Form ITA-362P Information on Articles for Physically or Mentally Handi

Form Info
FORM ITA-362P LF
(REV. 4-96)

Save

Print

Fast Print

SEC 508 Compliant

Form Approved: OMB NO: 0625-0118 Expire 11/30/2007

U.S. DEPARTMENT OF COMMERCE
INTERNATIONAL TRADE ADMINISTRATION

INFORMATION ON

ARTICLES FOR PHYSICALLY OR MENTALLY HANDICAPPED PERSONS
Imported Free of Duty Under Pub. L. 100-418 and 100-647
(Other than Articles for the Blind)
The use of this form is authorized by law. While you are not required to complete it, You will not be permitted to enter articles for
Public reporting burden for this collection of information is estimated to average 4 minutes per response, including the time for
reviewing 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 this burden, to Reports Clearance Officer, International Trade Administration, Room 4001, U.S.
Department of Commerce, Washington, D.C. 20230 and to the Office of Information and Regulatory Affairs, Office of Management
and Budget, Paperwork Reduction Project (0625-0118), Washington, D.C. 20503.
If more space is needed, use either the back of this form or a separate sheet of paper.
1. Customs Consumption Entry Number

1a. Date of Entry

2. Port of Entry

Provide the information requested in boxes 4 through 7 for each tariff number listed in box 3.
3. All HTS Tariff Number(s)

4. Complete Description of Article(s)

5, Total Quantity

6. Total Value

(That the article(s) would have
been classified under if entry were
not made under HTS 9817.00.96)

(For each tariff number)

(For each tariff number)

(For each tariff number
preferably in U.S. dollars)

8. The owner, purchaser, importer or consignee of article is:
A commercial entity d.
C.
Other (specify)
9. The article will be: e.
i.
Other (specify)

Put to personal use

f.

a.

Donated

An individual

G.

b.

Sold at cost

7. Country of Origin
(For each tariff number)

A nonprofit institution
h.

Sold for profit

10. Name, address and telephone number of owner, purchaser or consignee: (This information is for official use only. The portion
below the dotted line will be removed before this document is made available for public inspection.)

To Customs Official at Port of Entry: Articles for the handicapped (other than for the blind) may not be entered free of duty
under HTS 9817.00.96 without providing the information requested on this form. Please ensure that the form is fully completed,
including consumption or warehouse entry number and port and date of entry. The original form should be sent to the address
shown on the reverse side of the form (U.S. Department of Commerce, Statutory Import Programs Staff, Room 2104,
Washington, D.C. 20230), either individually or in batches for periods up to one month. One copy of the form should be
retained by Customs and another copy placed in the importer's entry file.

Mail To:
U.S. Department of Commerce
International Trade Administration
Statutory Import Programs Staff, Room 2104
1401 Constitution Ave. N.W.
Washington, D.C. 20230