Transfer of QS to beneficiary

Revised: 06/11/2020

BSAI CRAB RATIONALIZATION
PROGRAM QUOTA SHARE (QS)
BENEFICIARY DESIGNATION FORM

OMB Control No. 0648-0514 Expiration Date:
U.S. Department of Commerce/NOAA
National Marine Fisheries Service
(NMFS) Restricted Access Management
Program (RAM) P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free / 586-7202 in Juneau
(907) 586-7354 fax

Individuals that hold Quota share (QS) in the BSAI Crab Rationalization Program may provide NMFS with the name of a
designated beneficiary to receive survivorship transfer privileges in the event of the QS holder’s death.
If the QS holder does not have a surviving spouse, he/she may name an immediate family member to be the beneficiary.
NMFS may approve an application to transfer QS to the surviving spouse or designated beneficiary, unless a contrary
intent is expressed by the decedent in a Will and provided that sufficient evidence has been provided to verify the death of
the individual.
NMFS will allow the transfer of individual fishing quota (IFQ) only (lease) resulting from the QS transferred to the
beneficiary by right of survivorship, for a period of 3 years following the death of the original QS holder.
Use this form to designate the surviving spouse, or in the absence of a surviving spouse, an immediate family member to
be the beneficiary for these purposes.
BSAI Crab QS/IFQ can only be held by a U.S. citizen.
BLOCK A - IDENTIFICATION OF QS HOLDER
2. NMFS Person ID:

1. Name:

3. Business Mailing Address:

4. Business Telephone Number:

1. Name:

5. Business Fax Number:

6. Business E-mail Address:

BLOCK B – IDENTIFICATION OF BENEFICIARY
2. NMFS Person ID:

3. Business Mailing Address:

4. Business Telephone Number:

5. Business Fax Number:

6. Business E-mail Address:

BSAI Crab QS Beneficiary Designation Form
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BLOCK C - RELATIONSHIP OF BENEFICIARY TO QS HOLDER
Is the beneficiary named on this form the spouse of the QS holder?
YES

NO

If NO, explain the family relationship of the beneficiary to the QS holder:

BLOCK D -- SIGNATURE
Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the
information presented here is true, correct, and complete.
Signature of QS Holder:
Date:

Printed Name of QS Holder (Note: If completed by an authorized representative, attach authorization):
Notary Public: ATTEST

Affix Notary Stamp or Seal Here:

Commission Expires:

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INSTRUCTIONS
BSAI CRAB RATIONALIZATION PROGRAM QUOTA SHARE
(QS) BENEFICIARY DESIGNATION FORM
50 CFR 680.41(g) provides that individuals who hold BSAI Crab Quota Share (QS) may provide NMFS with the name of
a designated beneficiary to receive survivorship transfer privileges in the event of the QS holder’s death.
NMFS may approve an application to transfer QS to the surviving spouse or designated beneficiary, unless a contrary
intent is expressed by the decedent in a Will and provided that sufficient evidence has been provided to verify the death of
the individual.
NMFS will allow the transfer of individual fishing quota (IFQ) only (lease) resulting from the QS transferred to the
beneficiary by right of survivorship, for a period of 3 years following the death of the original QS holder.
Use this form to designate the surviving spouse, or in the absence of a surviving spouse, an immediate family member to
be the beneficiary for these purposes.
BSAI Crab QS/IFQ can only be held by a U.S. citizen.
GENERAL INFORMATION
Type or print legibly in ink and retain a copy of completed application for your records.
Please allow at least 10 working days for your application to be processed.
An application may be submitted to NMFS by mail or delivery. Fax submittal is not acceptable due to the Notary
requirements. RAM will not process an application that does not bear original signatures (faxed applications will be
returned).
When completed, submit the original application
by mail to:

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

or deliver to:

Room 713, Federal Building
709 West 9th Street

Items will be sent to you by first class mail, unless you provide alternate instructions and include a prepaid mailer with
appropriate postage or corporate account number for express delivery. Additional information is available from RAM, as
follows:
Website: http://www.alaskafisheries.noaa.gov/
Telephone (toll free): 800-304-4846 (press “2”)
Telephone (in Juneau): 907-586-7202 (press “2”)
e-Mail: RAM.Alaska@noaa.gov

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COMPLETING THE APPLICATION
BLOCK A – IDENTIFICATION OF QS HOLDER
1. Enter name of QS holder
2. NMFS Person ID: NMFS will supply this number, if you do not already have one.
3. Enter permanent mailing address, including street or P.O. Box, city, state, and zip code.
4. Business Telephone Number, Business Fax Number, and Business E-mail address (if available)
BLOCK B – IDENTIFICATION OF BENEFICIARY
1. Enter name of beneficiary.
2. NMFS Person ID: NMFS will supply this number, if you do not already have one.
3. Enter permanent mailing address, including street or P.O. Box, city, state, and zip code.
4. Business Telephone Number, Business Fax Number, and Business E-mail address (if available)
BLOCK C -- RELATIONSHIP OF BENEFICIARY TO QS HOLDER
Indicate if the beneficiary named on this form is the spouse of the QS holder.
If NO, explain the family relationship of the beneficiary to the QS holder:
BLOCK D -- SIGNATURE
All signatures must be witnessed by a Notary Public (or, in some remote areas, the community Postmaster or
Postmistress).
The QS Holder must enter printed name, signature, and date signed. Signature indicates that the information presented is
true, correct, and complete.
The Notary Public must enter name, date commission expires, and apply Notary Public stamp or seal.

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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 30 minutes 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 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 Crab Rationalization Program.
Routine Uses: NMFS will use this information to designate a beneficiary to receive crab QS/IFQ right of survivorship transfer
privileges upon a QS holder’s death. Responses to this information request are confidential under section 402(b) of the MagnusonStevens 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 a person from designating a beneficiary to receive crab QS/IFQ right of survivorship transfer privileges.

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