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Revised: 09/10/2021 OMB Control No. 0648-0272 Expiration Date: 09/30/2024
APPLICATION FOR
ELIGIBILITY
TO RECEIVE QS/IFQ
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 / [email protected]
email
Those persons applying to receive Quota Share (QS) or Individual Fishing Quota (IFQ) by transfer must submit this
application to the Regional Administrator, to obtain a Transfer Eligibility Certificate (TEC).
BLOCK A - APPLICANT INFORMATION
1. Name (Last, First, Middle Initial):
2. NMFS Person ID:
3. Taxpayer ID Number (Employer ID No. or SSN):
4. Business Mailing Address: Permanent Temporary
5. Business Telephone Number:
6. Business Fax Number:
7. E-mail Address:
NOTE: The Applicant must be a U.S. citizen or U.S. corporation, partnership, or other non-individual business
entity to receive QS/IFQ by transfer.
8. Are you a U.S. citizen?
YES NO If YES, enter Date of Birth ______________________________________
9. Are you a U.S. corporation, partnership, association or other non-individual business entity?
YES NO If YES, enter Date of Incorporation _______________________________
10. Are you a resident of Adak, Alaska?
YES NO If YES, enter date residency began _________________________________
Application for Eligibility to Receive QS/IFQ
Page 1 of 6
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BLOCK B-- FREEZER SHARES
Is this TEC intended for an Entity that wishes to buy or lease Category A Quota Shares only?
YES NO
IF YES, and you are a corporation, partnership, association, or other non-individual entity, please complete and
attach a QS Holder: Identification of Ownership Interest form.
NOTE: You may be required to submit further evidence of eligibility, i.e., that you are the type of entity that would
have been eligible to document a vessel under U.S. laws in effect in 1988, 1989, and 1990.
BLOCK C - COMMERCIAL FISHING EXPERIENCE
Duplicate this section, or attach a separate sheet of paper, if necessary,
to display all of the Applicant’s commercial fishing experience.
1. Species (one per block):
2. Gear:
3. Location:
4. Date From (MM / YY):
5. Date To (MM / YY):
6. Number of Actual Days Spent
Harvesting Fish:
7. Duties Performed While Directly Involved in the Harvesting of Fish (Be Specific):
8. Vessel Name:
9. ADF&G or USCG Number:
10. Vessel Owner:
11. Vessel Operator:
12. Reference Name (person other than yourself):
13. Reference's Relationship to You:
14. Reference's Business Telephone Number:
15. Reference's Business Mailing Address:
Application for Eligibility to Receive QS/IFQ
Page 2 of 6
BLOCK D – SIGNATURE 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 Applicant (or Authorized Representative):
2. Date:
3. Printed Name of Applicant (If completed by an Authorized Representative, attach authorization):
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 0648-0272. 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
(Magnuson-Stevens 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 to receive quota share (QS) or individual fishing quota (IFQ) by
transfer. The primary purpose for requesting the SSN/TIN is for the collection and reporting on any delinquent amounts arising out of
such person’s relationship with the government pursuant to the Debt Collection Improvement Act of 1996 (Public Law 104-134). All
potential IFQ QS holders may incur a debt to the government because of fee liabilities charged under the IFQ Program cost recovery
fee program authorized under section 304(d)(2)(A) of the Magnuson-Stevens Act and implemented by regulations at 50 CFR 679.45.
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. Personal information
is confidential and protected under the Privacy Act (5 U.S.C. 552a). Business information may be disclosed to the public. NMFS posts
some information from this form on its public website (www.alaskafisheries.noaa.gov
), including the business name, address, and NMFS
ID number of the person eligible to receive quota share or individual fishing quota by transfer. 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. 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 the
determination of eligibility to receive quota share or individual fishing quota by transfer.
Application for Eligibility to Receive QS/IFQ
Page 3 of 6
INSTRUCTIONS
APPLICATION FOR ELIGIBILITY TO RECEIVE QS/IFQ
Quota Share (QS) was initially issued to persons who owned or leased vessels that made legal commercial fixed-gear
landings of Pacific halibut or sablefish during 1988, 1989, or 1990 off Alaska. The application period for QS ended on
July 15, 1994. Once issued to a person by NMFS, QS is held by that person until it is transferred, suspended, or revoked.
Currently, QS may only be obtained through transfer. QS is transferable to other initial issuees or to those who have
become transfer-eligible through obtaining NMFS' approval.
Those persons applying to receive QS or Individual Fishing Quota (IFQ) by transfer must submit to the Regional
Administrator an Application for Eligibility to Receive QS/IFQ to obtain a Transfer Eligibility Certificate (TEC).
If participant is a U.S. corporation, partnership, association or other non-individual business entity, he or she must
complete and submit a Quota Share Holder: Identification of Ownership form. Download this form from NMFS Alaska
Region website at https://alaskafisheries.noaa.gov/
, or call RAM and request the form be mailed or faxed to you.
