Form LPS-222 Import Request (Shell Eggs)

FORM APPROVED –OMB NO. 0581-0113

U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
LIVESTOCK, POULTRY AND SEED PROGRAM

PERMIT NUMBER:
SEA -

IMPORT REQUEST (SHELL EGGS)
Instructions: See reverse for completion or hyperlink for electronic filing in the Automated Commercial Environment (ACE).

Section A – Application for Import Inspection
1. Name and Address of Consignor:

Section D – Agreement for Temporary Transfer
Date:

1. Name and Address for Location of Product for AMS
Inspection:

2. Name and Address of Importer:
2. Name and Telephone Number for Contact at the Location:

Section B – Notice of Product Shipped Under Seal(s)
1. Point of Entry:

2. Estimated Date of Arrival:

Section E – Product Disposition
Section C – Identification of Shipment

1. Import Document Correct:

Yes

No

1. Country of Origin:

2. Labeling Correct:

Yes

No

2. U.S. Customs Entry Number:

Ambient Transport Temperature: _______ °F

3. Name and Address of Consignee:

Signature and Date – FSIS Representative:

4. Type of Product:
* Non-Restricted Eggs
(Table Eggs)

Number of Containers:

Quantity Eggs:
Dozens

Restricted Eggs
(De-characterized
Inedible)
Hatching Eggs

Pounds

Product Released to Enter Commerce (LPS Signature and Date):

Dozens

I hereby attest that I have acquired an Import Permit from the
Animal and Plant Health Inspection Service (APHIS), USDA to
import hatching eggs and inedible egg products.

Section D – Agreement for Temporary Transfer

Refused Entry – Cause and Disposition:

IN CONSIDERATION of the U.S. Collector of Customs granting
me (us) permission to transfer temporarily the products described in
Section “C” which are offered for entry into the United States. I
(WE) AGREE under bond filed with said Collector of Customs and
subject to the penalties prescribed in laws enacted by Congress and
regulations issued thereunder by the Secretary of the Treasury, to hold
the said products intact at the location indicated to the right until they
have been inspected and passed by a Livestock, Poultry and Seed
Program Representative or have been otherwise disposed of under the
supervision of a U.S. Customs Officer or a Livestock, Poultry and
Seed Program Representative.

Number of Containers:

LPS-222 (04-14)

Quantity:

IMPORT REQUEST
(SHELL EGGS)
INSTRUCTIONS FOR COMPLETION AND DISTRIBUTION: Importers or their agents may obtain this form by contacting the
Livestock, Poultry and Seed Program offices website at: http://www.ams.usda.gov/LPS

Importer
1. Complete Sections A, B, C, and D.

Food Safety and Inspection Service Representative
1. Measure the ambient transport temperature inside the
conveyance unit.

2. Mail the completed form to:
2. Record results in Section E.
Quality Assessment Division
Livestock, Poultry and Seed Program
Agricultural Marketing Service, USDA
Room 3932-S, Stop 0258
1400 Independence Avenue, SW
Washington, DC 20250

3. If the shipment is refused entry, document the cause and
disposition. Mail the completed form to the LPS office
listed to the left of this form and notify the U.S. Customs
and Border officials.

To electronically file the form with LPS:

4. For a shipment accepted, sign and date and return form to
importer’s/consignor’s agent.

[email protected]
3. The issued Import Request, Form LPS-222 will be returned
by mail. Alternate arrangements to return the Import
Request can be established. The issued Import Request must
be presented to U.S. Customs and Border Protection
officials for conditional release pending inspection.
4.The importer or agent responsible for the shipment must
provide LPS, USDA, with a contact at the shipment
destination location. An LPS representative will schedule
an inspection of the product and applicable import
documents.

Electronic Filing of Import Request
Follow the guidance provided on the Customs and Trade
Automated Interface Requirements (CATAIR) website listed
below for submission of an Import Request through the ACE
system (Automated Commercial Environment):
http://www.cbp.gov
Search CATAIR for the message set – Shell Egg Inspection.
Contact LPS for the issuance of an Import Request:
(202) 720-3271.

Livestock, Poultry and Seed Representative
1. When the Import Request submitted is acceptable, enter in
the shell egg affidavit number issued (located at the top
right-hand corner of the form).

* AMS jurisdiction for inspection is limited to eggs
originating from the domesticated chicken, turkey, duck,
goose, or guinea.

2. Upon arrival, complete inspection of the product and import
documents. If acceptable for entry, sign and date Section E.
3. When refused entry, record the appropriate information in
the bottom portion of Section E. Inform the U.S. Customs
and Border Protection official(s) at the point of entry.
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 number for this information collection is
0581-0113. The time required to complete this information collection is estimated to average .33 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. The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis
of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual
orientation, genetic information, political beliefs, reprisal, or because all or part of an individual's income is derived from any public assistance
program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of
program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file
a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 202509410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.
LPS-222 Reverse (04-14)