13-4-3136 Foreign Producer Questionnaire

OMB No. 3117-0016/USITC No. 13-4-3136; Expiration Date: 6/30/2014
(No response is required if currently valid OMB control number is not displayed)

FOREIGN PRODUCERS’/EXPORTERS’ QUESTIONNAIRE
FROZEN WARMWATER SHRIMP FROM CHINA, ECUADOR, INDIA, INDONESIA,
MALAYSIA, THAILAND, AND VIETNAM

This questionnaire must be received by the Commission by no later than July 10, 2013
See page 4 of the Instruction Booklet for filing instructions.
The information called for in this questionnaire is for use by the United States International Trade
Commission in connection with its countervailing duty investigations concerning frozen warmwater
shrimp from China, Ecuador, India, Indonesia, Malaysia, Thailand, and Vietnam (Inv. Nos. 701-TA-491497 (Final)). The information requested in the questionnaire is requested under the authority of the Tariff
Act of 1930, title VII.
Name of firm

_________________________________________________________________

Address
World Wide Web address
Has your firm produced or exported frozen warmwater shrimp (as defined in the instruction booklet) at any
time since January 1, 2010?

NO

(Sign the certification below and promptly return only this page of the questionnaire to the Commission)

YES

(Read the instruction booklet carefully, complete all parts of the questionnaire, and return the entire
questionnaire to the Commission so as to be received by the date indicated above)

Data reported in this questionnaire relate to (Check one):
CHINA

ECUADOR

INDIA

MALAYSIA

THAILAND

VIETNAM

INDONESIA

Return questionnaire via the U.S. International Trade Commission Drop Box by clicking on the
following link: https://dropbox.usitc.gov/oinv/. (use the following PIN: SHRM)

CERTIFICATION
I certify that the information herein supplied in response to this questionnaire is complete and correct to the best of my knowledge
and belief and understand that the information submitted is subject to audit and verification by the Commission.
By means of this certification I also grant consent for the Commission, and its employees and contract personnel, to use the
information provided in this questionnaire and throughout this proceeding in any other import-injury proceedings conducted by
the Commission on the same or similar merchandise.
I acknowledge that information submitted in this questionnaire response and throughout this proceeding may be used by the
Commission, its employees, and contract personnel who are acting in the capacity of Commission employees, for developing or
maintaining the records of this proceeding or related proceedings for which this information is submitted, or in internal audits and
proceedings relating to the programs and operations of the Commission pursuant to 5 U.S.C. Appendix 3. I understand that all
contract personnel will sign non-disclosure agreements.

Name of Authorized Official

Title of Authorized Official

Date

Phone:
Signature

Email address
Fax:

Business Proprietary
Foreign Producers’/Exporters’ Questionnaire - Frozen Warmwater Shrimp

Page 2

PART I.—GENERAL INFORMATION
The questions in this questionnaire have been reviewed with market participants to ensure that issues of
concern are adequately addressed and that data requests are sufficient, meaningful, and as limited as
possible. Public reporting burden for this questionnaire is estimated to average 20 hours per response,
including the time for reviewing instructions, searching existing data sources, gathering the data needed,
and completing and reviewing the questionnaire. Send comments regarding the accuracy of this burden
estimate or any other aspect of this collection of information, including suggestions for reducing the
burden, to the Office of Investigations, U.S. International Trade Commission, 500 E Street, SW,
Washington, DC 20436.
I-1a. OMB statistics.--Please report below the actual number of hours required and the cost to your
firm of preparing the reply to this questionnaire and completing the form.
I-1b.

hours
dollars
OMB feedback.--We are interested in any comments you may have for improving this
questionnaire in general or the clarity of specific questions. Please attach such comments to your
response or send them to the above address.

I-2.

Establishments covered.--Provide the name and address of establishment(s) covered by this
questionnaire (see page 3 of the instruction booklet for reporting guidelines). If your firm is
publicly traded, please specify the stock exchange and trading symbol.

I-3.

U.S. importers.--Please provide the names, street addresses (not P.O. boxes), contacts, telephone
numbers, and e-mail addresses of the FIVE largest U.S. importers of your firm’s frozen
warmwater shrimp in 2012.

Importer’s name

1

Contact person

Email

Telephone

Street address (not P.O.
box), city, state, and zip
code

Street Address

,
City

2

State

Street Address

,
City

3

State

,
State

Zip Code

Street Address

,
City

5

Zip Code

Street Address
City

4

Zip Code

State

Zip Code

Street Address

,
City

State

Zip Code

Share of
your
2012
exports
(%)