Application for military permit

Revised: 1/30/2018

CHARTER
HALIBUT
LIMITED
ACCESS
PROGRAM

OMB Control No. 0648-0592 Expiration Date: 03/31/2018

APPLICATION FOR
MILITARY CHARTER HALIBUT
PERMIT

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

BLOCK A – MILITARY INFORMATION
Enter the branch of the United States Armed Services represented:
_________________________________________________________________
Attach official documentation from the Branch of Service you represent to verify the authority to apply for military
charter halibut permits on behalf of a United States Military Morale, Welfare, and Recreation Program (MWR
Program).

BLOCK B – APPLICANT INFORMATION
1. Applicant’s Name:

2. Business Mailing Address (Street or P.O. Box, City, State, Zip Code):

3. Business Telephone Number:

4. Business Fax Number:

5. E-mail Address:

BLOCK C – MILITARY CHARTER HALIBUT PERMIT(S) REQUEST
List the number of military charter halibut permits you are requesting for each area:

____________ for 2C and ____________ for 3A

Application for Military Charter Halibut Permit
Page 1 of 4

BLOCK C –MWR PROGRAM APPLICANT SIGNATURE
Under penalty of perjury, I certify by my signature below that I have examined the information and the claims provided on this
application and, to the best of my knowledge and belief, the information presented here is true, correct, and complete. The
individual signing this application is required to provide documentation of his/her authority to apply on behalf of the applicant.

Signature of Applicant:

Date:

Printed Name of Individual Completing this Application:

Rank in Service of Individual Completing this Application
on Behalf of the MWR Program:

_________________________________________________________________________________________________________________

PUBLIC REPORTING BURDEN STATEMENT
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time
for reviewing the 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 aspect of this collection of
information, including suggestions for reducing the burden, to Assistant Regional Administrator, Sustainable Fisheries
Division, NOAA, 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 provisions 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 the
requirements of the Paperwork Reduction Act, unless the form displays a currently valid OMB control number; 2) This
information is used to implement the Charter Halibut Limited Access Program (CHLAP) for International Pacific Halibut
Commission regulatory areas 2C and 3A; 3) Federal law and regulations require and authorize NMFS to manage charter
halibut programs in Alaska; 4) Submission of this information is mandatory for any entity participating in charter halibut
fishing that wants to hold a military charter halibut permit; 5) This information is used to monitor the CHLAP under the
Northern Pacific Halibut Act of 1982 and the Magnuson-Stevens Fishery Conservation and Management Act, 16 U.S.C 1801 et
seq.; 6) All information collections by NMFS, Alaska Region, are protected under confidentiality provisions of section 402(b)
of the Magnuson-Stevens Act as amended in 2006 (16 U.S.C. 1801, et seq.) and under NOAA Administrative Order 216-100,
which sets forth procedures to protect confidentiality of fishery statistics.
PRIVACY ACT STATEMENT
Authority: The collection of this information is authorized under the Northern Pacific Halibut Act of 1982 and the MagnusonStevens 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. A military charter halibut permit (military CHP) is required for charter
halibut vessels operated by a Morale, Welfare, and Recreation (MWR) Program of the U.S. Armed Services in International
Pacific Halibut Commission regulatory areas 2C (Southeast Alaska) and 3A (Southcentral Alaska). Information collected on
this form is used to determine eligibility of a program to receive a military CHP.
Routine Uses: The Department will use this information to identify fishery participants and to determine eligibility to receive a
military CHP. 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 required to receive a military CHP under the Charter Halibut Limited Access
Program. Failure to provide complete and accurate information will prevent the determination of eligibility to receive the
military CHP.
________________________________________________________________________________________________________________

Application for Military Charter Halibut Permit
Page 2 of 4

Application Instructions
MILITARY CHARTER HALIBUT PERMIT
NMFS will issue a military charter halibut permit without an angler endorsement to an applicant provided that the
applicant is a Morale, Welfare, and Recreation Program (MWR Program) of the United States Armed Services. A
military charter halibut permit is non-transferable and may be used only in the regulatory area (2C or 3A)
designated on the permit.

GENERAL INFORMATION
Application forms are available from National Marine Fisheries Service (NMFS) offices and on the NMFS, Alaska
Region, website at http://www.alaskafisheries.noaa.gov.
When completed, submit the application:
By mail to:

NMFS Alaska Region
Restricted Access Management (RAM)
P.O. Box 21668
Juneau, AK 99802-1668

Hand Deliver to:

Room 713, Federal Building
709 West 9th Street

Or Fax to:

(907) 586-7354 fax

Please allow at least ten working days for your application to be processed. Items will be sent by first class mail,
unless you provide alternate instructions and include a prepaid mailer with appropriate postage or corporate account
number for express delivery.
It is important that all blocks are completed and attachments provided. Failure to answer any of the questions or
provide any of the required documents could result in delays in the processing of your request for a transfer.
If you have questions, please call NMFS, RAM, at 1-800-304-4846 (option 2) or 907-586-7202 (option 2).

COMPLETING THE APPLICATION
BLOCK A – MILITARY INFORMATION
Enter the branch of the United States Armed Services represented.
Attach official documentation from the Branch of Service you represent to verify the authority to apply for the
Military Charter Halibut Permits on behalf of a United States Military Morale, Welfare, and Recreation Program.
BLOCK B – APPLICANT INFORMATION
1. Applicant’s name (name of the United States Military Morale, Welfare, and Recreation Program)
2. Business mailing address (Street or P.O. Box, city, state, zip code)
3–5. Business telephone number, business fax number, and business e-mail address
BLOCK C – MILITARY CHARTER HALIBUT PERMIT(S) REQUEST
List the number of military charter halibut permits you are requesting for each area, 2C and 3A.
Application for Military Charter Halibut Permit
Page 3 of 4

BLOCK D –MWR PROGRAM APPLICANT SIGNATURE
The individual completing this application must print his or her name, provide rank in service, and sign and date
this application. This individual must attach official documentation from the branch of the United States Armed
Services that he or she represents to verify the authority to apply for the military charter halibut permits on behalf
of the MWR Program.

Application for Military Charter Halibut Permit
Page 4 of 4