Application for Community Charter Halibut Permit

CHARTER
HALIBUT
LIMITED
ACCESS

APPLICATION FOR
COMMUNITY CHARTER HALIBUT
PERMIT (CCHP)

OMB Control No. 0648-0665 Expiration Date: XX/XX/20XX
U.S. Department of Commerce
NOAA National Marine Fisheries Service
Alaska Region
Restricted Access Management
P.O. Box 21668
Juneau, AK 99802-1668
(800) 304-4846 toll free
(907) 586-7202 in Juneau
(907) 586-7354 fax / RAM.alaska@noaa.gov email

Use a separate application for each community on whose behalf you are requesting a community charter halibut permit.
BLOCK A -- TYPE OF PERMIT
Community Charter Halibut Permit
An authorized Community Quota Entity (CQE) must apply for this permit on behalf of the eligible
community.
Complete Blocks A, B, and C. Sign and date Block D. See instructions for list of eligible communities.

BLOCK B –APPLICANT INFORMATION
1. Name (Last, First, Middle Initial):

2. Business Mailing Address (Street or P.O. Box, City, State, Zip Code):

3. Business Telephone Number:

4. Business Fax Number:

5. Business E-mail Address:

Application for Community Charter Halibut Permit
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BLOCK C – COMMUNITY CHARTER HALIBUT PERMIT(S) REQUEST
2. List the number of charter halibut permits
1. Enter the name of the community that the CQE represents
you are requesting for this community:
3. List the locations, including the latitude and longitude, where all trips will begin or end within the boundaries of
the community for which you are applying (attach additional pages if necessary).
Location Name
Latitude
Longitude

BLOCK D – CQE APPLICANT SIGNATURE

Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct. The
individual signing this application is required to provide documentation of his/her authority to apply on
behalf of the Applicant.
Signature of Applicant:

Date:

Printed Name of individual completing application on
behalf of CQE

Title of individual completing application on behalf of CQE

Application for Community Charter Halibut Permit
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Application Instructions
COMMUNITY CHARTER HALIBUT PERMIT (CCHP)
Each eligible community must form a non-profit entity or Community Quota Entity (CQE) to represent it prior to
applying for a Community Charter Halibut Permit. This non-profit must apply to NMFS/RAM for certification of
eligibility as a CQE using the “Application for a Non-Profit to be Designated as a Community Quota Entity (CQE).”
The communities shown in Table 21 to 50 CFR part 679 are eligible to obtain Community Charter Halibut Permits in the
area designated for the community. A CQE representing an eligible community may receive one or more community
charter halibut permits.
A community charter halibut permit issued to a CQE:
◆

will be designated for area 2C or area 3A,

◆

will be non-transferable, and

◆

will have an angler endorsement of six (6).

The CQE must submit a separate application for each community on whose behalf requesting a community charter halibut
permit. Multiple communities may not be listed on a single application.
GENERAL INFORMATION
Application forms are available National Marine Fisheries Service (NMFS) offices and on the NMFS, Alaska Region,
web site at https://alaskafisheries.noaa.gov/fisheries-applications.
When completed, submit the application by:
By mail to:

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

By fax to:

907-586-7354

Deliver to:

709 West 9th Street Suite 713
Juneau, Alaska 99801

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.
It is important that all blocks are completed and attachments provided. Failure to answer any of the questions or provide
any of the required documents could result in delays in the processing of your request for a transfer.
Direct any questions you may have to NMFS, RAM, at
1-800-304-4846 (option 2) or 907-586-7202 (option 2).

Application for Community Charter Halibut Permit
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COMPLETING THE APPLICATION
BLOCK A—TYPE OF PERMIT
Indicate the type of permit for which you are applying.
Complete Blocks A, B, and C. Sign Block D
BLOCK B –APPLICANT INFORMATION
1. Applicant’s name
2. Business mailing address (Street or P.O. Box, city, state, zip code)
3–5. Business telephone number, business fax number, and business e-mail address
BLOCK C – COMMUNITY CHARTER HALIBUT PERMIT REQUEST
1. Enter the name of the community that the CQE represents.
2. List the number of charter halibut permits you are requesting for this community.
3. List location boundaries of community, including latitude and longitude, where all trips will begin or end.
BLOCK D – CQE APPLICANT SIGNATURE
The individual completing this application must print his/her name, provide his/her title, and sign and date this
application. This individual must provide documentation demonstrating his/her authority. The application will be
considered incomplete without your signature and will not be processed.

PUBLIC REPORTING 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 0648-0665. Without this approval, we could not conduct this information collection. Public reporting burden for this
collection of information is estimated to average 1 hour per response, including the time for reviewing the instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Submission of this information is mandatory for any community quota entity participating in charter halibut fishing, and all
responses to this information collection are required to obtain benefits pursuant to the Magnuson-Stevens Fishery Conservation and
Management Act, 16 U.S.C. 1801 et seq, and the Northern Pacific Halibut Act of 1982. 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, Alaska Region, NMFS, P.O. Box 21668, Juneau, AK 99802-1668.
PRIVACY ACT STATEMENT
Authority: The collection of this information is authorized by the Magnuson-Stevens Fishery Conservation and Management Act,
16 U.S.C. 1801 et seq, and the Northern Pacific Halibut Act of 1982.
Purpose: Federal law and regulations require and authorize NMFS to manage charter halibut programs in Alaska. This information
is used to implement the Charter Halibut Limited Access Program for International Pacific Halibut Commission (IPHC) Regulatory
Areas 2C (Southeast Alaska) and 3A (Southcentral Alaska). NMFS uses the information provided on this application to determine
eligibility of the applicant to be receive a community charter halibut permit. A charter halibut permit is required for all vessel
operators in IPHC Regulatory Areas 2C and 3A during every charter vessel fishing trip on which Pacific halibut are caught and
retained.
Routine Uses: Disclosure of this information is 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. All
information collections by NMFS, Alaska Region, are protected under confidentiality provisions of section 402(b) of the MagnusonStevens Act as amended in 2006 (16 U.S.C. 1801, et seq.) and under NOAA Administrative Order 216-100, which sets forth
procedures to protect confidentiality of fishery statistics. NMFS posts some information from this form on its public website
(https://alaskafisheries.noaa.gov/). In addition, NMFS may share information submitted on this application form with other State
and Federal agencies or fishery management commissions, including staff of the North Pacific Fishery Management Council and
Pacific States Marine Fisheries Commission.
Disclosure: Providing this information is required to obtain benefits. Failure to provide complete and accurate information will
prevent the determination of eligibility to receive a community charter halibut permit.
Application for Community Charter Halibut Permit
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