Application for Pacific Cod Trawl Cooperative Program Qu

Created: 05/18/2023

OMB Control Number: 0648-0811 Expiration Date: xx/xx/20xx

Application for Pacific
Cod Trawl Cooperative (PCTC)
Program Quota Share

U.S. Dept. 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 / (907) 586-7202 in Juneau
(907) 586-7354 fax / RAM.alaska@noaa.gov

A person who wishes to receive quota share (QS) in the Pacific Cod Trawl Cooperative (PCTC) Program as an eligible
harvester or an eligible processor must submit a timely and complete application for PCTC Program QS.

This completed application must be received by NMFS no later than [insert date 30 days after the effective
date of the final rule]
NOTE: In addition to this application, each year eligible PCTC Harvesters and/or PCTC Processors must assign their
PCTC QS to a PCTC cooperative for the cooperative to receive annual Pacific cod cooperative quota. If NMFS approves
this application and issues QS, QS holders must join a PCTC Program cooperative.

ELIGIBILITY TO PARTICIPATE
Please indicate the type of eligibility to participate for which you are applying:
☐

Eligible Harvester (catcher vessel sector). Applicants must complete Blocks A and B and sign in Block E. Note:
If you disagree with the PCTC Program Official Record Summary, you must also complete Block C.

☐

Eligible Processor (shoreside, catcher/processors, and stationary floating processors only). Applicants must
complete Blocks A and B and sign in Block E. Note: If you disagree with the PCTC Program Official Record
Summary, you must also complete Block D.

BLOCK A – APPLICANT INFORMATION
1. Applicant Name:

2. NMFS person ID:
Permanent ☐

3. Business Mailing Address:

4. Business Telephone Number:

Temporary ☐

5. Business E-mail Address:

Application for Pacific Cod Trawl Cooperative Program Quota Share
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Note: The Applicant must be a U.S. citizen or U.S. corporation, partnership, or other business entity to obtain a
catch history.
6. Are you a U.S. citizen?
☐ YES

☐ NO

If YES, enter date of birth _____________

7. Are you a U.S. corporation, partnership, association, or other business entity?
☐ YES

☐ NO

If YES, enter date of incorporation ___________________

8. Is the applicant a successor-in-interest to a deceased individual License Limitation Program (LLP) license holder?
☐ YES

☐

☐ NO

If YES, please attach death certificate.

BLOCK B – AGREEMENT WITH PCTC PROGRAM OFFICIAL RECORD
I AGREE with the PCTC Program Official Record Summary. If you check this box, you are accepting the
PCTC Program Official Record. If you check this box, proceed to Block E, sign the application, and return the
application to NMFS.
Note: For the initial allocation of PCTC QS, qualifying catch history is attached to the LLP license assigned
to the vessel at the time of harvest. If multiple LLP licenses authorized catch by a vessel, in the absence of
an agreement provided by the LLP license holder at the time of application, qualifying catch history will
be assigned to an LLP license by the owner of the vessel that made the catch.

☐

I DO NOT AGREE with the PCTC Program Official Record Summary. I have indicated the areas of
disagreement in Block C or D of this form or attached a separate page explaining my disagreement and
providing evidence, such as fish tickets or landing reports, to support my claims, and I have completed Block E.

☐ I DID NOT RECEIVE a PCTC Program Official Record Summary. I believe that I am eligible to receive
QS in the PCTC Program. I have provided the required information in Block C or D of this form or attached a
separate page explaining the basis for my eligibility, such as fish tickets or landing reports to support my claim,
and I have completed Block E.

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BLOCK C – HARVESTER PACIFIC COD LEGAL LANDINGS
If you are applying as an eligible harvester and do not agree with the PCTC Program Official Record, enter the following
information for the original qualifying vessel and other vessels used under authority of each LLP license. Copy this page
and/or attach additional sheets if necessary.

