LPS-222 Import Request (Shell Eggs)

OMB APPROVED: NO. 0581-0113
U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETING SERVICE
LIVESTOCK, POULTRY, AND SEED PROGRAM

IMPORT PERMIT NUMBER:

IMPORT REQUEST (SHELL EGGS)
Instructions: See reverse side for completion instructions 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:

2. Name and Address of Importer:

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

2. Estimated Date of Arrival:

3. Container/Trailer Number:

4. Seal Number:

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

Section C – Identification of Shipment
1. Country of Origin:

2. U.S. Customs Entry Number:

3. Name and Address of Consignee:

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

Section E – Product Disposition
1. Import Document Correct:
2. Labeling Correct:

Ambient Transport Temperature:__________ ⁰ F

4. FDA Registration Number:
5. Type of Product:
* Non-Restricted Eggs
(Table Eggs)
Restricted Eggs
(Decharacterized/Inedible)
Breaking Stock

Number of Containers:

Quantity of Eggs:
Dozens

Product Released to Enter Commerce
(LPS Signature and Date)

Pounds
Dozens

I hereby attest that I have acquired an Import Permit from the Animal
and Plant Health Inspection Service (APHIS), USDA to import table
eggs, hatching eggs and inedible egg products.
I hereby attest that I have registered with the Food and Drug
Administration (FDA) for compliance with Bioterrorism Act and the Egg
Safety Rule.
LPS-222 (01/2018)

Yes
Yes

Refused Entry – Cause and Disposition

No
No

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
USDA

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

1. Upon arrival, complete inspection of the product and import
documents.

2. Mail the completed form to:

2. Measure the ambient transport temperature inside the
conveyance unit.

Quality Assessment Division
Livestock, Poultry, and Seed Program
Agricultural Marketing Service, USDA
1400 Independence Avenue, SW;
Room 3932-S, Stop 0258
Washington, DC 20250

3. Record results in Section E.
4. When the Import Request submitted is acceptable, enter in the
shell egg import permit number issued (located at the top righthand corner of the form).

To electronically file the form with LPS email to:
[email protected]

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

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.

6. If the shipment is refused entry, document the cause and
disposition in the bottom portion of Section E. Submit the
completed form to the LPS office listed to the left and notify the
U.S. Customs and Border Protection official(s) at the point of entry.
Electronic Filing of Import Request

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.

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): https://www.cbp.gov/
Search CATAIR for the message set – Shell Egg Inspection.
Contact LPS for the issuance of an Import Request:
(202) 720-2153.

* AMS jurisdiction for inspection is limited to eggs originating from the domesticated chicken, turkey, duck, goose, or guinea.
NOTE: 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 05810113. The time required to complete this information collection is estimated to average .20 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, employer, and lender.
LPS-222 (01/2018) Reverse