Form 349 Harbor Maintenance Fee Quarterly Summary Report

Approved OMB No. 1651-0055
Exp. 09-30-2008

1. Identifying Number

DEPARTMENT OF HOMELAND SECURITY

U.S. Customs and Border Protection

EIN or IRS
Number

SSN

CBP
Number

2. Name of Company or Individual

HARBOR MAINTENANCE FEE
QUARTERLY SUMMARY REPORT

3. Complete Mailing Address

19 CFR 24.24

SEND TO: U.S. Customs and Border Protection
Harbor Maintenance Fee Collection
PO Box 979011
St. Louis, MO 63197-9000

Check here if address has changed since last filing.

4. REPORTING PERIOD
Year

(One Quarter Only)

Type of Shipment
With
Class Code

1

5.
Value of
Shipments

Jan. 1 Mar. 31

2

Apr. 1 Jun. 30

6.
Value of
Exemptions

3

Jul. 1 Sep. 30

4

7.
Net Value
(column 5 less
column 6)

(from corresponding
columns

8.
HMF Due
(multiply the
amounts
in column 7 by
appropriate rate)

A to D of line 15)
A. Domestic Movements
503
B. FTZ Admissions
505
C. Passengers
504
D. Total Line Value 5,
$
6, & 7

0.00
0.00
0.00

$

$

9. Total HMF Due (Total of Lines 8A through 8C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ITEMIZATION OF
EXEMPTIONS

Oct. 1 Dec. 31

A.
Domestics

B.
FTZ(s)

$

0.00

C.
Passengers

D.
Total

10. Exempt Port
11. Inland Waterway
Fuel Tax
12. Intraport
13. U.S. Mainland-State/
Possession/Territory
14. Other
15. TOTALS
(Also enter amounts
in 15A thru 15D in 6A
thru 6D above).
16. CERTIFICATION
I hereby under penalties provided by law that the above information regarding the Harbor Maintenance Fee is completed and
accurate to the best of my knowledge.
Please Sign Here
17. Type or print name of person who prepared this report (if same as block 2, write "Same")

Date

18. Telephone Number

(country code, if applicable)

PRIVACY ACT NOTICE: The Following information is given pursuant of the Privacy Act of 1974 (Pub. L. 93-579). The disclosure of the social security number is mandatory when
an Internal Revenue Service number is not disclosed whenever an identification number is requested. Identification numbers are solicited under the authority of Executive Order
9397 and Pub. L. 99-662. The identification number provides unique identification of the party liable for the payment of the Harbor Maintenance Fee. The number will be used to
compare on this form with information submitted to the Government on other forms required in the course of shipping, exporting, or importing merchandise, which contain the
identification number, e.g., the SED, Vessel Operation Report, to verify that the information submitted is accurate and current. Failure to disclose an identification number may
cause a penalty pursuant to 19 CFR 24.24(h).
PAPERWORK REDUCTION ACT NOTICE: This request is in accordance with the Paperwork Reduction Act. We ask for the information in order to carry out the Harbor
Maintenance Revenue provisions of the Water Resource Development Act of 1988. We need it to ensure that the trade community is complying with this Act, and to allow CBP to
determine if the correct amount of Harbor Maintenance Fee (HMF) is collected. It is mandatory. The estimated average burden associated with this collection of information is 30
minutes per respondent plus 10 minutes recordkeeping depending on individual circumstances . Comments concerning the accuracy of this burden estimate and suggestions for
reducing this burden should be directed to U.S. Customs and Border Protection, Information Services Branch, Washington, DC 20229, and to the Office of Management and
Budget, Paperwork Reduction Project (1651-0055), Washington, DC 20503.

CBP Form 349 (06/02)

ITEMIZATION OF EXEMPTIONS

FORM INSTRUCTIONS
(Refer to Customs publication No. 548, "Preparation of Harbor
Maintenence Fee Forms" for additional instructions; and 19 CFR
24.24.)
The following are specific instructions for most of the items on the
form. Items that have no instructions are self-explanatory. Domestic
movements, foreign trade zone (FTZ) admissions, passengers, or
any combination of these, may be declared on one form provided the
name of the company and identifying number are the same for all
movements declared.
Item 1. Identifying Number - Individual summary reports may
contain only one identifying number. This does not preclude filing
more than one summary report for one identifying number. The
identifying number must correspond to Item 2, Name of Company or
Individual. Check the appropriate box to indicate the kind of
identifying number being used. Enter the following information:
Domestic Movements - Shipper's Internal Revenue Service
(IRS) Number listed on the Vessel Operator Report (U.S. Army
Corps of Engineers Form 3925).
FTZ Admissions - Applicant for Admission to a Foreign Trade
Zone's Internal Revenue Service (IRS) Employer Identification
Number (EIN).
Passengers - Vessel Operator's Internal Revenue Service (IRS)
Employer Identification Number (EIN).
Item 2. NAME OF COMPANY OR INDIVIDUAL
following information:

