Application for AFA Inshore Vessel Contract Fishing Noti

Revised: 4/21/2023

Application for
AMERICA FISHERIES ACT (AFA)
INSHORE VESSEL CONTRACT
FISHING NOTIFICATIONS

OMB Control No. 0648-0393 Expiration Date: 12/31/2023
U. S. Department of
Commerce/NOAA National Marine
Fisheries Service (NMFS) Restricted
Access Management (RAM)
P.O. Box 21668
Juneau, Alaska 99802-1668
(800) 304-4846 toll free / (907) 586-7202 in Juneau
(907) 586-7354 fax / [email protected]

All AFA inshore cooperatives that intend to contract with non-member vessels to harvest a portion of the cooperative’s
annual pollock allocation must submit complete information in Blocks A and B of this form.

BLOCK A - AFA Permit Holder

Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
1. Name of Vessel’s Home Cooperative:

2. Address of Vessel’s Home Cooperative:

3. Name of Home Cooperative Representative:

4. Contract Vessel AFA Permit Number:

5. Email Address:

6. Telephone Number:

7. Signature of Home Cooperative Representative:

8. Date:

BLOCK B - Chartering Cooperative Information

Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
1. Name Contract Vessel’s Chartering Cooperative:

2. Address of Contract Vessel’s Chartering Cooperative:

3. Description of Complete Harvest Schedule:
4. Email Address:

5. Telephone Number:

6. Name of Chartering Cooperative Representative:
7. Signature of Chartering Cooperative Representative:

8. Date:

BLOCK C- Vessel Owner Information
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
1. Vessel Owner Name:
2. Vessel Owner Address:

3. Email Address:

4. Telephone Number:

5. Vessel Owner Signature:

6. Date:
Application for Inshore Vessel Contract AFA
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Instructions for
AMERICAN FISHERIES ACT (AFA) INSHORE VESSEL CONTRACT FISHING NOTIFICATIONS
Each AFA inshore cooperative that intends to contract with a non-member vessel to harvest a portion of the
cooperative’s annual pollock allocation must submit this completed form to NMFS, Alaska Region, Restricted Access
Management (NMFS/AKR/RAM). (See regulations at 50 CFR part 679.62(c)).
A separate notification must be submitted for each cooperative for which the vessel harvests. This information will assist
cooperatives to understand how their catch is accounted and also alert NMFS In-season Management that some vessels
might be reporting with an alternative cooperative ID.
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

Block A – AFA Permit Holder

1.
2.
3.
4.
5.
6.
7.
8.

Name of Vessel’s Home Cooperative
Address Vessel’s Home Cooperative
Name of Home Cooperative Representative
AFA contract permit number (The AFA catcher vessel must have an inshore fishing endorsement and be a member of
an inshore cooperative.)
Email Address
Telephone Number
Signature of Home Cooperative Representative:
Date of Signature
Application for Inshore Vessel Contract AFA
Page 2 of 3

Block B – Chartering Cooperative

1. Name of Contract Vessel’s Chartering Cooperative
2. Address of Contract Vessel’s Chartering Cooperative
3. Description of Complete Harvest Schedule. The harvest schedule must show how all catch and any overages by the
contracted vessel will be allocated between the contracting cooperative (or cooperatives) and the contract vessel’s
home cooperative. If multiple cooperatives are contracting with the same non-member vessel, each harvest schedule
submitted must clearly specify how all catch and any overages will be allocated among the various cooperatives with
which the vessel is contracted as of the date of submission.
4. Email Address
5. Telephone Number
6. Name of Chartering Cooperative Representative
7. Signature of Home Cooperative Representative
8. Date of Signature
Block C – Vessel Owner Information
1. Vessel Owner Name
2. Vessel Owner Address
3. Email Address
4. Telephone Number
5. Signature of Vessel Owner
6. Date of Signature

NOTE: NMFS/AKR/RAM will notify the parties to the inshore vessel contract that the inshore vessel contract fishing
notification has been received. However, NMFS will not make any determinations as to the legality of any contract
between/among the parties or its compliance with AFA requirements.
________________________________________________________________________________________________
Public 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 0648-0393. Without this approval, we could not conduct this information
collection. Public reporting for this information collection is estimated to be approximately 4 hours per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the
data needed, and completing and reviewing the information collection. All responses to this information collection
are required to obtain or maintain 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.). Send comments regarding this burden
estimate or any other aspect of this information collection, including suggestions for reducing this burden to the Assistant
Regional Administrator, Sustainable Fisheries Division, NOAA National Marine Fisheries Service, 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 is collecting this information to manage the American Fisheries Act (AFA) Program.
Routine Uses: NMFS will use this information to identify AFA inshore cooperatives that intend to contract with nonmember vessels to a harvest a portion of that cooperative’s annual pollock allocation and to identify those vessels that
might be reporting with an alternative cooperative identification. 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 all of the published routine uses as 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 required to obtain or retain benefits. Failure to provide complete and accurate
information may delay or prevent participation in the AFA groundfish fisheries.

__________________________________________________________________________________________________
Application for Inshore Vessel Contract AFA
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