Form 3173 Temporary Application for Extension of Bond for Importat

DEPARTMENT OF HOMELAND SECURITY

Form Approved
OMB No. 1651-0015
Exp. 07-31-2009

U.S. Customs and Border Protection
APPLICATION FOR EXTENSION OF BOND
FOR TEMPORARY IMPORTATION
19 U.S.C. 66, 1202; 19 CFR 10.37
(Chap. 98, Subchapter XIII, Harmonized Tariff Schedules of the United States)
1. NAME AND ADDRESS OF IMPORTER

2. TIB ENTRY NUMBER

3. DATE OF THIS REQUEST

4. DESCRIPTION OF MERCHANDISE

5. TARIFF ITEM NUMBER

6. DATE OF IMPORTATION

7. NUMBER AND DURATION OF
PREVIOUS EXTENSIONS

8. DATE TO WHICH THIS EXTENSION IS
REQUESTED (NOT TO EXCEED 3
YEARS FROM DATE OF IMPORTATION)

9. REASON FOR APPLICATION (State why goods have not been exported or destroyed within the original bond period of authorized extension.)

10. DESCRIBE BRIEFLY ALL USES TO WHICH THE ARTICLES HAVE BEEN PUT SINCE IMPORTATION

11. DESCRIBE BRIEFLY ALL USES TO WHICH THE ARTICLES WILL BE PUT DURING THE PERIOD OF EXTENSION

12. HAVE THE ARTICLES BEEN OFFERED FOR SALE OR SALE ON APPROVAL

THIS BLOCK FOR CBP USE ONLY
DATE
APPLICATION
APPROVED

PORT DIRECTOR

YES

(Give details below)

NO

13. I DECLARE THAT ALL THE FACTS STATED ABOVE ARE TRUE AND
ACCURATE IN ALL RESPECTS.

(SIGNATURE)

BY:
(TITLE)

PAPERWORK REDUCTION ACT NOTICE: The Paperwork Reduction Act says we must tell you why we are collecting this information, how
we will use it, and whether you have to give it to us. We ask for the information to carry out the U.S. Customs and Border Protection laws of
the United States. This form is used by the importer or his authorized agent to apply for an extension to the temporary importation period
and by CBP to determine the necessity for granting such extension. It is required to obtain or retain a benefit. The estimated average
burden associated with this collection of information is 13 minutes per respondent or recordkeeper 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 (1651-0015), Washington, DC 20503.
CBP Form 3173 (05/06)