Form 16-3 Purchaser questionnaire for expedited investigations

Information collections for import injury investigations (producers, importers, purchasers, and foreign producer questionnaires and institution notices for 5-year reviews)

Template_Purchaser_Questionnaire.dot

Purchaser questionnaire for expedited investigations

OMB: 3117-0016

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3117-0016 can be found here:

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OMB No. 3117—0016/USITC No. 16-5-xxx; Expiration Date: 6/30/2017

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ADEQUACY PHASE U.S. PURCHASERS’ QUESTIONNAIRE

INVESTIGATION TITLE

This questionnaire must be received by the Commission by no later than Date

The information called for in this questionnaire is for use by the United States International Trade Commission in connection with its review of the countervailing and antidumping duty order(s) concerning #abbrproduct from #ctrysubs (inv. No. 701-TA-xxx and 731-TA-xxx (second/third Review). The information requested in the questionnaire is requested under the authority of the Tariff Act of 1930, title VII. This report is mandatory (19 U.S.C. § 1333(a)). Further information on this questionnaire can be obtained from Economist (phone: 202-205-XXXX; fax: 202-205-2340; e-mail: name@usitc.gov).

Name of firm

Address

City State Zip Code

Website

Has your firm purchased #abbrproduct from ANY source (domestic or foreign) at any time since January 1, #bopyear?

NO (Sign the certification below and promptly return only this page of the questionnaire to the Commission)

YES (Complete and return the questionnaire to the Commission)

Return questionnaire via the U.S. International Trade Commission Drop Box by clicking on the following link: https://dropbox.usitc.gov/oinv/. (Investigation: Adequacy Phase Reviews, PIN: REVIEWS)

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 submitting 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, the undersigned, acknowledge that information submitted in response to this request for information and throughout this investigation or other proceeding may be disclosed to and used:

(i) by the Commission, its employees and Offices, and contract personnel (a) for developing or maintaining the records of this or a related proceeding, or (b) in internal investigations, audits, reviews, and evaluations relating to the programs, personnel, and operations of the Commission including under 5 U.S.C. Appendix 3; or

(ii) by U.S. government employees and contract personnel, solely for cybersecurity purposes. I understand that all contract personnel will sign appropriate nondisclosure agreements.

Name of Authorized Official Title of Authorized Official Date

Phone:

Signature Email address

Definitions.--The following definitions apply to this request:

(1) Subject Merchandise is the class or kind of merchandise that is within the scope of the five-year review, as defined by the Department of Commerce.

(2) The Subject Country in this review is Country.

(3) The Domestic Like Product is the domestically produced product or products which are like, or in the absence of like, most similar in characteristics and uses with, the Subject Merchandise. In its original determination, the Commission defined XXX.

(4) The Order Date is the date that the antidumping duty order under review became effective. In this review, the Order Date is XXX.

In your responses to the following questions, please identify significant changes, if any, in the supply and demand conditions or business cycle for #abbrproduct that have occurred in the United States or in the market for #abbrproduct in #ctrysubs after January 1, #bopyear, and significant changes, if any, that are likely to occur within a reasonably foreseeable time.

1a. Have any changes occurred in technology; production methods; or development efforts to produce #abbrproduct that affected the availability of #abbrproduct in the U.S. market or in the market for #abbrproduct in #ctrysubs since #bopyear?

No Yes--Discuss any significant changes, noting the time period and