PY-222 Import Request (Shell Eggs)

FORM APPROVED -OMB NO. 0581-0113
PLACE ISSUED:

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE

POULTRY PROGRAMS

IMPORT REQUEST (SHELL EGGS)
See reverse of Part 5 of this set on how to complete form.

INSTRUCTIONS:

SECTION A - APPLICATION FOR IMPORT INSPECTION OF SHELL EGGS

2. PRESENT LOCATION OF PRODUCT

3. DATE

SECTION B - NOTICE OF PRODUCTS SHIPPED UNDER SEAL
1. FROM

(Customs station or port of entry)

SECTION D - AGREEMENT FOR TEMPORARY TRANSFER OF FOREIGN EGGS

IN CONSIDERATION of the U.S. Collector of Customs granting me (us) permission to

1. NAME AND ADDRESS OF CUSTOMS BROKER OR APPLICANT

transfer temporarily the products described in Section "C" which are offered for entry into the
United States, I (WE) AGREE under bond filed with said Collector of Customs and subject to
the penalties prescribed in laws enacted by Conress and regulations issued thereunder by the
Secretary of the Treasury, to hold the said products intact at the location indicated below until
they have been inspected and passed by a Poultry Programs Representative or have been
otherwise disposed of under the supervision of a U.S. Customs Officer or a Poultry Programs
Representative.

1. PLACE TO WHICH PRODUCT IS TO BE TRANSFERRED

2. DATE

2. DATE
3. TO (Point of Inspection)
FORWARDED
3. NAME OF COMPANY
SEAL NUMBERS

4. SEALS (Check one)
TREASURY

POULTRY PROGRAMS

5. SIGNATURE OF (Check one)

6. DATE
4. SIGNATURE AND TITLE OF COMPANY REPRESENTATIVE

POULTRY PROGRAMS
REPRESENTATIVE

CUSTOMS
OFFICER

SECTION C - IDENTIFICATION OF SHIPMENT
1. COUNTRY OF ORIGIN
3. VESSEL OR CAR NO. AND
INITIALS

5. APPROVED BY POULTRY PROGRAMS REPRESENTATIVE

6. DATE

7. APPROVED BY U.S. CUSTOMS OFFICER

8. DATE

2. CUSTOM ENTRY NO.
4. NAME AND ADDRESS OF TRANSPORTATION
COMPANY

SECTION E - DISPOSITION
1. PLACE OF INSPECTION
5. ARRIVAL DATE

6. SHIPPING MARK AND NUMBERS

7. NAME OF CONSIGNOR

8. PORT OF ARRIVAL

2. CERTIFICATION FOUND CORRECT
NO
YES
3. EXAMINATION ORDER OR OTHER ACTION TO BE TAKEN
RELEASED BY AGRICULTURAL MARKETING SERVICE, USDA

9. NAME AND ADDRESS OF CONSIGNEE

Initials
If
Passed

KIND OF PRODUCT

5. DATE

4. SIGNATURE OF REPRESENTATIVE

NUMBER OF
CONTAINERS

REFUSED ENTRY AND/OR DETAINED
NUMBER OF
CONTAINERS

QUANTITY
Total Dozens

CAUSE AND DISPOSITION

QUANTITY
Total Dozens

A. RESTRICTED EGGS
(Properly labeled)
SHELL
EGGS

B. NON-RESTRICTED
C. FOR HATCHING
PURPOSES

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid
OMB control number. The valid OMB control number for this information collection is 0581-0113. The time required to complete this information collection is estimated to average .33
hours 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. The authority for requesting the information to be supplied on this form is the Egg Product Inspection Act (21 USC 1031-1056). A request must be made by
anyone wishing to import shell eggs. The information is essential to control the movement and disposition of the imported products (7 CFR 59.920).

PY-222

(04-08)

(Previous edition of 02-99 may be used.)

IMPORT REQUEST
(SHELL EGGS)
INSTRUCTIONS FOR COMPLETION AND DISTRIBUTION: Importers or their agents may obtain copies of this form from
nearest Poultry Programs office.

IMPORTER
When Inspection is at Point of Entry:
1. No. of Copies - Prepare and submit original and 4 copies
to local office of Poultry Programs, AMS. 1/
- Section "A" and "C" to be completed by
2. Completion
importer or person acting as his/her agent.
- Complete Section "D" if product is to be
3. Transfers
inspected at a point other than at its present location
(example: Movement from warehouse at docks to
another warehouse).

CUSTOMS OFFICIAL
- Sign Item 7, Section "D, " if product is approved

1. Transfers
for temporary transfer; date form (Item 8).

- Unless already completed by
2. Inspection at Destination
Poultry Programs representative, complete Section "B" if
shipment is made to another point for inspection; sign and
date form (Items 5 and 6). Be sure to record seal numbers if

these were affixed.

- Prepare and submit all copies to local office of
3. Distribution
Poultry Programs, AMS. 1/

When Inspection is at Destination:
- Complete Sections "A", "C", and "D".
1. Completion
- Submit all copies to local office of Poultry
2. Distribution
Programs, AMS. 1/

POULTRY PROGRAMS REPRESENTATIVE
1. General

- Insert place issued in space provided at top of form.

- Sign and date form (Items 5 and 6, Section "D") if
2. Transfers
product is to be transferred temporarily.
- If product is to be shipped to
3. Inspection at Destination
another point for inspection, complete Section "B." Be sure
to record seal numbers (Item 4).
4. Approvals
- Complete Section "E" and place initials after
item(s) passed. If product is refused entry or detained, give
brief explanation under "Cause and Disposition," date and sign
form, Section "E," Items 4 and 5).

1/

If there is no local Poultry Programs office, send copies to Chief, Grading Branch, Poultry Programs, AMS, U.S. Department of
Agriculture, 1400 Independence Ave., S.W., STOP 0258, Washington, D.C. 20250.

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable, sex,
marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any
public assistance program (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program information (Braille,
large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights,
1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

PY-222 Reverse

(04-08)

(Previous edition of 02-99 may be used.)