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Application for Registered Crab Receiver Permit
ICR 201405-0648-010 · OMB 0648-0514 · Object 47769601.
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Revised: 07/15/2013 OMB Control No. 0648-0514 Expiration Date: 06/30/2014 APPLICATION FOR REGISTERED CRAB RECEIVER (RCR) PERMIT U.S. Dept. of Commerce/NOAA National Marine Fisheries Service Restricted Access Management P.O. Box 21668 Juneau, AK 99802-1668 (800) 304-4846 toll free / 586-7202 in Juneau (907) 586-7354 fax NOTE: A separate permit is required, and a separate application must be submitted, for each Shoreside Processor and each Stationary Floating Processor (SFP) operated by a processor. Only one permit (and one application) is needed for any number of the applicant’s catcher/processor(s). BLOCK A – NATURE OF THE RCR FOR WHICH YOU ARE APPLYING To be completed by all applicants. [ ] New Application [ ] Renewal of existing RCR Permit [ ] Amendment to existing RCR Permit If application is a renewal or an amended application, provide current RCR permit number: BLOCK B – APPLICANT IDENTIFICATION To be completed by all applicants 1. Name of Applicant: 2. NMFS Person ID Number: 3. Name of Contact Person (if Applicant is company, partnership or other business entity): 4. Permanent Business Mailing Address: 5. Business Telephone Number: 6. Business Fax Number: 7. Business E-mail Address (if available): BLOCK C – TYPE OF ACTIVITY (Facility/Vessel Identification) 1. Registered Crab Receiver Operation Type: [ ] Shoreside Processor [ ] Stationary Floating Processor [ ] Owner or Operator of Catcher/Processor(s) Note: if the application is submitted for one or more catcher/processors, only one RCR Permit is required. 2. Identity of Crab Receiver Operation: If a Shoreside Processor, enter Name of Processing Facility: Physical Location of Facility: If a Stationary Floating Processor, enter Name of Vessel: Vessel ADF&G Number: Vessel’s USCG Number: Application for Registered Crab Receiver Permit Page 1 of 4 BLOCK D – INDIVIDUAL RESPONSIBLE FOR SUBMISSION OF ECONOMIC DATA REPORT (EDR) 1. Name of Designated Representative: 2. Business Mailing Address: 3. Business Telephone Number: 4. Business Fax Number: 5. Business E-mail (if available): BLOCK E – SIGNATURE Under penalties of perjury, I declare that I have examined this application, and to the best of my knowledge and belief, the information presented herein is true, correct, and complete. 1. Signature of Applicant or Authorized Agent: 2. Date: 3. Printed Name of Applicant or Authorized Agent: (Note: If completed by an agent, attach authorization.) PUBLIC REPORTING BURDEN STATEMENT Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the tim e for reviewing the instructions, searching the existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden estimate or any other aspect of this collection of information, to Assistant Regional Administrator, Sustainable Fisheries Division, NMFS Alaska Region, P.O. Box 21668, Juneau, AK 99802-1668. ADDITIONAL INFORMATION Before completing this form, please note the following: 1) Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to t he requirements of the Paperwork Reduction Act, unless that collection of information displays a currently valid OMB Control Number; 2) This information is mandatory and is required to manage commercial fishing efforts under 50 CFR part 680, under section 40 2(a) of the Magnuson-Stevens Act (16 U.S.C. 1801, et seq.) and under 16 U.S.C. 1862(j); 3) Responses to this information request are confidential under section 402(b) of the Magnuson-Stevens Act as amended in 2006. They are also confidential under NOAA Administrative Order 216-100, which sets forth procedures to protect confidentiality of fishery statistics. Application for Registered Crab Receiver Permit Page 2 of 4 Instructions APPLICATION FOR RCR PERMIT An RCR permit must be issued to, and displayed by, any processor that receives crab. A separate permit is required (and a separate application must be submitted) for each Shoreside Processor and each Stationary Floating Processor (SFP) operated by a processor. Only one permit (and one application) is needed for any number of the permit holder’s catcher/processors. RCR permits are issued annually, for crab fishing years (July 1 through June 30). This application cannot be processed or approved unless applicant has met all the requirements and conditions of the CR Program, including (as appropriate) ♦ Payment of all outstanding fees must be submitted to NMFS on or before July 31. Application forms and instructions are available on the NMFS Alaska Region web site at https://alaskafisheries.noaa.gov. Additionally: ♦ Type or print legibly in ink. ♦ Retain a copy of completed application for your records. ♦ Applications may be faxed to RAM at (907) 586-7354; however, permits will not be returned by fax. Do not wait until right before an opening to apply for your permit, as you may not receive it on time. When complete, mail the application to: National Marine Fisheries Service (NMFS), Alaska Region Restricted Access Management (RAM) P.O. Box 21668 Juneau, Alaska 99802-1668 Or deliver to: NMFS Alaska Region (NMFS/RAM) Federal Building 709 W. 9th Street, Suite 713 Juneau, Alaska 99801 Application for Registered Crab Receiver Permit Page 3 of 4 COMPLETING THE FORM BLOCK A – NATURE OF THE RCR FOR WHICH YOU ARE APPLYING Indicate if the application is for a new permit, a renewal or an amendment to an existing permit. If the application is a renewal or amendment, provide the current RCR permit number. BLOCK B – APPLICANT IDENTIFICATION 1. Provide the name of the person applying to become an RCR. 2. Provide NMFS ID. 3. Provide the name of a contact person for the applicant, if the applicant is a corporation, partnership, association, or other non-individual business entity. 4. Provide the permanent business mailing address of the applicant. This is the address to which the RCR permit will be sent. 5 – 7. Provide the business telephone number, business fax number, and business e-mail address (if available) applicant. of the BLOCK C – TYPE OF ACTIVITY (Facility/Vessel Identification) 1. Registered Crab Receiver Operation Type. Indicate the type of activity that the applicant intends to perform as an RCR. 2. Identity of Crab Receiver Operation. If a Shoreside Processor, enter the name and physical location of the Processing Facility If a Stationary Floating Processor, enter the name, ADF&G vessel registration number, and the US Coast Guard number of the vessel. BLOCK D – INDIVIDUAL RESPONSIBLE FOR SUBMISSION ECONOMIC DATA REPORT (EDR) All Registered Crab Receivers are responsible for submission of an EDR. Each RCR must identify an individual who will be responsible for submission of this EDR on behalf of the RCR. The EDR will be sent to the individual identified on this application form. If the responsible individual changes during the crab fishing year, the RCR must submit an amended application naming a new responsible individual. 1. Provide the name of the person responsible for sending an EDR. 2. Provide the permanent business mailing address. 3-5. Provide the business telephone number, business fax number, and business e-mail address (if available). BLOCK E – SIGNATURE Applicant must sign, print name, and enter date of the application. Representatives acting on behalf of an applicant must supply proof of authorization. Application for Registered Crab Receiver Permit Page 4 of 4
| File Type | application/pdf |
| File Title | Application for Registered Crab Receiver Permit (RCR) |
| Subject | Application for Registered Crab Receiver Permit |
| Author | NOAA Fisheries, National Marine Fisheries Service, NMFS |
| File Modified | 2013-07-15 |
| File Created | 2013-07-15 |