://www.fisheries.noaa.gov/region/alaska.
Print information in the application legibly in ink or type information.
Retain a copy of completed application for your records.
When completed, submit the application —
By mail to:

NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668

By delivery to: Room 713, Federal Building
709 West 9th Street
Juneau, AK 99801
Or, by fax to:

907-586-7354

If you need additional information:
Contact RAM at: (800) 304-4846 (Option #2) or (907) 586-7202 (Option #2)
E-mail address: [email protected]
Website: https://www.fisheries.noaa.gov/region/alaska
COMPLETING THE APPLICATION
A completed application must contain the following information:
Indicate whether the applicant is applying —
◆ As the owner of an Amendment 80 vessel (Complete Blocks A, B, C, and E), or
◆ As the holder of an Amendment 80 License Limitation Program (LLP) license originally assigned to an
Amendment 80 vessel that is no longer able to be used in the Amendment 80 Program due to the actual total loss,
constructive loss, or permanent ineligibility of that vessel (Complete Blocks A, B, D, and E)
Application for A80 QS - Page 4 of 7

◆ Refer to the following table for name and LLP license originally assigned to that vessel (from Table 31 to 50
CFR Part 679).
Column A

Column B

Column C

Name of Amendment 80
Vessel

USCG Documentation
Number

LLP License Number Originally
Assigned to the Amendment 80 Vessel

ALASKA JURIS

569276

LLG 2082

ALASKA RANGER

550138

LLG 2118

ALASKA SPIRIT

554913

LLG 3043

ALASKA VOYAGER

536484

LLG 2084

ALASKA VICTORY

569752

LLG 2080

ALASKA WARRIOR

590350

LLG 2083

ALLIANCE

622750

LLG 2905

AMERICAN NO. 1

610654

LLG 2028

ARCTIC ROSE

931446

LLG 3895

ARICA

550139

LLG 2429

BERING ENTERPRISE

610869

LLG 3744

CAPE HORN

653806

LLG 2432

CONSTELLATION

640364

LLG 1147

DEFENDER

665983

LLG 3217

ENTERPRISE

657383

LLG 4831

GOLDEN FLEECE

609951

LLG 2524

HARVESTER
ENTERPRISE

584902

LLG 3741

LEGACY

664882

LLG 3714

OCEAN ALASKA

623210

LLG 4360

OCEAN PEACE

677399

LLG 2138

PROSPERITY

615485

LLG 1802

REBECCA IRENE

697637

LLG 3958

SEAFISHER

575587

LLG 2014

SEAFREEZE ALASKA

517242

LLG 4692

TREMONT

529154

LLG 2785

U.S. INTREPID

604439

LLG 3662

UNIMAK

637693

LLG 3957

VAERDAL

611225

LLG 1402

Application for A80 QS - Page 5 of 7

BLOCK A - APPLICANT IDENTIFICATION
1.
2.
3.
4.
5.
6.
7.
8.
9.

Applicant’s name, owner of the vessel or the LLP license must be listed
Tax ID Number, owner of the vessel or the LLP license must be listed
NMFS Person ID, owner of the vessel or the LLP license must be listed
Permanent business mailing address
Business telephone number
Business fax number
Business e-mail address
Indicate if the applicant is a U.S. citizen. If YES, enter his or her date of birth.
Indicate if the applicant is a U.S. corporation, partnership, association, or other business entity. If YES, enter the date of
incorporation.
10. Indicate if the applicant is a successor-in-interest to a deceased individual or to a non-individual no
longer in existence. If YES, attach evidence of death or dissolution.
BLOCK B - AGREEMENT WITH AMENDMENT 80 OFFICIAL RECORD
Select the statement in Block B that best represents your agreement with the Amendment 80 Official Record.
◆ I AGREE with the Amendment 80 Official Record Summary sent to me by NMFS.
◆ I DO NOT AGREE with the Amendment 80 Official Record Summary sent to me by NMFS. If you
received more than one Amendment 80 Official Record Summary, and you do not agree with all
Amendment 80 Official Record Summaries sent to you, mark the box that you Do Not Agree, and identify
in your attached documentation the Amendment 80 Official Record Summaries with which you disagree.
◆ I DID NOT RECEIVE an Amendment 80 Official Record Summary from NMFS. If you did not
receive an Amendment 80 Official Record Summary, you must complete all blocks on the application that
pertain to your situation.
NOTE: if you are applying for QS as the holder of an Amendment 80 LLP license originally assigned to an
Amendment 80 vessel that cannot participate in the program due to the actual total loss, constructive loss, or
permanent ineligibility of that vessel, you must complete Block D and provide the required documentation
described in that block.
BLOCK C - OWNER OF AMENDMENT 80 VESSEL
For an applicant claiming Amendment QS as the owner of an Amendment 80 vessel, enter the following
information for each Amendment 80 vessel. You may be required to provide documentation, such as an abstract of
title or U.S. Coast Guard (USCG) Certificate of Documentation, establishing your ownership of each Amendment
80 vessel for which you are applying for Amendment 80 QS.

