PPQ 526 Application and Permit to Move Live Plant Pests or Noxio

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid
OMB control number for this information is 0579-0054 and 0579-0213. The time required to complete this information collection is estimated to average 0.17 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.

FORM APPROVED
OMB NO. 0579-0054
0579-0213

No permit can be issued to move live plant pests or noxious weeds until an application is received (7 CFR 330 (live plant pests) or 7 CFR 360 (noxious weeds)).

SECTION A - TO BE COMPLETED BY THE APPLICANT

U.S. DEPARTMENT OF AGRICULTURE
ANIMAL AND PLANT HEALTH INSPECTION SERVICE
PLANT PROTECTION AND QUARANTINE
PERMITS AND RISK ASSESSMENT, UNIT 133
RIVERDALE, MARYLAND 20737

1. NAME, TITLE, AND ADDRESS (Include Zip Code)

APPLICATION FOR PERMIT TO MOVE
LIVE PLANT PESTS OR NOXIOUS WEEDS
3. TYPE OF PEST TO BE MOVED

*

Pathogens

Arthropods

Noxious Weeds

Other (Specify) _____________________________________
This permit does not authorize the introduction, importation, interstate
movement, or release into the environment of any genetically engineered
organisms or products.
A.

B. CLASSIFICATION
(Orders, Familites,
Races, or Strains)

SCIENTIFIC NAMES OF
PESTS TO BE MOVED

2. TELEPHONE NO. (
C.

LIFE
STATES, IF
APPLICABLE

)

D.
NO. OF
SPECIMENS OR
UNITS

E.

SHIPPED FROM
(Country or State)

F. ARE PESTS G.
ESTABLISHED
IN U.S.?

MAJOR HOST(S) OF THE PEST

4.
5.
6.
7. WHAT HOST MATERIAL OR SUBSTITUTES WILL ACCOMPANY WHICH PESTS (Indicate by line number)

8. DESTINATION

9. PORT OF ARRIVAL

11. NO. OF SHIPMENTS

10. APPROXIMATE DATE OF ARRIVAL OR
INTERSTATE MOVEMENT

12. SUPPLIER

13. METHOD OF SHIPMENT
Air Mail

Air Freight

Baggage

Auto

14. INTENDED USE (Be specific, attach outline of intended research)

15. METHODS TO BE USED TO PREVENT PLANT PEST ESCAPE

17.

16. METHOD OF FINAL DISPOSITION

SIGNATURE OF APPLICANT (Must be person named in Item 1)
Applicant must be a resident of the U.S.A.
I/We agree to comply with the safeguards printed on the reverse of
this form, and understand that a permit may be subject to other
conditions specified in Section B and C.

18. DATE

WARNING:
Any alteration, forgery, or unauthorized use of this document is subject to civil penalties of up to $250,000 (7 U.S.C. s7734(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. s1001).
SECTION B - TO BE COMPLETED BY STATE OFFICIAL
19. RECOMMENDATION
Concur
(Approve)

20. CONDITIONS RECOMMENDED
Comments
(Disapprove)

(Accept USDA Decision)
21. SIGNATURE

22. TITLE

23. STATE

24. DATE

SECTION C - TO BE COMPLETED BY FEDERAL OFFICIAL
25. PERMIT NO.

PERMIT
(Permit not valid unless signed by an authorized official of the Animal and Plant Health Inspection Service)
Under authority of the Plant Protection Act of 2000, permission is hereby granted to the
applicant named above to move the pests described, except as deleted, subject to the conditions stated on,
or attached to this application. (See standard conditions on reverse side.)

* For exotic plant pathogens, attach a completed PPQ Form 526-1.
24. SIGNATURE OF PLANT PROTECTION AND QUARANTINE OFFICIAL

PPQ FORM 526

(OCT 2001)

25. DATE

Previous editions are obsolete.

26. LABELS ISSUED

27. VALID UNTIL

28. PEST CATEGORY

STANDARD SAFEGUARDS OF PERMIT
1. All pests must be shipped in sturdy, excape-proof containers.
2. Upon receipt of pests, all packing material media, substrate, soil and shipping
containers shall be sterilized or destroyed immediately after removing pests.
3. Pests shall be kept only within the laboratory or designated area at the
permittee's address.
4. No living pests kept under this permit shall be removed from confined area
except by prior approval from State and Federal regulatory officials.
5. Without prior notice and during reasonable hours, authorized PPQ and State
regulatory officials shall be allowed to inspect the conditions under which the
pests are kept.
6. All pests kept under this permit shall be destroyed at the completion of the
intended use, and not later than the expiration date, unless an extension is
granted by this issuing office.
7. All necessary precautions must be taken to prevent excape of pests. In the
event of an excapte, notify this office.

PPQ FORM 526 (Reverse)