1471.13_fas_monetized_wool_trq_less_than_hts_15_form_2022

Agriculture Wool Apparel Manufacturers Trust Fund

1471.13_fas_monetized_wool_trq_less_than_hts_15_form_2022

OMB: 0551-0045

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For 9902.51.15 OMB No.: 0551-0045

APPLICATION FOR 2022 MONETIZED TRQ PAYMENTS

MANUFACTURERS OF MEN’S & BOY’S WORSTED WOOL SUITS, SUIT-TYPE JACKETS AND TROUSERS





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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 2021

January-December 2021

January-December 2021

Production (fob plant)













Using Imported 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 2021


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 Program Operations Division at: [email protected]


Continued on Next Page



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Total Direct (D):___________________________ Total Indirect (ID):____________________________



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 2021

January-December 2021

January-December 2021

Domestic (fob plant)













Imports (value = D:













Transaction value*) ID:







*Nondirect importers enter the value that the material was purchased.


For 9902.51.15 OMB No.: 0551-0045 Continuation Sheet






List Additional Contractors Below

List Additional Plants Below
















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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: [email protected]


NOTE: Do not report imported wool fabric under Subheading 5112.19.60 from the following countries: Bahrain (BH); Canada (CA); Chile (CL); Columbia (CO); Israel (IL); Jordan (JO); South Korea (KR); Morocco (MA); Mexico (MX); Costa Rica, El Salvador, Guatemala, Honduras, and Nicaragua, and the Dominican Republic (P); Panama (PA); Peru (PE); and Singapore (SG). Do not report imported wool fabric under Subheading 5112.11.30 from the following countries: Bahrain (BH); Canada (CA); Chile (CL); Columbia (CO); Israel (IL); Jordan (JO); South Korea (KR); Morocco (MA); Mexico (MX); Costa Rica, El Salvador, Guatemala, Honduras, and Nicaragua, and the Dominican Republic (P); Panama (PA); Peru (PE); and Singapore (SG).

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