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 0579-0049. The time required to complete this information collection is estimated to average .25 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. |
OMB APPROVED 0579-0049 Exp. Date |
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U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE PLANT PROTECTION AND QUARANTINE
APPLICATION FOR PERMIT TO IMPORT PLANTS OR PLANT PRODUCTS FOR EXPERIMENTAL PURPOSES (Not for importations of plants or plant products for sale or distribution) |
INSTRUCTIONS: To be completed and signed by the person who will be responsible for the plant material in the U.S. Please PRINT. READ the entire application before completing. Continue on reverse if necessary. Cite item number continued. |
FORWARD COMPLETED APPLICATION TO USDA-APHIS-PPQ Permit Unit 4700 River Road, Unit 136 Riverdale, MD 20737-1236 (301) 734-8645; FAX: (301) 734-5786 ATTN: KAREN BRADY |
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1. Print Name, Address, and Telephone No. of Applicant (include name of scientific, educational, or research facilities, street address, P.O. Box and ZIP Code. Applicant must be a faculty member or permanent member of the staff of the institution.) |
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2. Will the Imported Plant Material be Planted or Grown in the U.S. for any Purpose?
(If yes, complete all blocks on both sides of form, if no, complete blocks 1-17, 23, and 24. YES NO |
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3. Plants or Plant Products to be Imported |
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Country of Origin |
Quantity per Shipment |
Scientific Names of Plant Material |
Plant Parts (seeds, cuttings, rhizomes, plants, bulbs, fruits, etc) |
Desired Date(s) of Arrival |
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A. |
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B. |
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4. Name and Address of Foreign Supplier of each item listed in No. 3 Above |
5. Kind of Foreign Certification to Accompany Plant Material
Phytosanitary Certificate issued by a Federal Government
Phytosanitary Certificate issued by State of Provincial Government
Phytosanitary statement of research organization
Other |
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6. Means of Importation:
Air mail or air parcel Surface mail or parcel post
Air freight. Give port of arrival: _____________________ Truck, rail, or water freight. Give port of arrival: ____________________
Baggage or car. Give name of importer, airline, flight no., expected port of arrival: _____________________________________
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7. Check Box if Plant Materials ALREADY Arrived in U.S. |
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8. Number of Additional Importations Contemplated within the Next Two Years: |
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9. Describe Methods to be used to Prevent Pilferage, Vandalism, or Escape of Plant Pests and Pathogens While Material is in U.S. (Include description of shipping containers, storage facilities, limited access to imported materials, cleaning & disinfection of tools and equipment used with imported materials, greenhouse screening, etc.)
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10. Final Disposition of Imported Plant Materials, Plants Grown from Imported Plant Materials, Growing Media, and Residues and Products Thereof
Incineration Other (describe)
Autoclaving for 15 minutes at 15 lbs. Sq. In. At 121oC (250o F) Expected date of final disposition: _______________________________
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11. Is the Imported Plant Material or any Part Thereof Known or Suspected to be Infected or Contaminated with any Plant Pest or Pathogen?
No Yes (give scientific name(s) of pests or pathogens)
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12. If Plant Materials to be Imported have been Treated or Processed in any way, Give Details (e.g. name and dosage of chemical treatment; method of cleaning, time and temperature of heat treatment; if frozen at time of arrival, temperature at which frozen and estimated temperature at time of arrival; composition of added seed coating; etc.)
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13. Describe Packing Material to be Used |
14. Is the Imported Plant Material an Organism Altered or Produced through Recombinant Nucleic Acid Engineering or other Non-Classical Genetic Manipulation, or a Product of Such an Organism?
Yes No
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PPQ FORM 588
MAY 2009 PAGE 1 OF 2
15. Describe the Nature of Intended Work to be Performed with Imported Plant Materials (e.g. laboratory analysis, feeding trials, display, product development or evaluation, biotechnology, storage, etc.)
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16. Address of Location Where Work Will be Performed
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17. Address of Location Where Plant Materials Will be Stored (if same address in Item 14, write “same”) |
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18. If any item in block No. 3 is for Growing, Name the Item and Describe Below the Nature of Intended Work to be Done with Imported Material and Increase Therefrom (e.g. germination, testing, increase, bioassay, tissue or plantlet culturing, breeding, biotechnology, performance evaluation, disease resistance studies, etc.)
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19. Where will Growing be Done: Growth Chamber Laboratory Greenhouse Phytotron Field Plot
Other (describe):
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20. Give Street Address, City, and State of Location(s) where Growing will be Done
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21. For how Long will Plants be Grown? |
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22. Give Name and Address of Plant Pathologist not Affiliated with your Institution who is Familiar with Diseases of the Plant Genus to be Imported and who has Agreed to Examine the Plants Grown from Imported Plant Material |
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WARNING: Any alteration, forgery, or unauthorized use of this document is subject to civil penalties of up to $250,000 (7 U.S.C. 7734(b)) or punishable by a fine of not more than $10,000, or imprisonment of not more than 5 years, or both (18 U.S.C. 1001) |
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I am the person who will be responsible for the plant material described in item 3 above. I agree to observe the conditions specified on a permit which may be issued. I understand that inspection and approval of the facilities to be used for imported material may be required before a permit is issued. I understand that the kinds of plant materials listed in item 3 may not be imported for sale or distribution in the U.S. |
23. Signature of Applicant (must be same name as item No. 1) |
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24. Date |
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Note: This area may be used to continue any item on the form. Before each continuation, cite the item number being continued.
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PPQ FORM 588 Previous edition obsolete.
MAY 2009 PAGE 2 OF 2
File Type | application/msword |
File Title | USDA_NOA_OW |
Author | UPS |
Last Modified By | Government User |
File Modified | 2009-05-15 |
File Created | 2009-05-15 |