PPQ 586 Application for Permit to Transit Plants and/or Plant Pr

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 0579-0049, 0303, and 0346. The time required to complete this information collection is estimated to average .5 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.							OMB APPROVED 0579-0049, 0303, and 0346
U.S. DEPARTMENT OF AGRICULTURE ANIMAL AND PLANT HEALTH INSPECTION SERVICE PLANT PROTECTION AND QUARANTINE APPLICATION FOR PERMIT TO TRANSIT PLANTS AND/OR PLANT PRODUCTS, PLANT PESTS, AND/OR ASSOCIATED SOIL THROUGH THE UNITED STATES			INSTRUCTIONS: PLEASE TYPE OR PRINT CLEARLY. PERMITS ARE NOT ISSUED TO A P.O. BOX. READ THE ENTIRE APPLICATION BEFORE COMPLETING. ATTACH ADDITIONAL SHEETS OF PAPER IF MORE SPACE IS NEEDED.			FORWARD COMPLETED APPLICATION TO: USDA-APHIS-PPQ PERMIT UNIT 4700 RIVER ROAD, UNIT 136 RIVERDALE, MD 20737-1236 1-877-770-5990; FAX: (301) 734-0572
1. NAME AND ADDRESS OF APPLICANT:						2a. The port of arrival in the U.S. and the location of any subsequent stop:
						2b. Country of Final Destination
3. Telephone Number (including area code)		4. Fax Number (including area code)			5. E-Mail Address
6. The Specific Origin, Type, and Quantity of Plants and/or Plant Products
(a) Country of Origin	(b) Quantity			(c) Scientific names of plants and/or plant products, plant pests, including associated soil (scientific, botanical, or English names must be included. Colloquial names are not acceptable.)
7. The location of (and the time needed for) any storage in the U.S.:				8. Any location in the U.S. where the plants and/or plant products, plant pests, and/or associated soil are to be transloaded:
9. The means of conveyance (e.g., air, truck, ocean, rail) to be used to transport the plants and/or plant products: A. INTO THE U.S. via: B. THROUGH THE U.S. via:				10. Use of any additional packing or packaging to secure the materials and any associated pests: (Includes shrink wrapping, pest proof screening, pallets with tops/bottoms, etc.)
11. If the commodity itself is to be transferred from one containment entity to another (i.e., sea container to another container, between different truck trailer boxes, airline pallets to truck ), does the transloaded facility have a current compliance agreement with the U.S. Department of Agriculture? Yes No				12. Are doors on containers, including truck and rail, solid and sealable? Yes No
13. Are all openings in the container, including drains, vents, introduction ports, etc., mesh screened? Yes No				14. If storage in the U.S. is necessary, has confirmation been made with the facility that they can maintain the transiting cargo in a protected area to prevent loss or pilferage? Yes No Do they have a compliance agreement with the U.S. Department of Agriculture? Yes No
15. The estimated time necessary to accomplish exportation from arrival at the port of entry to exit at the port of export:				16. The final port of exit in the U.S.:
17. Signature of Applicant:				18. Print Name of Applicant:				19. Date:

PPQ FORM 586 (All previous editions are obsolete.)

JAN 2011

WARNING: Any alteration, forgery, or unauthorized use of this document is subject to civil penalties of up to $250,000 (7 U.S.C. 7734(b)) or punishable by a fine of not more than $10,000, or imprisonment of not more than 5 years, or both (18 U.S.C. 1001)