Form APHIS 7040 APHIS 7040 Application for Import Permit

Animal Welfare: Importation of Live Dogs

APHIS 7040 SEPT 2011

Individuals

OMB: 0579-0379

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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 numbers for these information collections are 0579-XXXX. The time required to complete these information collections 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-XXXX


UNITED STATES DEPARTMENT OF AGRICULTURE

ANIMAL AND PLANT HEALTH INSPECTION SERVICE


Animal care


Application for Import Permit

Name and Address of the person intending to export the dog(s)

The name and address of the person intending to import the dog(s) into the continental United States or Hawaii

The number of dogs to be imported and the breed, sex, age, color, markings, and other identifying information of each dog

The purpose of the importation

The port of embarkation and the mode of transportation

The port of entry in the continental United States or Hawaii

The proposed date of arrival in the continental United States or Hawaii

The name and address of the person to whom the dog(s) will be delivered in the continental United States or Hawaii and, if the dog(s) is or are imported for research purposes, the USDA registration number of the research facility where the dog will be used for research, tests, or experiments.

Signature

Date

APHIS Form 7040

SEP 2011

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