PPQ 540 Certificate for Certification of Treatment

	FORM APPROVED: OMB 0579-0088, 0198, 0281, 0322, 0331, 0337, and 0363. Information requested is needed to determine if a permit can be issued (7 CFR 301). E U.S. Department of Agriculture Animal and Plant Health Inspection Service Plant Protection and Quarantine certificate This certificate must be surrendered to the consignee at destination of shipment. The articles described below are certified under all applicable Federal or State cooperative domestic plant quarantines.
	1. Date issued		2. Void After
	3. Name of Consignor
	4. shipping point
	5. name and address of consignee
	6. vehicle License Number and state		7. R.R. car initials and number
	8. description
	A. Quantity	B. Article		C. Remarks
	9. signature of issuing inspector
	Penalty for misuse or alteration (7 U.S.C. 163)
	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 this information collection are 0579-0088, 0198, 0281, 0322, 0331, 0337, and 0363. The time required to complete this information collection is estimated to average between .16 and 2 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.
	PPQ FORM 540 APR 89 edition may be used. PART 1 - CONSIGNEE DEC 2010