Form ITA-41411P Low Value Steel Import License

INTERNATIONAL TRADE ADMINISTRATION

OMB Control No.: 0625-0245
Expiration Date: 01/31/2018

LOW VALUE STEEL IMPORT LICENSE

Form ITA-4141P

Date: XX/XX/XXXX
Steel Import License
Enforcement and Compliance
US Department of Commerce
1401 Constitution Ave. NW
Washington DC, 20230
Fax: (202) 501-1377

Request for a Low-Value Steel Import License Number
I,
of
on behalf of
, hereby request Enforcement and Compliance of the
U.S. Department of Commerce, to grant me a multiple-use Steel Import License number for low-valued shipments. I
understand that there are certain terms of agreement set in place for the use of the Low-Valued Steel Import License. I
understand that once I am granted a license number I will be obliged to adhere to the following the terms of agreement.
I understand that I may use this number more than once, but this license is only valid for covered steel products with a value
of $5000 or less per entry.
I understand that this license number may only be used by the company I represent.
I understand all information provided to the Bureau of Customs and Border Protection (CBP) in connection with this license
number will be monitored by both CBP and Commerce.
I understand that the misuse of this license may result in the inability of my company to use the low-value license and/or the
imposition of CBP enforcement action as appropriate.

Attorney In Fact

Applicant Name:
Contact Name:
Address of Applicant:
Contact Phone:
Contact Fax:
Contact Email:
Before submitting this form to the Department of Commerce, you must check the box below to certify that, as a representative of
the manufacturer or importer, the above information is accurate and complete to the best of your knowledge.
I certify that the above information is accurate and complete to the best of my knowledge.
Public reporting for this collection of information is estimated to be 10 minutes per response, including the time for reviewing
instructions, and completing and reviewing the collection of information. All responses to this collection of information are
required, and will be provided confidentially to the extent allowed by law. Notwithstanding any other provision of 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 that 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 Reports Clearance Officer, International Trade Administration, Department of
Commerce, Room 41006, 14th and Constitution Avenue, N.W., Washington, D.C. 20230.