Application for American Fisheries Act (AFA) Inshore Cat

Revised: 4/21/2023 OMB Control No. 0648-0393 Expiration Date: 11/30/2026

Application for AMERICAN FISHERIES ACT (AFA) INSHORE CATCHER VESSEL COOPERATIVE PERMIT

U . S. Department of Commerce/NOAA National Marine Fisheries Service (NMFS) Restricted Access Management (RAM) P.O. Box 21668 Juneau, Alaska 99802-1668 (800) 304-4846 toll free / (907) 586-7202 in Juneau (907) 586-7354 fax / ram.alaska@noaa.gov

Due December 1 of the year prior to the year for which the cooperative permit will be in effect. Late applications will not be accepted.

This inshore cooperative permit application is for the purpose of issuing an AFA inshore cooperative fishing permit to an inshore catcher vessel cooperative formed under section 1 of the Fisherman’s Collective Marketing Act of 1934

(15 U.S.C. 521) for the purpose of cooperatively managing directed fishing for pollock.

BLOCK A - COOPERATIVE CONTACT INFORMATION
1. Name of Cooperative:			2. Name of Cooperative Representative:
3.	Cooperative Business Mailing Address:			Permanent	Temporary
4. Business Telephone Number:		5. Business Fax Number:		6. Business E-mail Address:

BLOCK B - DESIGNATED COOPERATIVE PROCESSOR INFORMATION
Provide the following information for the AFA Inshore Processor who is designated in the cooperative contract as the processor to whom the cooperative has agreed to deliver at least 90 percent of its Bering Sea and Aleutian Islands Management Area (BSAI) pollock catch.
1. Name:
2. Physical location of AFA Inshore Processor:	3. Federal Processor Permit Number:

BLOCK C - COOPERATIVE CONTRACT INFORMATION This application is not valid and cannot be processed without the submission of a copy of the cooperative contract and certification.
This list is provided for your convenience to ensure all attachments are included with the application.
A copy of the cooperative contract or a renewal letter providing notice that a previously filed cooperative contract will remain in effect for the subsequent fishing year. Renewal letters must include the details of any material modifications to the cooperative contract since it was last filed with NMFS. A written certification that: The contract was signed by the owners of at least 80 percent of the qualified catcher vessels; The cooperative contract requires that the cooperative deliver at least 90 percent of its BSAI pollock catch to its designated AFA processor; and Each catcher vessel in the cooperative is a qualified catcher vessel as defined in	YES NO YES NO YES NO YES NO
50 CFR 679.4(l)(6)(ii)(D) if it meets the following permit requirements: AFA permit. The vessel must have a valid AFA catcher vessel permit with an inshore endorsement; LLP permit. The vessel must be named on a valid License Limitation Program (LLP) permit authorizing the vessel to engage in trawling for pollock in the Bering Sea subarea. If the vessel is more than 60 feet (18.3 m) length overall (LOA), the vessel must be named on a valid LLP permit endorsed for the Aleutian Islands (AI) to engage in trawling for pollock in the AI; and Permit sanctions. The vessel has no permit sanctions that otherwise make it ineligible to engage in fishing for pollock in the BSAI. (3) A copy of a letter requesting a business review letter on the fishery cooperative from the Department of Justice and any response to such request.	YES NO

BLOCK D - VESSEL INFORMATION
List all cooperative member catcher vessels. List complete information for each cooperative catcher vessel member (attach additional pages if necessary).
1. Vessel Name:		2. ADF&G Number:		3. USCG Number:			4. AFA Permit Number:
1. Vessel Name:		2. ADF&G Number:		3. USCG Number:			4. AFA Permit Number:
1. Vessel Name:		2. ADF&G Number:		3. USCG Number			4. AFA Permit Number:
1. Vessel Name:		2. ADF&G Number:		3. USCG Number:			4. AFA Permit Number:
1. Vessel Name:		2. ADF&G Number:		3. USCG Number:			4. AFA Permit Number:
1. Vessel Name:		2. ADF&G Number:		3. USCG Number:			4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:		3. USCG Number:		4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:
	1. Vessel Name:		2. ADF&G Number:			3. USCG Number:	4. AFA Permit Number:

BLOCK E - CERTIFICATION OF APPLICANT
Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
1. Signature of Cooperative Representative:	2. Date:
3. Printed Name of Cooperative Representative:

Instructions

APPLICATION FOR AMERICAN FISHERIES ACT (AFA) CATCHER VESSEL INSHORE cooperative PERMIT

IMPORTANT!

