LOW VALUE ALUMINUM IMPORT LICENSE

Status: Original and derived artifacts are available for this document.

Download: pdf

g

INTERNATIONAL TRADE ADMINISTRATION

OMB Control No.: 0625-0279

LOW VALUE ALUMINUM IMPORT LICENSE

Expiration Date: 01/31/2027

Form ITA-4142b
Date: XX/XX/XXXX
Aluminum 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 Aluminum 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 Aluminum 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 Aluminum
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 aluminum products with a
value of $5000.00 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 U.S. 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 Burden Statement
A Federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with an
information collection subject to the requirements of the Paperwork Reduction Act of 1995 unless the information collection has a currently valid OMB Control Number.
The approved OMB Control Number for this information collection is 0625-0279. Without this approval, we could not conduct this information collection. Public reporting
for this information collection is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the information collection. All responses to this information collection are voluntary. Send
comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to the International Trade
Administration Paperwork Reduction Act Program: [email protected].
Privacy Act Statement
This information is collected under the authority of the Privacy Act of 1974 (5 U.S.C. § 552a) and 15 U.S.C. § 1512. It will be used by the International Trade
Administration (ITA) to provide services, process requests, and support ITA’s trade promotion and enforcement mission. Routine uses may include disclosure to other
federal, state, local, or foreign government agencies, and authorized contractors, as described in the applicable Department of Commerce System of Records Notices
(SORNs) at https://www.commerce.gov/opog/privacy/SORN . Providing this information is voluntary, but not doing so may limit our ability to respond to your request.