◆ LLP license numbers held by that person at the time of application
◆

Vessel name and Alaska Department of Fish & Game (ADF&G) vessel registration number

◆

USCG documentation number of vessel

BLOCK D - HOLDER OF AMENDMENT 80 LLP
The holder of an Amendment 80 LLP license may only receive an initial allocation of Amendment 80 QS if the
Amendment 80 vessel(s) originally assigned to the Amendment 80 LLP license(s) listed above is no longer able to
participate in the Amendment 80 Program due to the actual total loss, constructive loss, or permanent ineligibility of the
vessel. If the Amendment 80 vessel does not fit these requirements, the Amendment 80 QS derived from that vessel’s
catch must be applied for by the owner of the vessel.
Application for A80 QS - Page 6 of 7

List each Amendment 80 LLP license number for which you are applying for Amendment 80 QS, and the name,
ADF&G registration number, and USCG documentation number of the Amendment 80 vessel originally assigned
to each license.
ATTACHMENTS
◆

Attach clear and unambiguous documentation in written form that the Amendment 80 vessel has suffered
an actual total loss, total constructive loss, or is permanently ineligible to receive a fishery endorsement
under 46 U.S.C. 12108.

◆

If the holder of the LLP license is not the same person(s) who owns the Amendment 80 vessel, attach a
copy of the express terms of a written contract held by the applicant that clearly and unambiguously
indicates that the owner of the Amendment 80 vessel that has suffered an actual total loss, total
constructive loss, or is permanently ineligible to receive a fishery endorsement under 46 U.S.C. 12108
has transferred all rights and privileges to use Amendment 80 legal landings and any resulting
Amendment 80 QS or exclusive harvest privilege from that Amendment 80 vessel to the person holding
the Amendment 80 LLP license originally assigned to that Amendment 80 vessel.

BLOCK E - APPLICANT CERTIFICATION
Enter applicant or authorized representative printed name, signature, and date signed.
If the application is completed by an authorized or designated representative, then explicit authorization must accompany
the application.

PUBLIC REPORTING BURDEN STATEMENT
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty
for failure to comply with an information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the
information collection has a currently valid OMB Control Number. The approved OMB Control Number for this information
collection is 0648-0565. Without this approval, we could not conduct this information collection. All responses to this information
collection are required to obtain or retain benefits and are required 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 by Public Law 109-479. Public reporting
burden for this information collection is estimated to average 2 hours per response, including the time for reviewing the instructions,
searching the existing data sources, gathering and maintaining the data needed, and completing and reviewing the information
collection. Send comments regarding the burden estimate or any other aspect of this information collection, including suggestions for
reducing the burden, to: Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service,
Alaska Region, P.O. box 21668, Juneau, AK 99802-1668.
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 uses the information provided in this application to determine eligibility for the applicant to receive Amendment
80 quota share (QS) and permit. An A80 QS permit authorizes the QS holder to participate in an A80 fishery. The primary purpose
for requesting the TIN is for the collection and reporting on any delinquent amounts arising out of such person’s relationship with
the government pursuant to the Debt Collection Improvement Act of 1996 (Public Law 104-134). Personal information is
confidential and protected under the Privacy Act (5 U.S.C. 552a). Business information may be disclosed to the public.
Routing Uses: Disclosure of this information is 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. NMFS posts some
information from this form on its public website (https://alaskafisheries.noaa.gov/). In addition, NMFS may share information
submitted on this application with other State and Federal agencies or fishery management commissions, including staff of the North
Pacific Fishery Management Council and Pacific States Marine Fisheries Commission. Other information is confidential under
section 402(b) of the Magnuson-Stevens Act and NOAA Administrative Order 216-100, which sets forth procedures to protect
confidentiality of fishery statistics.
Disclosure: Furnishing this information is voluntary; however, failure to provide complete and accurate information will prevent
determination of eligibility for an A80 CQ permit.

Application for A80 QS - Page 7 of 7