Application for crab IPQ permit

Revised: 03/08/2016

OMB Control No. 0648-0514

Application For Annual
Crab Individual
Processing Quota (IPQ) Permit

Expiration Date: 07/31/2017

U.S. Dept. of Commerce/NOAA
National Marine Fisheries Service
Restricted Access Management
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

Annual Application Deadline – June 15
Applications received after June 15 may not be processed and
Individual Processing Quota (IPQ) may not be issued to the applicant.
BLOCK A –APPLICANT INFORMATION
2. Applicant’s NMFS Person ID:

1. Name of Applicant:

3. Date of Birth or Incorporation:

4. Permanent Business Mailing Address; Indicate if

5. Business Telephone Number:

[_] Permanent

6. Business Fax Number:

[_] Temporary

7. Business E-mail Address:

BLOCK B – TYPE OF ANNUAL IPQ FOR WHICH APPLICATION IS MADE
Indicate the type of annual IPQ requested. If selecting fisheries, check those boxes that apply. If selecting all fisheries,
check the ALL FISHERIES box.
[ ] ALL FISHERIES for which applicant holds PQS
Only those fisheries checked below:
[ ] BBR

[ ] BSS

[ ] EAG

[ ] EBT

[ ] PIK

[ ] SMB

[ ] WAG

[ ] WAI

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[ ] WBT

BLOCK C – IDENTIFICATION OF OWNERSHIP INTEREST
(to be completed by Applicants who are not individuals (i.e., corporations, partnerships, etc.)
If the Applicant identified in Block A is NOT an individual (i.e. is a corporation, partnership or some other entity) the name(s) of all
owners of the Applicant must be provided, together with the percent of ownership. If a listed owner is not an individual, provide the
same information for each owner until all owners and their percent of ownership are revealed to the individual level.
%
Interest

Name of Owner

Name of Owner

%
Interest

Duplicate this form as necessary to display all of the Applicant’s owners (and owners of owners)

BLOCK D – ROFR CONTRACT
Is any of the PQS you hold subject to right of first refusal (ROFR) with an Eligible Crab Community (ECC)?
YES [ ]

NO [ ]

NOT APPLICABLE [ ]

If YES, provide the name of the ECC entity associated with the PQS:
_______________________________________________
IF YES, do the PQS holder and the ECC entity identified above , have in place at the time of this application a current
ROFR contract that includes all of the ROFR contract terms specified in Chapter 11 section 3.4.4.1.2 of the Fishery
Management Plan for Bering Sea/Aleutian Islands King and Tanner Crabs?
YES [

]

NO [

]

BLOCK E – APPLICANT SIGNATURE
Under penalty of perjury, I certify by my signature below that I have examined the information and the claims provided on
this application and, to the best of my knowledge and belief, the information presented here is true, correct, and complete.
1. Signature of Applicant:
2. Date:

3. Printed Name of Applicant: (Note: If completed by an authorized representative, attach authorization.):

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Instructions
APPLICATION FOR ANNUAL CRAB
INDIVIDUAL PROCESSING QUOTA (IPQ) PERMIT

IPQ permits are issued annually to eligible persons who hold Processing Quota (PQS). These permits authorize
their holders to process a specific amount of crab, under the terms and conditions set out on the permit. Individual
Processing Quota (IPQ) permits are valid for one year -- the crab year for which they are issued.
Issuance of the correct amount and type of IPQ is entirely dependent on information provided by PQS holders on
their annual IPQ applications. The completed application must be received by NMFS no later than June 15th.
An application that is received after June 15 may not be processed and may not yield annual IPQ.
Submit the completed 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

By fax to:

907-586-7354

If you need assistance in completing this application or need additional information, call Restricted Access
Management at (800) 304-4846 (Option 2) or (907) 586-7202 (Option 2).
RAM’s program information, applications, and reports can also be located on the Alaska Region Internet site at
https://alaskafisheries.noaa.gov/fisheries-applications.

COMPLETING THE APPLICATION
BLOCK A – APPLICANT INFORMATION
1. Provide the Applicant’s name.
2. Provide the Applicant’s NMFS Person ID.
3. Provide the Applicant’s date of birth or date of incorporation.

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4. Provide the Applicant’s mailing address.
Indicate whether permanent or temporary;
If temporary, this is the address to which the IPQ permit(s) will be mailed.
5-7. Provide the business telephone number, business fax number, and business e-mail address for the Applicant
or the Applicant’s designated representative.
BLOCK B – TYPE OF ANNUAL QUOTA FOR WHICH APPLICATION IS MADE
Indicate the type of annual IPQ requested. If selecting fisheries, check those boxes that apply. If selecting all
fisheries, check the ALL FISHERIES box.
BLOCK C – IDENTIFICATION OF OWNERSHIP INTEREST
If the Applicant identified in Block A is NOT an individual (i.e. is a corporation, partnership or some other entity)
the name(s) of all owners of the Applicant must be provided, together with the percent of ownership. Provide the
same information for each owner until all owners and their percent of ownership are revealed to the individual
level. See example below:

Name of Owner

% Interest

Joe Potpuller

25%

Alice Potpuller

25%

Quotaholder Family Holdings, Inc.

50%

C. Quotaholder

25% (of 50%)

R. Quotaholder

25% (of 50%)

A. Quotaholder

25% (of 50%)

B. Quotaholder

25% (of 50%)

Duplicate this form, or attach a separate sheet of paper if necessary to display all of the Applicant’s owners (and
owners of the Applicant’s owners to the individual level).
BLOCK D– ROFR CONTRACT
NOTE: An annual IPQ Permit will not be issued if this block is not completed.
Indicate if any of the PQS you hold is subject to right of first refusal (ROFR) with an Eligible Crab
Community (ECC)
If YES, provide the name of the ECC entity associated with the PQS
IF YES, do the PQS holder and the ECC entity identified above , have in place at the time of this application a
current ROFR contract that includes all of the ROFR contract terms specified in Chapter 11 section
3.4.4.1.2 of the Fishery Management Plan for Bering Sea/Aleutian Islands King and Tanner Crabs?
BLOCK E – APPLICANT SIGNATURE
Applicant must print and sign his or her name and enter the date the application was signed.
If the application is completed by authorized representative, attach proof of authorization.

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_______________________________________________________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 2 hours per non-electronic response and 1
hour per electronic 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 the
burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden estimate or
any other aspect of this collection of information, to Assistant Regional Administrator, Sustainable Fisheries Division, NMFS,
Alaska Region, 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 680, under
section 402(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.) and under 16 U.S.C. 1862(j); 3) 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.
______________________________________________________________________________________________________

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