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OMB No. 0648-new; Expires xx/xx/xxxx
APPLICATION TO
TRANSFER AMENDMENT 80
COOPERATIVE QUOTA (CQ)
U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service
Restricted Access Management
P.O. Box 21668
Juneau, AK 99802-1668
Telephone: 800-304-4846 toll free or 907-586-7202
Fax: 907-586-7354
BLOCK A – TRANSFEROR INFORMATION
2. NMFS Person ID
1. Name of Transferor
3. Name of Amendment 80 Cooperative’s Designated Representative
4. Permanent Business Mailing Address
6. Business Telephone Number:
5. Temporary Business Mailing Address
7. Business Fax Number:
8. e-mail Address (if available)
BLOCK B – TRANSFEREE INFORMATION
2. NMFS Person ID
1. Name of Transferee
3. Name of Amendment 80 Cooperative’s Designated Representative
4. Permanent Business Mailing Address
6. Business Telephone Number:
5. Temporary Business Mailing Address
7. Business Fax Number:
Amendment 80 Application for Transfer of CQ
Page 1 of 5
8. e-mail Address (if available)
BLOCK C – CQ TO BE TRANSFERRED
Amendment 80 Species CQ
Type of CQ
(area/species)
Amount
Amendment 80 PSC CQ
Type of PSC
(area/species)
Amount
Number of QS units
from which this CQ is derived
BLOCK D – IDENTIFICATION OF AMENDMENT 80 COOPERATIVE MEMBER
To whose use cap Amendment 80 species CQ will be applied
Amount of Amendment 80
Cooperative Member Name
NMFS Person ID
Species CQ Applied
Application for Transfer of Amendment 80 CQ
Page 2 of 5
BLOCK E – CERTIFICATION OF TRANSFEROR (SELLER)
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and
belief, all information presented here is true, correct, and complete.
1. Signature of Transferor Designated Representative:
2. Date:
3. Printed Name of Transferor Designated Representative; attach authorization:
BLOCK F – CERTIFICATION OF TRANSFEREE (BUYER)
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and
belief, all information presented here is true, correct, and complete.
1. Signature of Transferee Designated Representative:
2. Date:
3. Printed Name of Transferee Designated Representative; attach authorization:
____________________________________
______________________________________________________________________________________________________________
PUBLIC REPORTING BURDEN STATEMENT
Public reporting for this collection of information 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 collection
of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries Division, NOAA National Marine
Fisheries Service, P.O. Box 21668, Juneau, AK 99802-1668.
ADDITIONAL INFORMATION
Before completing this form please note the following: 1) 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 collection of information displays a currently valid OMB Control Number; 2) This information is
mandatory and is required to manage commercial fishing efforts under 50 CFR part 679 and under section 402(a) of the MagnusonStevens Act (16 U.S.C. 1801, et seq.) as amended by Public Law 109-479; 3) Responses to this information request are confidential
under section 104(b) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.). They are also confidential under NOAA Administrative
Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics.
__________________________________________________________________________________
Application for Transfer of Amendment 80 CQ
Page 3 of 5
Instructions for
APPLICATION FOR TRANSFER
OF AMENDMENT 80 COOPERATIVE QUOTA (CQ)
An Amendment 80 cooperative may transfer all or part of its CQ to another Amendment 80
cooperative. Amendment 80 cooperatives may transfer CQ during a calendar year with the following
restrictions:
(1) An Amendment 80 cooperative may only transfer CQ to another Amendment 80
cooperative;
(2) An Amendment 80 cooperative may only receive CQ from another Amendment 80
cooperative;
(3) An Amendment 80 cooperative receiving Amendment 80 species CQ by transfer must
assign that Amendment 80 species CQ to a member(s) of the Amendment 80 cooperative for the
purposes of use caps calculation as established under § 679.92(a); and
(4) An application for CQ transfer must be approved by NMFS.
If you need assistance in completing this application or need additional information, call Restricted
Access Management at (800) 304-4846 (#2) or (907) 586-7202 (#2).
When completed, mail, fax, or deliver the application to
NMFS Alaska Region
Restricted Access Management
P.O. Box 21668
Juneau, AK 99802-1668
or
709 W 9th Street, Rm 713
Fax No. (907) 586-7354
Please allow at least ten working days for your application to be processed. Items will be sent by
first class mail, unless you provide alternate instructions and include a prepaid mailer with appropriate
postage or corporate account number for express delivery.
NMFS will notify the transferor and transferee once the application has been received and approved.
A transfer of CQ is not effective until approved by NMFS. An application for CQ transfer requires
that the following information be provided:
BLOCK A – TRANSFEROR INFORMATION
Name and NMFS Person ID of Transferor
Name of Amendment 80 Cooperative’s designated representative
Permanent business mailing address and temporary business mailing address (if appropriate)
Business telephone number, business fax number, and e-mail address (if available)
Application for Transfer of Amendment 80 CQ
Page 4 of 5
BLOCK B – TRANSFEREE INFORMATION
Name and NMFS Person ID of Transferee
Name of Amendment 80 Cooperative’s designated representative
Permanent business mailing address and temporary business mailing address (if appropriate)
Business telephone number, business fax number, and e-mail address (if available)
BLOCK C – CQ TO BE TRANSFERRED
Type and amount of Amendment 80 Species CQ to be transferred
Type and amount of Amendment 80 PSC CQ to be transferred
Number of QS units from which this CQ is derived
BLOCK D – IDENTIFICATION OF AMENDMENT 80 COOPERATIVE MEMBER
For purposes of applying Amendment 80 species use caps established under the Amendment 80 Program under
§ 679.92(a):
Enter the name and NMFS Person ID of the member(s) of the receiving Amendment 80 cooperative
to whose use cap Amendment 80 species CQ will be assigned, and
The amount of Amendment 80 species CQ applied to each member.
BLOCK E – CERTIFICATION OF TRANSFEROR
Printed name and signature of Transferor Designated Representative and date signed.
BLOCK F – CERTIFICATION OF TRANSFEREE
Printed name and signature of Transferee Designated Representative and date signed.
Application for Transfer of Amendment 80 CQ
Page 5 of 5
File Type | application/pdf |
File Title | Revised: October 26, 2004 |
Author | soliva |
File Modified | 2007-05-22 |
File Created | 2007-05-22 |