Form CS 337508-A CS 337508-A CDC Notification of Proposed Nonhuman Primate (NHP) Impo

Form Approved
OMB No. 0920-1383
Expiration Date: 1/31/26

CDC NOTIFICATION OF PROPOSED NONHUMAN PRIMATE (NHP)
IMPORTATION TO THE UNITED STATES
SECTION 1: IMPORTER’S CONTACT INFORMATION
Date of CDC Notification:
CDC-registered importer name:
Importer address:

Primary Contact for this Shipment
Name:

Phone number:

Email:

SECTION 2. QUARANTINE FACILITY (IF DIFFERENT FROM IMPORTER)
Name/Institution:
Address:

SECTION 3: ANIMAL INFORMATION
Species being imported

Number of animals being imported

1.
2.
3.
4.

Means of individually identifying NHPs (tattoo, microchip, etc.):
Please submit individual NHP ID numbers as a Microsoft Excel spreadsheet to [email protected] within five (5)
business days of arrival at quarantine facility.
NHPs were:

Captive bred

Wild caught

NHP country of origin:

SECTION 4: PROPOSED PURPOSE OF IMPORTATION
Your request must be limited to scientific, exhibition, or educational purposes.
Purpose:

Scientific Exhibition Educational

SECTION 5. SHIPPER/EXPORTER (CONSIGNOR)
Name/Institution:
Address:

Phone number:

Email:

Public reporting burden of this collection of information is estimated to average 15 minutes 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. An agency may
not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR
Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30329; ATTN: PRA (0920-1383).
CS 337508-A 3/1/2023

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SECTION 6. BROKER
Broker:
Address:
Phone number: Email:

Primary contact for this shipment
Name:

Phone number:

Email:

SECTION 7: TRANSPORTATION INFORMATION
Arrival Method (Complete the Applicable Section Below)
* An importer may import live NHPs into the United States only through a port of entry where a HHS/CDC quarantine
station is located. The list of current HHS/CDC quarantine stations can be found at Quarantine Station Contact List,
Map, and Fact Sheets | Quarantine | CDC. In the event that the importer is unable to provide for entry at a port
where a HHS/CDC quarantine station is located, the importer may only import live NHPs into the United States
through another port of entry if the Director provides advance written approval.

Arrivals by flight:
Port of Entry:*

Carrier(s):

El Paso
Detroit
Dallas
Chicago
Boston
Atlanta
Anchorage
Los
Houston
Honolulu
New
Minneapolis
Miami
Philadelphia
Newark
San
Washington,
Seattle
Angeles
Diego
Francisco
Juan
York
DC

Flight Number(s):

Arrival flight number:

Arrival Air Waybill Number(s):
Detailed itinerary/flight route (including technical stops):

Estimated date and time of arrival in United States:

Arrivals by vehicle:
Port of Entry:*
Name of vehicle owner:

License plate number:

Estimated date and time of arrival in United States:

Arrival by ship:
Port of entry:*
Vessel number:

Name of ship:
Estimated date and time of arrival in United States:

Crates
Number:
Description:

Offloading NHPs at Port of Entry (If Applicable)
Person(s) responsible for off-loading NHPs at U.S. port of entry
Name(s):
Address:
Phone number: Email:

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Ground Transport
Party responsible for transporting NHPs from port of entry to quarantine facility:
Name of transport company:
Names of individuals transporting shipment:
Address:
Phone number: Email:

Second party responsible for transporting NHPs from port of entry to quarantine facility (if Applicable):
Name of transport company:
Names of individuals transporting shipment:
Address:
Phone number: Email:

SECTION 8. CONVENTION ON INTERNATIONAL TRADE IN ENDANGERED SPECIES
OF WILD FAUNA AND FLORA (CITES) PERMIT
CITES permit number(s):

CITES permit expiration date(s):

Additional Information:

Please email completed form to [email protected] at least seven days prior to shipment arrival.

U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES PUBLIC HEALTH SERVICE
CENTERS FOR DISEASE CONTROL AND PREVENTION
NATIONAL CENTER FOR PREVENTION SERVICES
DIVISION OF QUARANTINE (E03)
ATLANTA, GEORGIA 30333
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