Implementing Measures to Restrict Stockpiling of Polysilicon and Polysilicon Derivatives Under Proclamation 11052 of August 6, 2

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OMB Control Number: 0694-XXXX

Expiration Date: XX/XX/2027

Implementing Measures to Restrict Stockpiling of Polysilicon and Polysilicon Derivatives Under Proclamation 11052 of August 6, 2026
Companies seeking to waive restrictions on imports of polysilicon and its derivatives pursuant to Proclamation 11052 must submit the application and associated documentation to
polysilicon [email protected]. The applications should include the following information, with reference as appropriate to the relevant application sections:
Section 1 – Organization Information: Full legal name, address, ownership structure and beneficial ownership, including the country where the company’s (or companies’)
headquarters is located. The name, title, and contact information of the authorized representative(s) submitting the application should also be included. The company (or companies)
should also provide information about the products it manufactures and where such manufacturing takes place.
Section 2 - Projected Type, Volume, and Use of Imports: Explanation detailing how the company intends to use the imported Polysilicon Product(s) including whether the imports
support the company’s own manufacturing, and if so how; or whether the company plans to transfer the imported merchandise to third parties, and an estimate of the anticipated
volume of imports the company intends to enter into the United States prior to December 4, 2026, if a waiver is granted.
Section 3 - Legitimate Business Purpose: An explanation of the business considerations associated with the company’s Polysilicon Product import volumes. For IORs subject to a
prohibition imposed pursuant to supplement no. 1 to part 705, companies should explain why the volume of imports they were entering into the United States from August 6, 2026
until the effective date of the prohibition were grounded in legitimate commercial considerations unrelated to the implementation of Proclamation 11052. For new IORs seeking a
waiver, companies should detail why they have established themselves as a new IOR, whether they have pre-existing customers or business relationships in the United States for
Polysilicon Products that predate the August 6, 2026, signature date of Proclamation 11052, the foreign manufacturers whose Polysilicon Products they seek to enter into the United
States, and any other factor the company deems relevant.
Section 4 - Certification and commitment to not stockpile Polysilicon Products prior to December 4, 2026: Company applications should be signed by a senior official in the
company. Applications shall include a certification, such as a sworn statement, from a senior officer of the company confirming that the submission is true, accurate, and complete to
the best of the company’s knowledge, under penalty of perjury, and confirming that the company has conducted reasonable diligence to verify the accuracy of the assertions and facts
contained in its submissions, as well as a commitment to not stockpile Polysilicon Products prior to December 4, 2026.
Additional Information: Any other information the applicant believes is necessary to facilitate Commerce’s decision-making. If companies believe that any of the requirements
outlined above are not appropriate for their particular situation, they should provide a detailed explanation.

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OMB Control Number: 0694-XXXX

Expiration Date: 12/03/2026

Implementing Measures to Restrict Stockpiling of Polysilicon and Polysilicon Derivatives Under Proclamation 11052 of August 6, 2026
The information contained in this document is confidential and not subject to disclosure under
Exemption 4 to the Freedom of Information Act, 5 U.S.C. § 552(b)(4), and the Trade Secrets Act, 18 U.S.C. § 1905.

Section 1: Organization Information
Organization Information

Authorized Representative

Full Organization Legal Name

Authorized Representative Name

Street Address

Position / Title

City

Organization Name (if different)

State

Location Country

Zip Code

Phone Number

Headquarters Country

E-mail Address

Ownership structure and beneficial ownership details

Overview of what the company manufactures, including
locations and whether manufacturing occurs in facilities
owned by the company, contract manufacturers, or other

Section 2: Projected Type, Volume, and Use of Imports
Identify the types of polysilicon and its derivatives the company intends to import, the anticipated volume prior to December 4, 2026, the import's intended use
Intended Use

Additional Description of Use

Polysilicon (HTSUS 2804.61.00) - in kg

Import Type

Volume

{solar, semiconductor, other}

{supports existing manufacturing operations or new investment projects}

Polysilicon-derived wafers/ingots (HTSUS 3818.00.00) - in kg

{solar, semiconductor, other}

Polysilicon-derived solar cells (HTSUS 8541.42.00) - number
Polysilicon-derived solar modules (HTSUS 8541.43.00) - number
Provide annual production volume and capacity utilization rates for each facility receiving the imports and any applicable allocation of imports for each facility
Volume of Applicable Imports to be Allocated to Facility
Facility Name

1

State

Primary Product Annual
Production Volume

Facility Primary Product

Units for Volume
(kg, wafers,
modules, etc.)

Capacity
Utilization Rate

Polysilicon

Wafers/Ingots

Solar Cells

Solar Modules

{bare semi wafer, fab semi wafer, sola

2
3
4
5
6
7
8
9
10

Section 3: Legitimate Business Purpose
Provide an explanation of the business considerations associated with the company’s Polysilicon Product import volumes. For existing importers of record (IORs) with significant increases in the volume of imports, explain why the volume of imports they were entering
prior to receiving a prohibition were grounded in legitimate commercial considerations unrelated to the implementation of Proclamation 11052. For new IORs seeking to lift the quantitative restriction, companies should detail why they have established themselves as a
new IOR, whether they have pre-existing customers or business relationships in the United States for Polysilicon Products that predate the August 6, 2026 signature date of Proclamation 11052, the foreign manufacturers whose Polysilicon Products they seek to enter into
the United States, and any other factor the company deems relevant. Additional documents such as purchase orders or contracts dated prior to August 6, 2026, business plans or board resolutions dated prior to August 6, 2026, or corporate restructuring documents may
be submitted as separate attachments.

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Section 4: Certification
The undersigned certifies that the information herein supplied in response to this questionnaire is complete and correct to the best of his/her knowledge, and that the represented company will not stockpile polysilicon or its derivatives prior to December 4, 2026. It is a
criminal offense to willfully make a false statement or representation to any department or agency of the United States Government as to any matter within its jurisdiction (18 U.S.C. 1001 (1984 & SUPP. 1197))
Name of Authorizing Official
Title of Authorizing Official
E-mail Address
Phone Number and Extension
Date Certified (MM/DD/YYYY)

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