For 9902.51.15 OMB No.: 0551-0045 Expires 09/30/2015
APPLICATION FOR 2016 MONETIZED TRQ PAYMENTS
MANUFACTURERS OF MEN’S & BOYS’ WORSTED WOOL SUITS, SUIT-TYPE JACKETS AND TROUSERS
|
M&B Worsted Wool Suits of 85% or More by Weight Wool |
M&B Worsted Wool Suit-Type Jackets of 85% or More by Weight Wool |
M&B Worsted Wool Trousers of 85% or More by Weight Wool |
|||
|
|
18.5 Microns or Less |
||||
Quantity and Value |
Units |
($) |
Units |
($) |
Units |
($) |
Period |
January-December 2015 |
January-December 2015 |
January-December 2015 |
|||
Production (fob plant) |
|
|
|
|
||
Using TRQ Fabric |
|
|
|
|
|
|
Names and Addresses of Plants Producing |
|
|
|
|||
Contractors and Locations of Plants |
|
|
|
Please check if garments are cut and sewn in your own plants.
and/or
Please check if garments were cut and sewn by a contractor and you had title to the fabric.
Note: Data based on microns.
Signature of Representative |
Date |
Signature of Notary |
Date |
Certification Statement: I, the duly authorized representative, as an employee, officer or agent, with personal knowledge of the matters set out in the application, certify that the information contained herein is complete and accurate, signed and sworn before a Notary Public, and acknowledging that false representations to a federal agency may result in criminal penalties under federal law.
If data provided is to be treated as Business Confidential, please indicate prominently across top of form.
Data for January-December 2015
Company Name: |
_______________________ |
Contact Name: |
______________________ |
|
Company Address: |
_______________________ |
Contact Address: |
______________________ |
|
|
_______________________ |
|
______________________ |
|
|
_______________________ |
|
______________________ |
|
Company Federal Tax |
|
Contact Telephone Number: |
________________ |
|
Identification Number: |
_______________________ |
Contact Email Address: |
________________ |
AVERAGE FIBER DIAMETER 18.5 MICRONS OR LESS
For listing additional plants and/or contractors, go to the next page.
Public reporting for this collection of information is estimated to average 3 hours per response, including the time for reviewing instructions, and completing and reviewing the collection of information. All responses to this collection of information are voluntary, and will be provided confidentiality to the extent allowed under the Freedom of Information Act. Notwithstanding any other provision of the law, no person is required to respond to nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless the collection of information displays a current valid OMB control number. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Import Policies and Export Reporting Division at: PIMAWOOL@FAS.USDA.GOV
Continued on Next Page
For 9902.51.15 OMB No.: 0551-0045 Expires 09/30/2015 Continuation Sheet
|
Worsted Wool Fabric of 85% or More by Weight Wool For M &B Suits |
Worsted Wool Fabric of 85% or More by Weight Wool For M&B Suit-Type Jackets |
Worsted Wool Fabric of 85% or More by Weight Wool For M&B Trousers |
|||
Purchases of |
18.5 Microns or Less |
18.5 Microns or Less |
18.5 Microns or Less |
|||
Quantity and Value (Value = Customs Entered Value*) |
Square Meters |
($) |
Square Meters |
($) |
Square Meters |
($) |
Period |
January-December 2015 |
January-December 2015 |
January-December 2015 |
|||
Domestic (fob plant) |
|
|
|
|
|
|
Imports (value = transaction value*) |
|
|
|
|
|
|
*Nondirect importers enter the value that the material was purchased.
List Additional Contractors Below
List Additional Plants Below
|
M&B Worsted Wool Suits of 85% or More by Weight Wool |
M&B Worsted Wool Suit-Type Jackets of 85% or More by Weight Wool |
M&B Worsted Wool Trousers of 85% or More by Weight Wool |
|
|
18.5 Microns or Less |
|
Names and Addresses of Plants Producing |
|
|
|
Names and Addresses of Plants Producing |
|
|
|
Names and Addresses of Plants Producing |
|
|
|
|
M&B Worsted Wool Suits of 85% or More by Weight Wool |
M&B Worsted Wool Suit-Type Jackets of 85% or More by Weight Wool |
M&B Worsted Wool Trousers of 85% or More by Weight Wool |
|
|
18.5 Microns or Less |
|
Contractors and Locations of Plants |
|
|
|
Contractors and Locations of Plants |
|
|
|
Contractors and Locations of Plants |
|
|
|
If additional space for listing plants and/or contractors is needed, use this page again after printing or attach a blank sheet of paper with the requested information.
E-Mail completed and notarized form to: PIMAWOOL@FAS.USDA.GOV
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2021-01-24 |