Except for residents of Adak, Alaska, to be eligible, persons must have 150 or more days of experience working as
part of a harvesting crew in any U.S. commercial fishery. Work in support of harvesting but not directly related to it
is not considered harvesting crew work. An eligible community resident of Adak receiving IFQ derived from QS held by
an Aleutian Islands Community Quota Entity (CQE) is not required to meet the 150-day criteria for purposes of receiving
IFQ from an Aleutian Islands CQE.
Type or print legibly in ink and retain a copy of completed application for your records.
Please allow at least 10 working days for your application to be processed.
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
Or, by fax to: 907-586-7354
Items will be sent to you by first class mail, unless you provide alternate instructions and include a prepaid mailer with
appropriate postage or corporate account number for express delivery. Additional information is available from RAM, as
follows:
Website: https://alaskafisheries.noaa.gov/
Telephone (toll free): 800-304-4846 (press “2”)
Telephone (in Juneau): 907-586-7202 (press “2”)
e-Mail: RAM.Alaska@noaa.gov
Application for Eligibility to Receive QS/IFQ
Page 4 of 6
COMPLETING THE APPLICATION
BLOCK A - APPLICANT INFORMATION
1. Name: Full name, including middle initial, as it should appear on the Transfer Eligibility Certificate.
2. NMFS Person ID: NMFS will supply this number, if you do not already have one.
3. Taxpayer ID Number:
If an individual, enter social security number (SSN).
If a corporation, partnership, association, or other non-individual business entity, enter employer identification
number.
4. Indicate whether permanent or temporary.
Permanent: Permanent mailing address, including street or P.O. Box, city, state, and zip code.
Temporary: Enter the address including street or P.O. Box, city, state, and zip code if you want the TEC
documentation sent somewhere other than your permanent address.
5–7. Business Telephone Number, Business Fax Number, and Business E-mail address (if available)
8. Indicate whether you are a U.S. citizen. If YES, enter Date of Birth
9. Indicate whether you are a U.S. corporation, partnership, association, or other non-individual business entity.
If YES, enter Date of Incorporation. Attach a Quota Share Holder: Identification of Ownership form.
10. Indicate whether you are a resident of Adak, Alaska.
If YES, enter date residency began.
BLOCK B - FREEZER SHARES
Indicate whether the TEC is intended for an entity that wishes to buy or lease Category A Quota Shares ONLY.
If YES, and you are a U.S. corporation, partnership, association, or other non-individual entity, please complete
and attach a Quota Share Holder: Identification of Ownership form.
Note: You may be required to submit further evidence of eligibility, i.e., that you are the type of entity
that would have been eligible to document a vessel under U.S. laws in effect in 1988, 1989, and 1990.
BLOCK C - COMMERCIAL FISHING EXPERIENCE
(Copy this section if necessary to display all of the applicant’s commercial fishing experience)
1. Species: Enter any targeted species in a U.S. commercial fishery (only one fishery per block).
2. Gear Type: Enter any gear type used to legally harvest in a U.S. commercial fishery.
3. Location: Enter actual regulatory, statistical, or geographic harvesting location.
4. Date From: Enter starting date (including month and year) of fishing experience.
5. Date To: Enter ending date (including month and year) of fishing experience.
6. Number of Actual Days Spent Harvesting Fish during the claimed period in questions 4 and 5.
7. Duties Performed While Directly Involved in the Harvesting of Fish: List or describe your duties as a member of
a harvesting crew for the claimed period in questions 4 and 5.
Application for Eligibility to Receive QS/IFQ
Page 5 of 6
8. Vessel Name: Enter the registered name of the vessel upon which above duties were performed.
9. ADF&G or USCG Number: Enter the State of Alaska, Department of Fish & Game (ADF&G) vessel registration
number or the U.S. Coast Guard (USCG) documentation number of the vessel listed in number 8.
10. Vessel Owner: Enter the name of the individual(s) or corporation(s) whose name is listed on the vessel
ownership papers.
11. Vessel Operator: Enter the name of the person (may be yourself) in charge of operating the vessel.
12. Reference Name: Enter the name of a person (other than yourself) who is able to verify the above experience.
13. Reference’s Relationship to You: Enter your reference’s relationship to you.
14. Reference’s Business Telephone Number: Enter your reference’s business telephone number, including the area
code.
15. Reference’s Business Mailing Address: Enter your reference’s business mailing address, including street or
P.O. box number, city, state, and zip code.
BLOCK D – SIGNATURE OF APPLICANT
Applicant must print and sign his or her name and enter the date the application was signed. If the application is completed
by the Applicant’s authorized representative, attach proof of authorization. The application will be considered
incomplete without your signature and will not be processed.
Application for Eligibility to Receive QS/IFQ
Page 6 of 6
