Application for American Fisheries Act (AFA) Inshore Ves

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

Application for AMERICAN FISHERIES ACT (AFA) INSHORE VESSEL CONTRACT FISHING NOTIFICATIONS

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

All AFA inshore cooperatives that intend to contract with non-member vessels to harvest a portion of the cooperative’s annual Pollock allocation must submit complete information in Blocks A and B of this form.

BLOCK A - AFA Permit Holder Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Name of Vessel’s Home Cooperative:	Address of Vessel’s Home Cooperative:
Name of Home Cooperative Representative:	Contract Vessel AFA Permit Number:
Email Address:	Telephone Number:
Signature of Home Cooperative Representative:		Date:

BLOCK B - Chartering Cooperative Information Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Name Contract Vessel’s Chartering Cooperative:	Address of Contract Vessel’s Chartering Cooperative:
Description of Complete Harvest Schedule:
Email Address:	Telephone Number:
Name of Chartering Cooperative Representative:
Signature of Chartering Cooperative Representative:		Date:

BLOCK C- Vessel Owner Information Pursuant to 28 U.S.C. § 1746, I declare under penalty of perjury that the foregoing is true and correct.
Vessel Owner Name:	Vessel Owner Address:
Email Address:	Telephone Number:
Vessel Owner Signature:		Date:

Instructions for

AMERICAN FISHERIES ACT (AFA) INSHORE VESSEL CONTRACT FISHING NOTIFICATIONS

Each AFA inshore cooperative that intends to contract with a non-member vessel to harvest a portion of the cooperative’s annual Pollock allocation must submit this completed form to NMFS, Alaska Region, Restricted Access Management (NMFS/AKR/RAM). (See regulations at 50 CFR part 679.62(c)).

A separate notification must be submitted for each cooperative for which the vessel harvests. This information will assist cooperatives to understand how their catch is accounted and also alert NMFS In-season Management that some vessels might be reporting with an alternative cooperative ID.

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 – AFA Permit Holder

1. Name of Vessel’s Home Cooperative

2. Address Vessel’s Home Cooperative

3. Name of Home Cooperative Representative

4. AFA contract permit number (The AFA catcher vessel must have an inshore fishing endorsement and be a member of an inshore cooperative.)

5. Email Address

6. Telephone Number

7. Signature of Home Cooperative Representative:

8. Date of Signature

Block B – Chartering Cooperative

1. Name of Contract Vessel’s Chartering Cooperative

2. Address of Contract Vessel’s Chartering Cooperative

3. Description of Complete Harvest Schedule. The harvest schedule must show how all catch and any overages by the contracted vessel will be allocated between the contracting cooperative (or cooperatives) and the contract vessel’s home cooperative. If multiple cooperatives are contracting with the same non-member vessel, each harvest schedule submitted must clearly specify how all catch and any overages will be allocated among the various cooperatives with which the vessel is contracted as of the date of submission.

4. Email Address

5. Telephone Number

6. Name of Chartering Cooperative Representative

7. Signature of Home Cooperative Representative

8. Date of Signature

Block C – Vessel Owner Information

1. Vessel Owner Name

2. Vessel Owner Address

3. Email Address

4. Telephone Number

5. Signature of Vessel Owner

6. Date of Signature

NOTE: NMFS/AKR/RAM will notify the parties to the inshore vessel contract that the inshore vessel contract fishing notification has been received. However, NMFS will not make any determinations as to the legality of any contract between/among the parties or its compliance with AFA requirements.

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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 4 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.

Routine Uses: NMFS will use this information to identify AFA inshore cooperatives that intend to contract with non-member vessels to a harvest a portion of that cooperative’s annual Pollock allocation and to identify those vessels that might be reporting with an alternative cooperative identification. 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 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 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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Application for Inshore Vessel Contract AFA

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