LLP License
LLP License Holder’s Name:

LLP License Holder’s NMFS ID:

LLP License Number:

List the vessel(s) that made legal Pacific cod landings under the authority of this LLP license during the qualifying years
from 2009 through 2019. List the qualifying years for which you are claiming legal Pacific cod landings for each vessel.
Name of Vessel:

ADF&G Number:

USCG Documentation Number:

Qualifying years during which vessel made legal Pacific cod landings under the authority of this LLP license (2009 through
2019) or AI transferable endorsement (2004 through 2019).

Name of Vessel:

ADF&G Number:

USCG Documentation Number:

Qualifying years during which vessel made legal Pacific cod landings under the authority of this LLP license (2009 through
2019) or AI transferable endorsement (2004 through 2019).

Name of Vessel:

ADF&G Number:

USCG Documentation Number:

Qualifying years during which vessel made legal Pacific cod landings under the authority of this LLP license (2009 through
2019) or AI transferable endorsement (2004 through 2019).

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BLOCK D – PROCESSOR ELIGIBILITY
If you are applying as an eligible PCTC Processor and do not agree with the PCTC Program Official Record, you must
provide the following information to establish your eligibility. Copy or attach additional sheets, if necessary.
Enter the following information for each processor were Pacific cod legal landings were received.
Processor Name

Federal Processor Permit or Federal
Fisheries Permit Number

Location of Facility

1. Qualifying years during which processor received Pacific cod legal landings under the authority of this FFP or FPP
(2009 through 2019)

2. Attach a copy of the contract to the application that demonstrates that the legal processing history and rights apply for
and receive processor eligibility based on that legal processing history have been transferred or retained (if applicable).

BLOCK E – SIGNATURE OF APPLICANT
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Signature of Applicant or Authorized Representative:

Date Signed:

Printed Name of Applicant or Authorized Representative (Note: If authorized representative, attach authorization):

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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 0648-0811. Without this approval, we could not conduct this information collection. Public reporting burden for this collection of
information is estimated to average 2 hours per response, including the time for reviewing the 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 mandatory and required to manage commercial fishing efforts under 50 CFR part 679 and under section
402(a) of the Magnuson-Stevens Fishery Conservation and Management Act (16 U.S.C. 1801, et seq.). Send comments regarding this
burden estimate or any other aspect of this information collection, 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.
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.
PURPOSE: NMFS uses the information provided on this application to verify the identity of the applicant and to accurately retrieve
confidential records related to Federal permits to determine eligibility.
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. NMFS may post some
information from this form on its public website (www.alaskafisheries.noaa.gov). In addition, NMFS may share information submitted
on this application 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. Other information is confidential under section 402(b)
of the Magnuson-Stevens Act and NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery
statistics.
DISCLOSURE: Providing this information is mandatory; failure to provide complete and accurate information will prevent NMFS from
issuing the requested permit.

Instructions for
Application for Pacific Cod Trawl Cooperative Program Quota Share
Please indicate your eligibility:
●

Eligible Harvester (catcher vessel sector). Applicants must complete Blocks A and B and sign in Block E. Note: If
you disagree with the PCTC Program Official Record Summary, you must also complete Block C.

●

Eligible Processor (shoreside, catcher/processors, and stationary floating processors only). Applicants must
complete Blocks A and B and sign in Block E. Note: If you disagree with the PCTC Program Official Record
Summary, you must also complete Block D.
If the applicant did not own one or more of the processing facilities through which claiming processor eligibility,
attach a copy of that contract to the application.

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GENERAL INFORMATION
Please allow at least 10 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.
This completed application must be received by NMFS no later than [insert date 30 days after the effective date

of the final rule]

NOTE: Participant must be a U.S. citizen or U.S. corporation, partnership, or other business.
A person who wishes to participate in the PCTC Program as an eligible PCTC harvester or processor must submit this
application to NMFS.
When complete, submit the 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 email to:

ram.alaska@noaa.gov

Or, by fax to:

907-586-7354

If you need additional information:
Contact RAM at: (800) 304-4846 (Option #2) or (907) 586-7202 (Option #2)
E-Mail Address: ram.alaska@noaa.gov
Website: https://www.fisheries.noaa.gov/region/alaska

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COMPLETING THE APPLICATION
BLOCK A – APPLICANT INFORMATION
1.
2.
3.
4.
5.
6.
7.