- Enter the

Only one exemption per movement may be claimed. (See definition of
"movement" in Item 5 of the General Instructions in Customs
Publication No. 548). Figures inserted In Items 10 through 15 shall
represent quarterly totals.
Item 10. Exempt Port - Total value of shipments, for each type of
movement (e.g., domestics, FTZ admissions, etc.), loaded and/or
unloaded at an exempt port. See Customs Publication No. 548
"Preparation of Harbor Maintenance Fee Forms" for list of non-exempt
ports.
Item 11. Inland Waterw ay Fuel Tax - Total value of shipments
transported by vessels using fuel subject to the Inland Waterway Fuel
Tax. Applies only to domestic movements.
Item 12. Intraport - Total value of cargo moved within a single CBP
port. Applies only to domestic movements.
Item 13. U.S. Mainland-State/Possession/Territory - TotaI value of
the following:
Cargo, other than Alaskan crude oil, loaded on a vessel in
Hawaii, Alaska, or Puerto Rico, and unloaded in the state or
territory in which loaded.
Cargo, other than Alaskan crude oil, transported from the U.S.
mainland to Alaska, Hawaii, Puerto Rico, or the U.S. possessions
for ultimate use or consumption: and/or
Cargo, other than Alaskan crude oil, transported from Alaska,
Hawaii, or any U.S. possession to the U.S. mainland, Alaska,
Hawaii, or such possession for ultimate use or consumption in
the mainland, Alaska, Hawaii, or such possession.

Domestic Movements - Shipper listed on the Vessel Operator
Report (U.S. Army Corps of Engineers Form 3925).

U.S. mainland includes the 48 contiguous states and the District
of Columbia.

FTZ Admissions - Applicant or Firm Name listed on the
Application for Foreign Trade Zone Admission and/or Status
Designation (CBP Form 214 Box 24).

The U.S. possessions and territories include the following:

Passengers - Operator of the Passenger Carrying Vessel.
Item 3. ADDRESS - Street Address or P. O. Box number, city,
state, and zip code where company or individual may be contacted.
Item 4. REPORTING PERIOD
- Check only one box. A
separate summary report is required for each quarter reported.
Item 5. VALUE OF SHIPMENTS - Figures inserted in Items 5A
through 5C shall represent quarterly totals.
(5A) Domestic Movement - Total Value at the time of l oading.
(Free Alongside Ship (FAS) value, which includes selling price,
inland freight, insurance, and all other charges to transport the
cargo to the dock alongside the vessel.)
(5B) FTZ Admissions - Total entered value listed on the
Application for Foreign Trade Zone Admission and/or Status
Designation (CBP Form 214, total of Block 21).
(5C) Passengers - Actual charge for transportation paid by the
passengers or the prevailing charge for comparable service if no
actual charge is paid. The HMF is paid only once per journey for
each passenger. Crewmembers are not subject to the HMF.

American Samoa
Baker Island
Guam
Howland Island
Jarvis Island
Johnston Atoll
Kingman Reef
Midway
Northern Marianna Islands including:
Agrihan
Aguijan
Guguan
Pagan
Rota
Saipan
Tinian
Palmyra Island
Puerto Rico
U.S. Virgin Islands
Wake Island
Item 14. Other - The total value of cargo, for each type of movement,
subject to the following exemptions:

Item 6. VALUES OF EXEMPTIONS - Exemptions are to be
itemized in Items 10 through 14. Totals shall be inserted in Items
6A through 6C.

Cargo entering the U. S. in-bond for transportation and direct
exportation to a foreign country. (Does not include cargo for
which a formal entry or warehouse entry is filed, or cargo which is
admitted into a foreign trade zone).

Item 7. NET VALUE - Net value shall be calculated by subtracting
Items 6A through 6C from Items 5A through 5C. Enter the total net
value (sum of Lines A - C, Column 7) on Line E, Columns 5, 6 and 7.

Fish and other aquatic animal life caught by a vessel, and not
previously landed on shore, regardless of the extent to which it
has been processed.

Item 8. HMF DUE - To calculate the HMF, multiply the amount on
Lines 8A, 8B and 8C times the rate in effect for the period being
reported. The rate is 0.0004 (.04%) through December 31, 1990 and
0.00125 (.125%) beginning January 1, 1991.

Passengers transported on ferries. Ferries are defined as vessels
engaged primarily in the transport of passengers and their
vehicles between ports in the U.S. or between ports in the U.S.
and ports in Canada or Mexico. The vessel must arrive in the
U.S. on a regular schedule during its operating season.

Item 9. TOTAL HMF DUE - Total of lines 8A, 8B and 8C. Remit a
check or money order payable to the U.S. Customs and Border
Protection. Payments must be received no later than 31 days
after the close of the quarter being paid.

Item 16. CERTIFICATION - Insert signature of shipper, application for
FTZ admission, or operator of passenger carrying vessel.

CBP Form 349 (06/02)(Back)