Application for Annual Exemption from Western Aleutian I

Revised: 04/27/2023

OMB Control No. 0648-0514, Expires: 3/31/2024

Application for Annual Exemption
from Western Aleutian Islands
Golden King Crab West Region
Delivery Requirements

U.S. Department of Commerce
NOAA Fisheries Service, Alaska Region
Restricted Access Management (RAM)
Post Office Box 21668
Juneau, Alaska 99802-1668
(800) 304-4846 toll free /
(907) 586-7202 in Juneau
(907) 586-7354 fax / [email protected]

Additional documents supporting eligibility under § 680.4(o)(2)(i) must be attached to
this application to facilitate approval.
This application is for eligible contract signatories to request to be exempt from the West Region Delivery requirement for
West designated individual fishing quota (IFQ) and West designated individual processing quota (IPQ) for the Western
Aleutian Islands golden king crab (WAG) fishery.
IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID: 5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦

Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.

Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID:

5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦

Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and

♦ Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.
Application for Exemption from WAG Delivery Requirements
Page 1 of 6

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID:

5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
♦
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID:

5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
♦
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID:

5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

Application for Exemption from WAG Delivery Requirements
Page 2 of 6

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID:

5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID

5. Indicate Type of Eligible Signatory
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID: 5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.
Application for Exemption from WAG Delivery Requirements
Page 3 of 6

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID: 5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

IDENTIFICATION OF ELIGIBLE CONTRACT SIGNATORIES
1. Printed Name of Eligible Signatory:
2. Signature of Eligible Signatory:
4. NMFS Person ID: 5. Indicate Type of Eligible Signatory:
Quota Share Holder
Processor Quota Share Holder

3. Date Signed:

Municipality

AFFIDAVIT
The signature above affirms that:
♦ Each eligible contract signatory has signed a master contract authorizing the completion of the application to request
that NMFS exempt West designated IFQ and West designated IPQ for the Western Aleutian Golden king crab fishery
from the West Region Delivery requirements, and
♦ Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Note: If this application is completed by an authorized representative, attach documentation demonstrating authorization.

Application for Exemption from WAG Delivery Requirements
Page 4 of 6

Instruction
s for
APPLICATION FOR EXEMPTION FROM WAG DELIVERY
REQUIREMENTS
The eligible contract signatories (see qualifications at §680.4(o)(2)(i)) may request that NMFS exempt West designated
individual fishing quota (IFQ) and West designated individual processing quota (IPQ) for the Western Aleutian Islands
golden king crab (WAG) fishery from the West Region Delivery requirements.
Note: An exemption from West regional delivery requirements is only valid for the remainder of the crab
fishing year during which the application was submitted to and approved by NMFS.
Eligible Contract Signatories are:
♦ Quota Share (QS) holders: Any person or company that holds in excess of 20 percent of the West designated
WAG QS at the time the contract was signed, or their authorized representative.
♦ Processor Quota Share (PQS) holders: Any person or company that holds in excess of 20 percent of the West
designated WAG PQS at the time the contract was signed, or their authorized representative.
♦ Municipalities: designated officials from both the City of Adak and the City of Atka or an authorized
representative
Each Eligible Contract Signatory must complete, sign, and date an Affidavit affirming that a master contract was
signed to authorize the request for exemption from the West region delivery requirements for West designated IFQ
and West designated IPQ for the WAG fishery at § 680.7(a)(2) and (a)(4). By signing the affidavit, the signatory
affirms that all information is true, correct, and complete to the best of his or her knowledge and belief.
A completed application must be received and approved by NMFS before any person may use WAG IFQ or IPQ with
a West regional designation outside of the West region during a crab fishing year.
The application is available on the NMFS Alaska region website (https://www.fisheries.noaa.gov/region/alaska) or
from NMFS at the address below. All information fields on the application must be accurately completed.
If NMFS approves this application, the effective date of the exemption is the date the application is approved by NMFS.
Any delivery of WAG IFQ or IPQ with a West regional designation outside of the West region prior to the effective
date of the exemption is prohibited under 680.7(a)(2) and (a)(4).
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
Application for Exemption from WAG Delivery Requirements
Page 5 of 6

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 please contact RAM as follows:
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
Identification of Eligible Contract Signatories and Affidavit affirming master contract has been signed.
1. Printed Name and Signature of Eligible Signatory. By signing the affidavit, the signatory affirms that all
information is true, correct, and complete to the best of his or her knowledge and belief. If the application is
completed by an applicant’s authorized representative, attach proof of authorization.
2. Date Signed
3. NMFS Person ID
4. Indicate Type of Eligible Signatory

Paperwork Reduction Act 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 0648-0514. Without this approval, we could not conduct this information collection. Public reporting
for this information collection is estimated to be approximately 2 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 benefits. 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, NMFS Alaska Region, P.O. Box 21668, Juneau, AK 998021668.
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 Crab Rationalization Program.
Routine Uses: NMFS will use this information to allow an Annual Exemption from Western Aleutian Islands Golden King
Crab West Region Delivery Requirements. Responses to this information request are confidential under section 402(b) of the
Magnuson-Stevens Act. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to
protect confidentiality of fishery statistics. 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 required to obtain or retain benefits. Failure to provide complete and accurate
information may delay or prevent an annual exemption from Western Aleutian Islands golden king crab west region delivery
requirements.

Application for Exemption from WAG Delivery Requirements
Page 6 of 6