Applicant Name
NMFS Person ID
Permanent Business Address, including P.O. Box number or street address, city, state, and zip code
Business Telephone Number including area code
Business E-mail Address
Indicate (YES or NO) if the applicant is a U.S. citizen; if YES, enter date of birth.
Indicate (YES or NO) if the applicant is a U.S. corporation, partnership, association, or other business entity;
if YES, enter the date of incorporation;
8. Indicate (YES or NO) if the applicant is a successor-in-interest to a deceased individual; if YES, attach death
certificate with the application.
Note: The Applicant must be a U.S. citizen or U.S. corporation, partnership, or other business entity to obtain a
catch history.

BLOCK B – AGREEMENT WITH PCTC PROGRAM OFFICIAL RECORD
All applicants must mark the box that applies to them:
I AGREE with the PCTC Program Official Record Summary. If you check this box, you are accepting the
PCTC Program Official Record. If you check this box, proceed to Block E to sign the application, and return the
application to NMFS. Note: For the initial allocation of PCTC QS, qualifying catch history is attached to the LLP
license assigned to the vessel at the time of harvest. If multiple LLP licenses authorized catch by a vessel, in the
absence of an agreement provided by the LLP license holder at the time of application, qualifying catch history will
be assigned to an LLP license by the owner of the vessel that made the catch.
I DO NOT AGREE with the PCTC Program Official Record Summary. I have indicated the areas of
disagreement in Block C or D of this form or attached a separate page explaining my disagreement and providing
evidence, such as fish tickets or landing reports, to support my claims, and I have completed Block E.
I DID NOT RECEIVE a PCTC Program Official Record Summary. I believe that I am eligible to receive QS in
the PCTC Program. I have provided the required information in Block C or D of this form or attached a separate
page explaining the basis for my eligibility, such as fish tickets or landing reports to support my claim, and I have
completed Block E.

BLOCK C – HARVESTER PACIFIC COD LEGAL LANDINGS
If you are applying as an Eligible PCTC Harvester and you do not agree with the PCTC Program Official Record, enter
the following information for each LLP license. Copy Block C or attach additional sheets if necessary.
1.
2.
3.
4.
5.
6.
7.
8.

LLP license holder’s name
LLP license holder’s NMFS ID
LLP permit number
List the vessels that made legal Pacific cod landings under the authority of this LLP license (2009 through 2019),
copying additional pages if necessary.
Name of vessel
ADF&G number
USCG documentation number
Qualifying years during which vessel made legal Pacific cod landings under the authority of this LLP license
(2009 through 2019) or AI transferable endorsement (2004 through 2019).

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BLOCK D – PROCESSOR ELIGIBILITY
If you are applying as an eligible PCTC processor and you do not agree with the PCTC Program Official Record, enter
the following information. Copy Block D or attach additional pages if necessary.
1. Enter the following information for each processor where Pacific cod legal landings were received.
•
•
•

Processor facility name
Federal processor permit or federal fisheries permit number
Location of facility

2. Enter the qualifying years during which processor received Pacific cod legal landings under the authority of this FFP or
FPP (2009 through 2019).
3. Attach a copy of the contract to the application that demonstrates that the legal processing history and rights to apply
for and receive processor eligibility based on that legal processing history have been transferred or retained (if applicable).

BLOCK E – APPLICANT CERTIFICATION
The applicant must print name, sign, and date the application certifying that all information is true and correct. If the
application is completed by the applicant’s authorized representative, then proof of authorization must accompany the
application.

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