This inshore cooperative permit application and any amendments that add or delete cooperative member vessels must be received by National Marine Fisheries Service (NMFS), Restricted Access Management (RAM), by December 1 of the year prior to the year for which the cooperative permit will be in effect.

Late applications will NOT be accepted.

NMFS will issue an AFA inshore cooperative fishing permit to an inshore catcher vessel cooperative formed under section 1 of the Fisherman’s Collective Marketing Act of 1934 (15 U.S.C. 521) for the purpose of cooperatively managing directed fishing for pollock. In and of itself, a cooperative is not an AFA entity subject to excessive harvest share limitations, unless a single person, corporation, or other business entity controls the cooperative, and the cooperative has the power to control the fishing activity of its member vessels.

GENERAL INFORMATION

Please allow at least 10 working days for this application to be processed. It is important that all blocks are completed and any required attachments are provided. Failure to answer any of the questions, provide any of the required documents, or to have signatures could result in delays in the processing of your application.

Forms are available on the NMFS Alaska Region website at https://www.fisheries.noaa.gov/region/alaska.

Print information in the application legibly in ink or type information.

Retain a copy of completed application for your records.

When completed, 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

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

COMPLETING THE APPLICATION BLOCK A - COOPERATIVE CONTACT INFORMATION

1. Name of Cooperative

2. Name of designated cooperative representative. Indicate the name of an individual who is designated by the members of a fishery cooperative to fulfill requirements on behalf of the cooperative including, but not limited to, the signing of cooperative fishing permit applications; submitting catcher vessel pollock cooperative catch reports, and submitting annual cooperative fishing reports. An application submitted and signed by a representative for a party will not be processed unless clear and unambiguous certification of the agent’s authority to do so is attached.

3. Cooperative business mailing address, including P.O. Box number or street name, city, state, and zip code.

4. Business telephone number

5. Business fax number

6. Business e-mail address

BLOCK B - DESIGNATED COOPERATIVE PROCESSOR INFORMATION

1. Name and physical location of AFA Inshore Processor who is designated in the cooperative contract as the processor to whom the cooperative has agreed to deliver at least 90 percent of its BSAI pollock catch.

2. Federal Processor Permit number of the AFA inshore processor.

BLOCK C -- COOPERATIVE CONTRACT INFORMATION

This list is provided for your convenience to ensure all attachments are included with the application.

BLOCK D - VESSEL INFORMATION

List all cooperative member vessels. List complete information for each cooperative member catcher vessel (attach additional pages if necessary).

1. Complete vessel name.

2. 5-digit Alaska Department of Fish & Game (ADF&G) vessel registration number (example: 51233).

3. U.S. Coast Guard (USCG) documentation number (example: 566722).

4. AFA permit number.

BLOCK E - CERTIFICATION OF APPLICANT

Enter printed name and signature of the Cooperative representative and date the application. If representative is acting on behalf of an applicant, attach authorization.

Public 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 0648-0393. Without this approval, we could not conduct this information collection. Public reporting for this information collection is estimated to be approximately 2 hours 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 or maintain benefits and are required to manage commercial fishing efforts under 50 CFR part 679 and under section 402(a) of the Magnuson-Stevens 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 this burden to the 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 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 American Fisheries Act (AFA) Program. Submission of this information is required of persons seeking to participate in the groundfish fisheries under the authority of AFA.

Routine Uses: NMFS will use this information to annually identify the universe of participating vessels and processors in the Bering Sea and Aleutian Islands pollock fishery prior to start of each fishing year. 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. NMFS lists AFA inshore cooperatives and member catcher vessels on its website (https://alaskafisheries.noaa.gov/).

Disclosure: Furnishing this information is required to obtain or retain benefits. Failure to provide complete and accurate information may delay or prevent participation in the AFA groundfish fisheries.

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