Tilefish IFQ Application Form

OMB CONTROL NO.: 0648-0590
Expires: 11/30/2023

U.S. Department of Commerce
NOAA/National Marine Fisheries Service
55 Great Republic Drive
Gloucester, MA 01930-2298
Tel: (978) 282-8483

Application for
Federal Tilefish Individual Fishing
Quota (IFQ) Allocation Permits
Fishing Year 2023
January 1, 2023 – December 31, 2023
IFQ Allocation Permit #: XXXXX

Section 1 – Permit Holder and Vessel(s) Information
Name:

City:

List all Vessel Names and Federal Permit Numbers
that are authorized to land tilefish under the IFQ
Allocation permit you are applying for. NMFS must
be notified in writing if you wish to remove or add
additional vessels to fish under this IFQ Allocation
permit during the fishing year:

State:

1) Name, Permit Number:

Zip Code:

2) Name, Permit Number:

Phone #:

3) Name, Permit Number:

Street Address:

Section 2 – Fishery Information & IFQ Quota Share Allocation
2023 Tilefish IFQ Total Allowable Landings (TAL)*: 1,763,478 lb
Quota Share Percentage of Tilefish IFQ TAL:
2023 IFQ Allocation (head-on gutted weight)*:
Allocation is Subject to Change: Your allocation may be adjusted based on 2022 overages, IFQ Allocation transfers,
and/or research set asides. Please refer to your IFQ Allocation permit, when issued, for your actual 2023 tilefish quota.

Section 3 – Signature
Check here if
updating information
in Section 1 and mark
changes as needed.

I, the undersigned, am the holder or legally authorized agent of the holder of the IFQ Allocation
permit named in Section 1 above. I affirm, subject to the penalties provided in 18 U.S.C. 1001, that
all information that I have given in obtaining this permit is true and correct.

Signature: _______________________________________________
Print Name:______________________________________________
Date: ___________________________________________________

To avoid delay in processing, please include all information requested.

Any information submitted by any person to obtain a permit is not confidential, and may be disclosed
upon request.
Instructions – Greater Atlantic Regional Fisheries Office
Application for a Tilefish IFQ Allocation Permit
This is your 2021 Permit Application for a Federal Tilefish IFQ Allocation permit that is required to be
completed, signed, and returned to NMFS. NMFS must receive your completed application by
September 15, 2020, to ensure that a Tilefish IFQ Allocation permit may be issued to you by
November 1, 2020, to enable continued fishing for tilefish in excess of the incidental trip limit. You
are receiving this renewal application because you currently hold Tilefish IFQ quota share.
In addition, all applicants must submit:
1. A Tilefish IFQ Allocation Interest Declaration Form.
2. If your IFQ allocation is owned by a corporation, partnership, or LLC, you must provide: A) A list,
signed and dated, of the names and addresses of all corporate officers and shareholders of the
corporation; or B) a current copy of the Partnership Agreement and a list of the names and addresses
of all partners.
________________________________________________________________________________
SECTION 1: PERMIT HOLDER INFORMATION: Enter information only for items that have changed
or are incorrect, or if you need to submit additional information.
________________________________________________________________________________
SECTION 3: SIGNATURE AND INSTRUCTIONS: Please sign the form. Unsigned or incomplete
applications will be returned. Your signature is an affirmation under penalty of perjury, that all the
information provided in obtaining this permit is true [18 U.S.C. 1001].
Paperwork Reduction Act Statement
Public reporting burden for this collection of information is estimated to average 30 minutes per Individual Fishing Quota application, including the time
for reviewing instructions, searching 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 suggestions for reducing this burden to the Assistant Regional Administrator,
Sustainable Fisheries Division, NOAA National Marine Fisheries Service, 55 Great Republic Drive, Gloucester, MA 01930.
All data will be kept confidential. Notwithstanding any other provisions of the law, no person is required to respond to, nor shall any person be subjected
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.
OMB CONTROL NO.: 0648-0590

Expires: 11/30/2023

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: In order to manage U.S. fisheries, the NOAA National Marine Fisheries Service (NMFS) requires the use of permits or registrations by
participants in the United States. Information on NMFS permit applicants and renewing holders includes vessel owner contact information, date of birth,
and vessel descriptive information. Permit holder information may be used as sampling frames for surveys, as part of Fishery Management Council
(FMC) analysis to support FMC decisions.
Routine Uses: The Department will use this information to determine permit eligibility and to identify fishery participants. Disclosure of this information is
permitted under the Privacy Act of 1974 (5 U.S.C. Section 552a), to be shared within NMFS offices, in order to coordinate monitoring and management
of sustainability of fisheries and protected resources, as well as with the applicable State or Regional Marine Fisheries Commissions and International
Organizations. Disclosure of this information is also subject to all of the published routine uses as 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 voluntary; however, failure to provide complete and accurate information will prevent the determination of
eligibility for a permit.